Extensions for Using Data Elements from FHIR R4B in FHIR STU3
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Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R4B_Task_R3_ProcessRequest - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-Task-for-ProcessRequest resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. ProcessRequest
Definition

This resource provides the target, request and response, and action details for an action to be performed by the target on or about existing resources.

ShortRequest to perform some action on or in regards to an existing resource
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
2. ProcessRequest.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Control0..1
Typeuri
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
4. ProcessRequest.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

ShortExtensionAdditional Content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Alternate Namesextensions, user content
SlicingThis element introduces a set of slices on ProcessRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. ProcessRequest.extension:location
    Slice Namelocation
    Definition

    R4B: Task.location (new:Reference(Location))

    ShortR4B: Where task occurs (new)
    Comments

    Element Task.location has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.location has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.location has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.location has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R4B: Where task occurs (new)) (Extension Type: Reference(Cross-version Profile for R4B.Location for use in FHIR STU3, Location))
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. ProcessRequest.extension:reasonReference
    Slice NamereasonReference
    Definition

    R4B: Task.reasonReference (new:Reference(Resource))

    ShortR4B: Why task is needed (new)
    Comments

    Element Task.reasonReference has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.reasonReference has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.reasonReference has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.reasonReference has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R4B: Why task is needed (new)) (Extension Type: Reference(Cross-version Profile for R4B.Resource for use in FHIR STU3, Resource))
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. ProcessRequest.extension:insurance
    Slice Nameinsurance
    Definition

    R4B: Task.insurance (new:Reference(Coverage,ClaimResponse))

    ShortR4B: Associated insurance coverage (new)
    Comments

    Element Task.insurance has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.insurance has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.insurance has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.insurance has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R4B: Associated insurance coverage (new)) (Extension Type: Reference(Cross-version Profile for R4B.Coverage for use in FHIR STU3, Coverage, Cross-version Profile for R4B.ClaimResponse for use in FHIR STU3, ClaimResponse))
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. ProcessRequest.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Alternate Namesextensions, user content
    14. ProcessRequest.status
    Definition

    The status of the resource instance.

    Shortactive | cancelled | draft | entered-in-error
    Comments

    This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

    Control0..1
    BindingThe codes SHALL be taken from Financial Resource Status Codeshttp://hl7.org/fhir/ValueSet/fm-status|3.0.2
    (required to http://hl7.org/fhir/ValueSet/fm-status|3.0.2)

    A code specifying the state of the resource instance.

    Typecode
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue

    Guidance on how to interpret the contents of this table can be foundhere

    0. ProcessRequest
    2. ProcessRequest.meta
    4. ProcessRequest.meta.extension
    Control0..*
    SlicingThis element introduces a set of slices on ProcessRequest.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 6. ProcessRequest.meta.extension:meta
      Slice Namemeta
      Definition

      R4B: Task.meta additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)

      ShortR4B: Metadata about the resource additional types
      Comments

      Element Task.meta is mapped to FHIR STU3 element ProcessRequest.meta as SourceIsBroaderThanTarget. Element Task.meta is mapped to FHIR STU3 element ProcessResponse.meta as SourceIsBroaderThanTarget. Element Task.meta is mapped to FHIR STU3 element Task.meta as SourceIsBroaderThanTarget. The mappings for Task.meta do not cover the following types: Meta. The mappings for Task.meta do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.

      Control0..1
      TypeExtension(R4B: Metadata about the resource additional types) (Extension Type: Meta)
      8. ProcessRequest.text
      10. ProcessRequest.text.extension
      Control0..*
      SlicingThis element introduces a set of slices on ProcessRequest.text.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 12. ProcessRequest.text.extension:text
        Slice Nametext
        Definition

        R4B: Task.text additional types (Narrative) additional types from child elements (div, status)

        ShortR4B: Text summary of the resource, for human interpretation additional types
        Comments

        Element Task.text is mapped to FHIR STU3 element ProcessRequest.text as SourceIsBroaderThanTarget. Element Task.text is mapped to FHIR STU3 element ProcessResponse.text as SourceIsBroaderThanTarget. Element Task.text is mapped to FHIR STU3 element Task.text as SourceIsBroaderThanTarget. The mappings for Task.text do not cover the following types: Narrative. The mappings for Task.text do not cover the following types based on type expansion: div, status. 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.

