This page is part of the Genetic Reporting Implementation Guide (v0.3.0: STU 1 Ballot 2) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
{ "resourceType" : "StructureDefinition", "id" : "task-med-chg", "text" : { "status" : "generated", "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task" title="Task describing what sort of change (if any) should be made in a patient's medication based on an identified genotype.">Task</a><a name="Task"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medication Usage Implication</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.status">status</a><a name="Task.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">requested</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.intent">intent</a><a name="Task.intent"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">proposal</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.code">code</a><a name="Task.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="task-med-chg-definitions.html#Task.code.coding">coding</a><a name="Task.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4; font-style: italic" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:system</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck115.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.code.coding:change" title="Slice change: Medication usage suggestion.">coding</a><a name="Task.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E.g. Consider alternative medication, Decrease dose, Increase dose, etc.<br/><span style="font-weight:bold">Binding: </span><a href="https://r.details.loinc.org/AnswerList/LL4049-4.html">LOINC Answer List LL4049-4</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1150.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.code.coding:change.system">system</a><a name="Task.code.coding.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">http://loinc.org</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1140.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.code.coding:change.code">code</a><a name="Task.code.coding.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.code.text">text</a><a name="Task.code.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medication usage suggestion narrative</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.description">description</a><a name="Task.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.focus">focus</a><a name="Task.focus"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="medicationstatement.html">Current Medication</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.for">for</a><a name="Task.for"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/patient.html">Patient</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.requester">requester</a><a name="Task.requester"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/organization.html">Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="task-med-chg-definitions.html#Task.reasonReference">reasonReference</a><a name="Task.reasonReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="obs-med-impact.html">Medication Impact</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>" }, "url" : "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/task-med-chg", "version" : "0.3.0", "name" : "Medication Usage Implication", "status" : "draft", "date" : "2017-05-20", "publisher" : "HL7 Clinical Genomics WG", "description" : "Task proposing actions based on genetic results", "jurisdiction" : [ { "coding" : [ { "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" } ] } ], "fhirVersion" : "4.0.0", "mapping" : [ { "identity" : "v2-cg-results", "uri" : "http://unknown.org/V2-CG-Results", "name" : "V2-CG-Results" }, { "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" } ], "kind" : "resource", "abstract" : false, "type" : "Task", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Task", "derivation" : "constraint", "snapshot" : { "element" : [ { "id" : "Task", "path" : "Task", "short" : "Medication Usage Implication", "definition" : "Task describing what sort of change (if any) should be made in a patient's medication based on an identified genotype.", "min" : 0, "max" : "*", "base" : { "path" : "Task", "min" : 0, "max" : "*" }, "constraint" : [ { "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "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()", "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "DomainResource" }, { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.div.exists()", "xpath" : "exists(f:text/h:div)", "source" : "DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "DomainResource" }, { "key" : "inv-1", "severity" : "error", "human" : "Last modified date must be greater than or equal to authored-on date.", "expression" : "lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn", "xpath" : "not(exists(f:lastModified/@value)) or not(exists(f:authoredOn/@value)) or f:lastModified/@value >= f:authoredOn/@value", "source" : "Task" } ], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Request, Event" }, { "identity" : "rim", "map" : "ControlAct[moodCode=INT]" } ] }, { "id" : "Task.id", "path" : "Task.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "id" } ], "isModifier" : false, "isSummary" : true }, { "id" : "Task.meta", "path" : "Task.meta", "short" : "Metadata about the resource", "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.