        Control0..1
        TypeExtension(R4B: Text summary of the resource, for human interpretation additional types) (Complex Extension)
        14. ProcessRequest.extension
        Control0..*
        SlicingThis element introduces a set of slices on ProcessRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 16. ProcessRequest.extension:location
          Slice Namelocation
          Definition

          R4B: Task.location (new:Reference(Location))

          ShortR4B: Where task occurs (new)
          Comments

          Element Task.location has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.location has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.location has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.location has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

          Control0..1
          TypeExtension(R4B: Where task occurs (new)) (Extension Type: Reference(Cross-version Profile for R4B.Location for use in FHIR STU3, Location))
          18. ProcessRequest.extension:reasonReference
          Slice NamereasonReference
          Definition

          R4B: Task.reasonReference (new:Reference(Resource))

          ShortR4B: Why task is needed (new)
          Comments

          Element Task.reasonReference has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.reasonReference has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.reasonReference has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.reasonReference has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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.

          Control0..1
          TypeExtension(R4B: Why task is needed (new)) (Extension Type: Reference(Cross-version Profile for R4B.Resource for use in FHIR STU3, Resource))
          20. ProcessRequest.extension:insurance
          Slice Nameinsurance
          Definition

          R4B: Task.insurance (new:Reference(Coverage,ClaimResponse))

          ShortR4B: Associated insurance coverage (new)
          Comments

          Element Task.insurance has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.insurance has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.insurance has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.insurance has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

          Control0..*
          TypeExtension(R4B: Associated insurance coverage (new)) (Extension Type: Reference(Cross-version Profile for R4B.Coverage for use in FHIR STU3, Coverage, Cross-version Profile for R4B.ClaimResponse for use in FHIR STU3, ClaimResponse))
          22. ProcessRequest.identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          24. ProcessRequest.identifier.extension
          Control0..*
          SlicingThis element introduces a set of slices on ProcessRequest.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 26. ProcessRequest.identifier.extension:identifier
            Slice Nameidentifier
            Definition

            R4B: Task.identifier additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)

            ShortR4B: Task Instance Identifier additional types
            Comments

            Element Task.identifier is mapped to FHIR STU3 element ProcessRequest.identifier as SourceIsBroaderThanTarget. Element Task.identifier is mapped to FHIR STU3 element ProcessResponse.identifier as SourceIsBroaderThanTarget. Element Task.identifier is mapped to FHIR STU3 element Task.identifier as SourceIsBroaderThanTarget. The mappings for Task.identifier do not cover the following types: Identifier. The mappings for Task.identifier do not cover the following types based on type expansion: assigner, period, system, type, use, value.

            Control0..*
            TypeExtension(R4B: Task Instance Identifier additional types) (Extension Type: Identifier)

            Guidance on how to interpret the contents of this table can be foundhere

            0. ProcessRequest
            Definition

            This resource provides the target, request and response, and action details for an action to be performed by the target on or about existing resources.

            ShortRequest to perform some action on or in regards to an existing resource
            Control0..*
            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
            dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
            dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
            dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
            2. ProcessRequest.id
            Definition

            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

            ShortLogical id of this artifact
            Comments

            The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

            Control0..1
            Typeid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            4. ProcessRequest.meta
            Definition

            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

            ShortMetadata about the resource
            Control0..1
            TypeMeta
            Summarytrue
            6. ProcessRequest.meta.id
            Definition

            unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            Shortxml:id (or equivalent in JSON)
            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            8. ProcessRequest.meta.extension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            SlicingThis element introduces a set of slices on ProcessRequest.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 10. ProcessRequest.meta.extension:meta
              Slice Namemeta
              Definition

              R4B: Task.meta additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)

              ShortR4B: Metadata about the resource additional types
              Comments

              Element Task.meta is mapped to FHIR STU3 element ProcessRequest.meta as SourceIsBroaderThanTarget. Element Task.meta is mapped to FHIR STU3 element ProcessResponse.meta as SourceIsBroaderThanTarget. Element Task.meta is mapped to FHIR STU3 element Task.meta as SourceIsBroaderThanTarget. The mappings for Task.meta do not cover the following types: Meta. The mappings for Task.meta do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.

              Control0..1
              TypeExtension(R4B: Metadata about the resource additional types) (Extension Type: Meta)
              12. ProcessRequest.meta.versionId
              Definition

              The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.

              ShortVersion specific identifier
              Comments

              The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

              Control0..1
              Typeid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              14. ProcessRequest.meta.lastUpdated
              Definition

              When the resource last changed - e.g. when the version changed.

              ShortWhen the resource version last changed
              Comments

              This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.

              Control0..1
              Typeinstant
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              16. ProcessRequest.meta.profile
              Definition

              A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

              ShortProfiles this resource claims to conform to
              Comments

              It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

              Control0..*
              Typeuri
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              18. ProcessRequest.meta.security
              Definition

              Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

              ShortSecurity Labels applied to this resource
              Comments

              The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from All Security Labels
              (extensible to http://hl7.org/fhir/ValueSet/security-labels|3.0.2)

              Security Labels from the Healthcare Privacy and Security Classification System.

              TypeCoding
              Summarytrue
              20. ProcessRequest.meta.tag
              Definition

              Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

              ShortTags applied to this resource
              Comments

              The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

              Control0..*
              BindingFor example codes, see Common Tags
              (example to http://hl7.org/fhir/ValueSet/common-tags|3.0.2)

              Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"

              TypeCoding
              Summarytrue
              22. ProcessRequest.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

              This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

              Control0..1
              Typeuri
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              24. ProcessRequest.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Common Languages
              (extensible to http://hl7.org/fhir/ValueSet/languages|3.0.2)

              A human language.

              Additional BindingsPurpose
              All LanguagesMax Binding
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              26. ProcessRequest.text
              Definition

              A human-readable narrative that contains a summary of the resource, and may 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.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

              Control0..1
              This element is affected by the following invariants: dom-1
              TypeNarrative
              Alternate Namesnarrative, html, xhtml, display
              28. ProcessRequest.text.id
              Definition

              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              30. ProcessRequest.text.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              SlicingThis element introduces a set of slices on ProcessRequest.text.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 32. ProcessRequest.text.extension:text
                Slice Nametext
                Definition

                R4B: Task.text additional types (Narrative) additional types from child elements (div, status)

                ShortR4B: Text summary of the resource, for human interpretation additional types
                Comments

                Element Task.text is mapped to FHIR STU3 element ProcessRequest.text as SourceIsBroaderThanTarget. Element Task.text is mapped to FHIR STU3 element ProcessResponse.text as SourceIsBroaderThanTarget. Element Task.text is mapped to FHIR STU3 element Task.text as SourceIsBroaderThanTarget. The mappings for Task.text do not cover the following types: Narrative. The mappings for Task.text do not cover the following types based on type expansion: div, status. 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.

                Control0..1
                TypeExtension(R4B: Text summary of the resource, for human interpretation additional types) (Complex Extension)
                34. ProcessRequest.text.status
                Definition

                The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.

                Shortgenerated | extensions | additional | empty
                Control1..1
                BindingThe codes SHALL be taken from NarrativeStatus
                (required to http://hl7.org/fhir/ValueSet/narrative-status|3.0.2)

                The status of a resource narrative

                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                36. ProcessRequest.text.div
                Definition

                The actual narrative content, a stripped down version of XHTML.

                ShortLimited xhtml content
                Comments

                The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.