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Meta" } ], "isModifier" : false, "isSummary" : true }, { "id" : "Task.implicitRules", "path" : "Task.implicitRules", "short" : "A set of rules under which this content was created", "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.", "comment" : "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.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true }, { "id" : "Task.language", "path" : "Task.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean" : true } ], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages" } }, { "id" : "Task.text", "path" : "Task.text", "short" : "Text summary of the resource, for human interpretation", "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.", "comment" : "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.", "alias" : [ "narrative", "html", "xhtml", "display" ], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Act.text?" } ] }, { "id" : "Task.contained", "path" : "Task.contained", "short" : "Contained, inline Resources", "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.", "comment" : "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.", "alias" : [ "inline resources", "anonymous resources", "contained resources" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Resource" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Task.extension", "path" : "Task.extension", "short" : "Additional content defined by implementations", "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.", "comment" : "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.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Task.modifierExtension", "path" : "Task.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "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](extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Task.identifier", "path" : "Task.identifier", "short" : "Task Instance Identifier", "definition" : "The business identifier for this task.", "min" : 0, "max" : "*", "base" : { "path" : "Task.identifier", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Identifier" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Request.identifier, Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "rim", "map" : ".id" } ] }, { "id" : "Task.instantiatesCanonical", "path" : "Task.instantiatesCanonical", "short" : "Formal definition of task", "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.", "requirements" : "Enables a formal definition of how he task is to be performed, enabling automation.", "min" : 0, "max" : "1", "base" : { "path" : "Task.instantiatesCanonical", "min" : 0, "max" : "1" }, "type" : [ { "code" : "canonical", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/ActivityDefinition" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.instantiatesCanonical, Event.instantiatesCanonical" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id" : "Task.instantiatesUri", "path" : "Task.instantiatesUri", "short" : "Formal definition of task", "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.", "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.", "min" : 0, "max" : "1", "base" : { "path" : "Task.instantiatesUri", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.instantiatesUrl" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id" : "Task.basedOn", "path" : "Task.basedOn", "short" : "Request fulfilled by this task", "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.", "min" : 0, "max" : "*", "base" : { "path" : "Task.basedOn", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.basedOn, Event.basedOn" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=INT]" } ] }, { "id" : "Task.groupIdentifier", "path" : "Task.groupIdentifier", "short" : "Requisition or grouper id", "definition" : "An identifier that links together multiple tasks and other requests that were created in the same context.", "requirements" : "Billing and/or reporting can be linked to whether multiple requests were created as a single unit.", "min" : 0, "max" : "1", "base" : { "path" : "Task.groupIdentifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.groupIdentifier" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=INT].id" } ] }, { "id" : "Task.partOf", "path" : "Task.partOf", "short" : "Composite task", "definition" : "Task that this particular task is part of.", "comment" : "This should usually be 0..1.", "requirements" : "Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).", "min" : 0, "max" : "*", "base" : { "path" : "Task.partOf", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Task" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.partOf" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=INT]" } ] }, { "id" : "Task.status", "path" : "Task.status", "short" : "draft | requested | received | accepted | +", "definition" : "The current status of the task.", "requirements" : "These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.", "min" : 1, "max" : "1", "base" : { "path" : "Task.status", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "fixedCode" : "requested", "mustSupport" : true, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskStatus" } ], "strength" : "required", "description" : "The current status of the task.", "valueSet" : "http://hl7.org/fhir/ValueSet/task-status" }, "mapping" : [ { "identity" : "workflow", "map" : "Request.status, Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : ".statusCode" } ] }, { "id" : "Task.statusReason", "path" : "Task.statusReason", "short" : "Reason for current status", "definition" : "An explanation as to why this task is held, failed, was refused, etc.", "comment" : "This applies to the current status. Look at the history of the task to see reasons for past statuses.", "min" : 0, "max" : "1", "base" : { "path" : "Task.statusReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskStatusReason" } ], "strength" : "example", "description" : "Codes to identify the reason for current status. These will typically be specific to a particular workflow." }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN, code="status change"].reasonCode" } ] }, { "id" : "Task.businessStatus", "path" : "Task.businessStatus", "short" : "E.g. "Specimen collected", "IV prepped"", "definition" : "Contains business-specific nuances of the business state.", "requirements" : "There's often a need to track substates of a task - this is often variable by specific workflow implementation.", "min" : 0, "max" : "1", "base" : { "path" : "Task.businessStatus", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskBusinessStatus" } ], "strength" : "example", "description" : "The domain-specific business-contextual sub-state of the task. For example: "Blood drawn", "IV inserted", "Awaiting physician signature", etc." }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="business status"]" } ] }, { "id" : "Task.intent", "path" : "Task.intent", "short" : "unknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option", "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.", "comment" : "This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances. In most cases, Tasks will have an intent of "order".", "min" : 1, "max" : "1", "base" : { "path" : "Task.intent", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "fixedCode" : "proposal", "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskIntent" } ], "strength" : "required", "description" : "Distinguishes whether the task is a proposal, plan or full order.", "valueSet" : "http://hl7.org/fhir/ValueSet/task-intent" }, "mapping" : [ { "identity" : "workflow", "map" : "Request.intent" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".moodCode" } ] }, { "id" : "Task.priority", "path" : "Task.priority", "short" : "routine | urgent | asap | stat", "definition" : "Indicates how quickly the Task should be addressed with respect to other requests.", "requirements" : "Used to identify the service level expected while performing a task.", "min" : 0, "max" : "1", "base" : { "path" : "Task.priority", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If missing, this task should be performed with normal priority", "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskPriority" } ], "strength" : "required", "description" : "The task's priority.", "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority" }, "mapping" : [ { "identity" : "workflow", "map" : "Request.priority" }, { "identity" : "w5", "map" : "FiveWs.grade" }, { "identity" : "rim", "map" : ".priorityCode" } ] }, { "id" : "Task.code", "path" : "Task.code", "short" : "Task Type", "definition" : "A name or code (or both) briefly describing what the task involves.", "comment" : "The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.", "min" : 1, "max" : "1", "base" : { "path" : "Task.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskCode" } ], "strength" : "example", "description" : "Codes to identify what the task involves. These will typically be specific to a particular workflow." }, "mapping" : [ { "identity" : "workflow", "map" : "Request.code, Event.code" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "rim", "map" : ".code" } ] }, { "id" : "Task.code.id", "path" : "Task.code.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.code.extension", "path" : "Task.code.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "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.", "comment" : "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.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.code.coding", "path" : "Task.code.coding", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "system" } ], "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "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.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }, { "identity" : "v2-cg-results", "map" : "G.1" } ] }, { "id" : "Task.code.coding:change", "path" : "Task.code.coding", "sliceName" : "change", "short" : "E.g. Consider alternative medication, Decrease dose, Increase dose, etc.", "definition" : "Medication usage suggestion.", "comment" : "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.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "description" : "Medication usage suggestion values", "valueSet" : "http://loinc.org/vs/LL4049-4" }, "mapping" : [ { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }, { "identity" : "v2-cg-results", "map" : "G.1" } ] }, { "id" : "Task.code.coding:change.id", "path" : "Task.code.coding.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.code.coding:change.extension", "path" : "Task.code.coding.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "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.", "comment" : "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.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.code.coding:change.system", "path" : "Task.code.