                Control1..1
                Typexhtml
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Invariantstxt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes (htmlchecks())
                txt-2: The narrative SHALL have some non-whitespace content (htmlchecks())
                38. ProcessRequest.contained
                Definition

                These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                ShortContained, inline Resources
                Comments

                This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

                Control0..*
                TypeResource
                Alternate Namesinline resources, anonymous resources, contained resources
                40. ProcessRequest.extension
                Definition

                An Extension

                ShortExtension
                Control0..*
                TypeExtension
                SlicingThis element introduces a set of slices on ProcessRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 42. ProcessRequest.extension:location
                  Slice Namelocation
                  Definition

                  R4B: Task.location (new:Reference(Location))

                  ShortR4B: Where task occurs (new)
                  Comments

                  Element Task.location has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.location has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.location has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.location has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(R4B: Where task occurs (new)) (Extension Type: Reference(Cross-version Profile for R4B.Location for use in FHIR STU3, Location))
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  44. ProcessRequest.extension:reasonReference
                  Slice NamereasonReference
                  Definition

                  R4B: Task.reasonReference (new:Reference(Resource))

                  ShortR4B: Why task is needed (new)
                  Comments

                  Element Task.reasonReference has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.reasonReference has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.reasonReference has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.reasonReference has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(R4B: Why task is needed (new)) (Extension Type: Reference(Cross-version Profile for R4B.Resource for use in FHIR STU3, Resource))
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  46. ProcessRequest.extension:insurance
                  Slice Nameinsurance
                  Definition

                  R4B: Task.insurance (new:Reference(Coverage,ClaimResponse))

                  ShortR4B: Associated insurance coverage (new)
                  Comments

                  Element Task.insurance has a context of ProcessRequest based on following the parent source element upwards and mapping to ProcessRequest. Element Task.insurance has a context of ProcessResponse based on following the parent source element upwards and mapping to ProcessResponse. Element Task.insurance has a context of Task based on following the parent source element upwards and mapping to Task. Element Task.insurance has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  TypeExtension(R4B: Associated insurance coverage (new)) (Extension Type: Reference(Cross-version Profile for R4B.Coverage for use in FHIR STU3, Coverage, Cross-version Profile for R4B.ClaimResponse for use in FHIR STU3, ClaimResponse))
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  48. ProcessRequest.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

                  ShortExtensions that cannot be ignored
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                  Alternate Namesextensions, user content
                  50. ProcessRequest.identifier
                  Definition

                  The ProcessRequest business identifier.

                  ShortBusiness Identifier
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..*
                  TypeIdentifier
                  52. ProcessRequest.identifier.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  54. ProcessRequest.identifier.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  SlicingThis element introduces a set of slices on ProcessRequest.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 56. ProcessRequest.identifier.extension:identifier
                    Slice Nameidentifier
                    Definition

                    R4B: Task.identifier additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)

                    ShortR4B: Task Instance Identifier additional types
                    Comments

                    Element Task.identifier is mapped to FHIR STU3 element ProcessRequest.identifier as SourceIsBroaderThanTarget. Element Task.identifier is mapped to FHIR STU3 element ProcessResponse.identifier as SourceIsBroaderThanTarget. Element Task.identifier is mapped to FHIR STU3 element Task.identifier as SourceIsBroaderThanTarget. The mappings for Task.identifier do not cover the following types: Identifier. The mappings for Task.identifier do not cover the following types based on type expansion: assigner, period, system, type, use, value.

                    Control0..*
                    TypeExtension(R4B: Task Instance Identifier additional types) (Extension Type: Identifier)
                    58. ProcessRequest.identifier.use
                    Definition

                    The purpose of this identifier.

                    Shortusual | official | temp | secondary (If known)
                    Comments

                    This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                    Control0..1
                    BindingThe codes SHALL be taken from IdentifierUse
                    (required to http://hl7.org/fhir/ValueSet/identifier-use|3.0.2)

                    Identifies the purpose for this identifier, if known .

                    Typecode
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                    60. ProcessRequest.identifier.type
                    Definition

                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                    ShortDescription of identifier
                    Comments

                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

                    Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type|3.0.2)

                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                    TypeCodeableConcept
                    Summarytrue
                    Requirements

                    Allows users to make use of identifiers when the identifier system is not known.

                    62. ProcessRequest.identifier.system
                    Definition

                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                    ShortThe namespace for the identifier value
                    Control0..1
                    Typeuri
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                    ExampleGeneral: http://www.acme.com/identifiers/patient
                    64. ProcessRequest.identifier.value
                    Definition

                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                    ShortThe value that is unique
                    Comments

                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    ExampleGeneral: 123456
                    66. ProcessRequest.identifier.period
                    Definition

                    Time period during which identifier is/was valid for use.