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://loinc.org", "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id" : "Task.code.coding:change.version", "path" : "Task.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id" : "Task.code.coding:change.code", "path" : "Task.code.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id" : "Task.code.coding:change.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Task.code.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id" : "Task.code.coding:change.userSelected", "path" : "Task.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" } ] }, { "id" : "Task.code.text", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Task.code.text", "short" : "Medication usage suggestion narrative", "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.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "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.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code="text/plain"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }, { "identity" : "v2-cg-results", "map" : "G.2" } ] }, { "id" : "Task.description", "path" : "Task.description", "short" : "Human-readable explanation of task", "definition" : "A free-text description of what is to be performed.", "min" : 0, "max" : "1", "base" : { "path" : "Task.description", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".text" } ] }, { "id" : "Task.focus", "path" : "Task.focus", "short" : "What task is acting on", "definition" : "The request being actioned or the resource being manipulated by this task.", "comment" : "…This would point to the same patient as the report.", "requirements" : "Used to identify the thing to be done.", "min" : 1, "max" : "1", "base" : { "path" : "Task.focus", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/medicationstatement" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=SUBJ].target" } ] }, { "id" : "Task.for", "path" : "Task.for", "short" : "Beneficiary of the Task", "definition" : "The entity who benefits from the performance of the service specified in the task (e.g., the patient).", "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.", "alias" : [ "Patient" ], "min" : 1, "max" : "1", "base" : { "path" : "Task.for", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.subject, Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "rim", "map" : ".participation[typeCode=RCT].role" }, { "identity" : "w5", "map" : "FiveWs.subject" } ] }, { "id" : "Task.encounter", "path" : "Task.encounter", "short" : "Healthcare event during which this task originated", "definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) during which this task was created.", "requirements" : "For some tasks it may be important to know the link between the encounter the task originated within.", "min" : 0, "max" : "1", "base" : { "path" : "Task.encounter", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.context, Event.context" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=PCPR, moodCode=EVN]" } ] }, { "id" : "Task.executionPeriod", "path" : "Task.executionPeriod", "short" : "Start and end time of execution", "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).", "min" : 0, "max" : "1", "base" : { "path" : "Task.executionPeriod", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Period" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }, { "identity" : "rim", "map" : ".effectiveTime" } ] }, { "id" : "Task.authoredOn", "path" : "Task.authoredOn", "short" : "Task Creation Date", "definition" : "The date and time this task was created.", "requirements" : "Most often used along with lastUpdated to track duration of task to supporting monitoring and management.", "alias" : [ "Created Date" ], "min" : 0, "max" : "1", "base" : { "path" : "Task.authoredOn", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "condition" : [ "inv-1" ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Request.authoredOn" }, { "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].time" } ] }, { "id" : "Task.lastModified", "path" : "Task.lastModified", "short" : "Task Last Modified Date", "definition" : "The date and time of last modification to this task.", "requirements" : "Used along with history to track task activity and time in a particular task state. This enables monitoring and management.", "alias" : [ "Update Date" ], "min" : 0, "max" : "1", "base" : { "path" : "Task.lastModified", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "condition" : [ "inv-1" ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ, ].source[classCode=CACT, moodCode=EVN].effectiveTime" } ] }, { "id" : "Task.requester", "path" : "Task.requester", "short" : "Who is asking for task to be done", "definition" : "The creator of the task.", "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).", "min" : 0, "max" : "1", "base" : { "path" : "Task.requester", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.requester" }, { "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" } ] }, { "id" : "Task.performerType", "path" : "Task.performerType", "short" : "Requested performer", "definition" : "The kind of participant that should perform the task.", "requirements" : "Use to distinguish tasks on different activity queues.", "min" : 0, "max" : "*", "base" : { "path" : "Task.performerType", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskPerformerType" } ], "strength" : "preferred", "description" : "The type(s) of task performers allowed.", "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer.role, Request.performerType" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF].role.code" } ] }, { "id" : "Task.owner", "path" : "Task.owner", "short" : "Responsible individual", "definition" : "Individual organization or Device currently responsible for task execution.", "comment" : "Tasks may be created with an owner not yet identified.", "requirements" : "Identifies who is expected to perform this task.", "alias" : [ "Performer", "Executer" ], "min" : 0, "max" : "1", "base" : { "path" : "Task.owner", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/HealthcareService", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer.actor, Request.performer" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF].role" } ] }, { "id" : "Task.location", "path" : "Task.location", "short" : "Where task occurs", "definition" : "The principal physical location where the this task is performed.", "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).", "min" : 0, "max" : "1", "base" : { "path" : "Task.location", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Location" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Request.reasonCode, Event.reasonCode" }, { "identity" : "w5", "map" : "FiveWs.where[x]" }, { "identity" : "rim", "map" : ".participation[typeCode=LOC].role" } ] }, { "id" : "Task.reasonCode", "path" : "Task.reasonCode", "short" : "Why task is needed", "definition" : "A description or code indicating why this task needs to be performed.", "comment" : "This should only be included if there is no focus or if it differs from the reason indicated on the focus.", "min" : 0, "max" : "1", "base" : { "path" : "Task.reasonCode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskReason" } ], "strength" : "example", "description" : "Indicates why the task is needed. E.g. Suspended because patient admitted to hospital." }, "mapping" : [ { "identity" : "workflow", "map" : "Event.location" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "v2", "map" : "EVN.7" }, { "identity" : "rim", "map" : ".reasonCode" } ] }, { "id" : "Task.reasonReference", "path" : "Task.reasonReference", "short" : "Why task is needed", "definition" : "A resource reference indicating why this task needs to be performed.", "comment" : "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.", "min" : 0, "max" : "1", "base" : { "path" : "Task.reasonReference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-med-impact" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Request.reasonReference, Event.reasonReference" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=RSON].target" } ] }, { "id" : "Task.insurance", "path" : "Task.insurance", "short" : "Associated insurance coverage", "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.", "min" : 0, "max" : "*", "base" : { "path" : "Task.insurance", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Request.insurance" }, { "identity" : "v2", "map" : "IN1/IN2" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COVBY].target" } ] }, { "id" : "Task.note", "path" : "Task.note", "short" : "Comments made about the task", "definition" : "Free-text information captured about the task as it progresses.", "min" : 0, "max" : "*", "base" : { "path" : "Task.note", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Annotation" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Request.note, Event.note" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ, ].source[classCode=OBS, moodCode=EVN, code="annotation"].value(string)" } ] }, { "id" : "Task.relevantHistory", "path" : "Task.relevantHistory", "short" : "Key events in history of the Task", "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.", "comment" : "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.", "alias" : [ "Status History" ], "min" : 0, "max" : "*", "base" : { "path" : "Task.relevantHistory", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Provenance" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Request.relevantHistory" }, { "identity" : "rim", "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" } ] }, { "id" : "Task.restriction", "path" : "Task.restriction", "short" : "Constraints on fulfillment tasks", "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.", "requirements" : "Sometimes when fulfillment is sought, you don't want full fulfillment.", "min" : 0, "max" : "1", "base" : { "path" : "Task.restriction", "min" : 0, "max" : "1" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Instead of pointing to request, would point to component of request, having these characteristics" } ] }, { "id" : "Task.restriction.id", "path" : "Task.restriction.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.restriction.extension", "path" : "Task.restriction.extension", "short" : "Additional content defined by implementations", "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.", "comment" : "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.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.restriction.modifierExtension", "path" : "Task.restriction.