                    ShortTime period when id is/was valid for use
                    Control0..1
                    TypePeriod
                    Summarytrue
                    68. ProcessRequest.identifier.assigner
                    Definition

                    Organization that issued/manages the identifier.

                    ShortOrganization that issued id (may be just text)
                    Comments

                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                    Control0..1
                    TypeReference(Organization)
                    Summarytrue
                    70. ProcessRequest.status
                    Definition

                    The status of the resource instance.

                    Shortactive | cancelled | draft | entered-in-error
                    Comments

                    This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                    Control0..1
                    BindingThe codes SHALL be taken from Financial Resource Status Codes
                    (required to http://hl7.org/fhir/ValueSet/fm-status|3.0.2)

                    A code specifying the state of the resource instance.

                    Typecode
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    72. ProcessRequest.action
                    Definition

                    The type of processing action being requested, for example Reversal, Readjudication, StatusRequest,PendedRequest.

                    Shortcancel | poll | reprocess | status
                    Control0..1
                    BindingThe codes SHALL be taken from ActionList
                    (required to http://hl7.org/fhir/ValueSet/actionlist|3.0.2)

                    List of allowable action which this resource can request.

                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    74. ProcessRequest.target
                    Definition

                    The organization which is the target of the request.

                    ShortParty which is the target of the request
                    Control0..1
                    TypeReference(Organization)
                    76. ProcessRequest.created
                    Definition

                    The date when this resource was created.

                    ShortCreation date
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    78. ProcessRequest.provider
                    Definition

                    The practitioner who is responsible for the action specified in this request.

                    ShortResponsible practitioner
                    Control0..1
                    TypeReference(Practitioner)
                    80. ProcessRequest.organization
                    Definition

                    The organization which is responsible for the action speccified in this request.

                    ShortResponsible organization
                    Control0..1
                    TypeReference(Organization)
                    82. ProcessRequest.request
                    Definition

                    Reference of resource which is the target or subject of this action.

                    ShortReference to the Request resource
                    Control0..1
                    TypeReference(Resource)
                    84. ProcessRequest.response
                    Definition

                    Reference of a prior response to resource which is the target or subject of this action.

                    ShortReference to the Response resource
                    Control0..1
                    TypeReference(Resource)
                    86. ProcessRequest.nullify
                    Definition

                    If true remove all history excluding audit.

                    ShortRemove history
                    Control0..1
                    Typeboolean
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Requirements

                    Some resources must not simply be reversed in a processing or accounting sense but rather must have all history removed, such as the accidental submission of sensitive and/or wrong information. If the receiver cannot comply with a Nullify request then they must reject the request.

                    88. ProcessRequest.reference
                    Definition

                    A reference to supply which authenticates the process.

                    ShortReference number/string
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    90. ProcessRequest.item
                    Definition

                    List of top level items to be re-adjudicated, if none specified then the entire submission is re-adjudicated.

                    ShortItems to re-adjudicate
                    Control0..*
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                    92. ProcessRequest.item.id
                    Definition

                    unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    Shortxml:id (or equivalent in JSON)
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    94. ProcessRequest.item.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                    ShortAdditional Content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Alternate Namesextensions, user content
                    96. ProcessRequest.item.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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.

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Summarytrue
                    Alternate Namesextensions, user content, modifiers
                    98. ProcessRequest.item.sequenceLinkId
                    Definition

                    A service line number.

                    ShortService instance
                    Control1..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    100. ProcessRequest.include
                    Definition

                    Names of resource types to include.

                    ShortResource type(s) to include
                    Control0..*
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    102. ProcessRequest.exclude
                    Definition

                    Names of resource types to exclude.

                    ShortResource type(s) to exclude
                    Control0..*
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    104. ProcessRequest.period
                    Definition

                    A period of time during which the fulfilling resources would have been created.

                    ShortSelection period
                    Control0..1
                    TypePeriod