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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).", "comment" : "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.", "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](extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Task.restriction.repetitions", "path" : "Task.restriction.repetitions", "short" : "How many times to repeat", "definition" : "Indicates the number of times the requested action should occur.", "requirements" : "E.g. order that requests monthly lab tests, fulfillment is sought for 1.", "min" : 0, "max" : "1", "base" : { "path" : "Task.restriction.repetitions", "min" : 0, "max" : "1" }, "type" : [ { "code" : "positiveInt" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".repeatNumber" } ] }, { "id" : "Task.restriction.period", "path" : "Task.restriction.period", "short" : "When fulfillment sought", "definition" : "Over what time-period is fulfillment sought.", "comment" : "Note that period.high is the due date representing the time by which the task should be completed.", "requirements" : "E.g. order that authorizes 1 year's services. Fulfillment is sought for next 3 months.", "min" : 0, "max" : "1", "base" : { "path" : "Task.restriction.period", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Period" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".effectiveTime(IVL<TS>)" } ] }, { "id" : "Task.restriction.recipient", "path" : "Task.restriction.recipient", "short" : "For whom is fulfillment sought?", "definition" : "For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought?", "min" : 0, "max" : "*", "base" : { "path" : "Task.restriction.recipient", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode=SBJ].role" } ] }, { "id" : "Task.input", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Parameter" } ], "path" : "Task.input", "short" : "Information used to perform task", "definition" : "Additional information that may be needed in the execution of the task.", "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.", "alias" : [ "Supporting Information" ], "min" : 0, "max" : "*", "base" : { "path" : "Task.input", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "???" } ] }, { "id" : "Task.input.id", "path" : "Task.input.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.input.extension", "path" : "Task.input.extension", "short" : "Additional content defined by implementations", "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.", "comment" : "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.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.input.modifierExtension", "path" : "Task.input.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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).", "comment" : "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.", "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](extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Task.input.type", "path" : "Task.input.type", "short" : "Label for the input", "definition" : "A code or description indicating how the input is intended to be used as part of the task execution.", "comment" : "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.", "requirements" : "Inputs are named to enable task automation to bind data and pass it from one task to the next.", "alias" : [ "Name" ], "min" : 1, "max" : "1", "base" : { "path" : "Task.input.type", "min" : 1, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskInputParameterType" } ], "strength" : "example", "description" : "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." }, "mapping" : [ { "identity" : "rim", "map" : "???" } ] }, { "id" : "Task.input.value[x]", "path" : "Task.input.value[x]", "short" : "Content to use in performing the task", "definition" : "The value of the input parameter as a basic type.", "min" : 1, "max" : "1", "base" : { "path" : "Task.input.value[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "base64Binary" }, { "code" : "boolean" }, { "code" : "canonical" }, { "code" : "code" }, { "code" : "date" }, { "code" : "dateTime" }, { "code" : "decimal" }, { "code" : "id" }, { "code" : "instant" }, { "code" : "integer" }, { "code" : "markdown" }, { "code" : "oid" }, { "code" : "positiveInt" }, { "code" : "string" }, { "code" : "time" }, { "code" : "unsignedInt" }, { "code" : "uri" }, { "code" : "url" }, { "code" : "uuid" }, { "code" : "Address" }, { "code" : "Age" }, { "code" : "Annotation" }, { "code" : "Attachment" }, { "code" : "CodeableConcept" }, { "code" : "Coding" }, { "code" : "ContactPoint" }, { "code" : "Count" }, { "code" : "Distance" }, { "code" : "Duration" }, { "code" : "HumanName" }, { "code" : "Identifier" }, { "code" : "Money" }, { "code" : "Period" }, { "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }, { "code" : "Reference" }, { "code" : "SampledData" }, { "code" : "Signature" }, { "code" : "Timing" }, { "code" : "ContactDetail" }, { "code" : "Contributor" }, { "code" : "DataRequirement" }, { "code" : "Expression" }, { "code" : "ParameterDefinition" }, { "code" : "RelatedArtifact" }, { "code" : "TriggerDefinition" }, { "code" : "UsageContext" }, { "code" : "Dosage" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "???" } ] }, { "id" : "Task.output", "path" : "Task.output", "short" : "Information produced as part of task", "definition" : "Outputs produced by the Task.", "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.", "min" : 0, "max" : "*", "base" : { "path" : "Task.output", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "???" } ] }, { "id" : "Task.output.id", "path" : "Task.output.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.output.extension", "path" : "Task.output.extension", "short" : "Additional content defined by implementations", "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.", "comment" : "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.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Task.output.modifierExtension", "path" : "Task.output.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "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).", "comment" : "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.", "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](extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Task.output.type", "path" : "Task.output.type", "short" : "Label for output", "definition" : "The name of the Output parameter.", "requirements" : "Outputs are named to enable task automation to bind data and pass it from one task to the next.", "alias" : [ "Name" ], "min" : 1, "max" : "1", "base" : { "path" : "Task.output.type", "min" : 1, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "TaskOutputParameterType" } ], "strength" : "example", "description" : "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." }, "mapping" : [ { "identity" : "rim", "map" : "???" } ] }, { "id" : "Task.output.value[x]", "path" : "Task.output.value[x]", "short" : "Result of output", "definition" : "The value of the Output parameter as a basic type.", "requirements" : "Task outputs can take any form.", "min" : 1, "max" : "1", "base" : { "path" : "Task.output.value[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "base64Binary" }, { "code" : "boolean" }, { "code" : "canonical" }, { "code" : "code" }, { "code" : "date" }, { "code" : "dateTime" }, { "code" : "decimal" }, { "code" : "id" }, { "code" : "instant" }, { "code" : "integer" }, { "code" : "markdown" }, { "code" : "oid" }, { "code" : "positiveInt" }, { "code" : "string" }, { "code" : "time" }, { "code" : "unsignedInt" }, { "code" : "uri" }, { "code" : "url" }, { "code" : "uuid" }, { "code" : "Address" }, { "code" : "Age" }, { "code" : "Annotation" }, { "code" : "Attachment" }, { "code" : "CodeableConcept" }, { "code" : "Coding" }, { "code" : "ContactPoint" }, { "code" : "Count" }, { "code" : "Distance" }, { "code" : "Duration" }, { "code" : "HumanName" }, { "code" : "Identifier" }, { "code" : "Money" }, { "code" : "Period" }, { "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }, { "code" : "Reference" }, { "code" : "SampledData" }, { "code" : "Signature" }, { "code" : "Timing" }, { "code" : "ContactDetail" }, { "code" : "Contributor" }, { "code" : "DataRequirement" }, { "code" : "Expression" }, { "code" : "ParameterDefinition" }, { "code" : "RelatedArtifact" }, { "code" : "TriggerDefinition" }, { "code" : "UsageContext" }, { "code" : "Dosage" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "???" } ] } ] }, "differential" : { "element" : [ { "id" : "Task", "path" : "Task", "short" : "Medication Usage Implication", "definition" : "Task describing what sort of change (if any) should be made in a patient's medication based on an identified genotype.", "mustSupport" : false, "isModifier" : false }, { "id" : "Task.status", "path" : "Task.status", "type" : [ { "code" : "code" } ], "fixedCode" : "requested", "mustSupport" : true, "isModifier" : false }, { "id" : "Task.intent", "path" : "Task.intent", "type" : [ { "code" : "code" } ], "fixedCode" : "proposal", "mustSupport" : true, "isModifier" : false }, { "id" : "Task.code", "path" : "Task.code", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "Task.code.coding", "path" : "Task.code.coding", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "system" } ], "rules" : "open" }, "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "G.1" } ] }, { "id" : "Task.code.coding:change", "path" : "Task.code.coding", "sliceName" : "change", "short" : "E.g. Consider alternative medication, Decrease dose, Increase dose, etc.", "definition" : "Medication usage suggestion.", "min" : 0, "max" : "1", "mustSupport" : true, "isModifier" : false, "binding" : { "strength" : "required", "description" : "Medication usage suggestion values", "valueSet" : "http://loinc.org/vs/LL4049-4" }, "mapping" : [ { "identity" : "v2-cg-results", "map" : "G.1" } ] }, { "id" : "Task.code.coding:change.system", "path" : "Task.code.coding.system", "min" : 1, "max" : "1", "type" : [ { "code" : "uri" } ], "fixedUri" : "http://loinc.org", "mustSupport" : true, "isModifier" : false }, { "id" : "Task.code.coding:change.code", "path" : "Task.code.coding.code", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "Task.code.text", "path" : "Task.code.text", "short" : "Medication usage suggestion narrative", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "G.2" } ] }, { "id" : "Task.description", "path" : "Task.description", "min" : 0, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "Task.focus", "path" : "Task.focus", "comment" : "…This would point to the same patient as the report.", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/medicationstatement" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Task.for", "path" : "Task.for", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Task.requester", "path" : "Task.requester", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Task.reasonReference", "path" : "Task.reasonReference", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-med-impact" ] } ], "mustSupport" : true, "isModifier" : false } ] } }