2025.2.0 - ci-build

IGTTPFHIRGatewaygICS - Local Development build (v2025.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ConsentPolicy - Detailed Descriptions

Active as of 2025-06-12

Definitions for the ConsentPolicy resource profile.

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

0. ActivityDefinition
Definition

Atomare Aussage zu der eine Person seine Einwilligung erteilen kann


This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context.

ShortConsent PolicyThe definition of a specific activity to be taken, independent of any particular patient or context
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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 or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
2. ActivityDefinition.meta
Definition

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

ShortMetadata about the resource
Control10..1
This element is affected by the following invariants: ele-1
TypeMeta
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ActivityDefinition.meta.lastUpdated
Definition

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

ShortupdateDateWhen 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. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Control10..1
This element is affected by the following invariants: ele-1
Typeinstant
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. ActivityDefinition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

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. 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.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue because 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
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. ActivityDefinition.extension:created
Slice Namecreated
Definition

Erstellungsdatum der Ressource/Information

ShortCreated
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Created) (Extension Type: instant)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. ActivityDefinition.extension:externalProperty
Slice NameexternalProperty
Definition

Liste frei konfigurierbarer external Properties nach dem KeyValuePrinzip zur Auswertung durch externe Anwendersysteme

ShortexternalProperties
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(External Property Element) (Complex Extension)
Must Supporttrue
LabelexternalProperties
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. ActivityDefinition.extension:externalProperty.extension
Definition

An Extension


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.

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.

Control20..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ActivityDefinition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 14. ActivityDefinition.extension:externalProperty.extension:key
    Slice Namekey
    Definition

    An Extension

    ShortExtensionAdditional content defined by implementations
    Control10..1*
    This element is affected by the following invariants: ele-1
    TypeExtension
    LabelKey
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. ActivityDefinition.extension:externalProperty.extension:key.extension
    Definition

    An Extension


    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.

    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..0*
    This element is affected by the following invariants: ele-1
    TypeExtension
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on ActivityDefinition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 18. ActivityDefinition.extension:externalProperty.extension:key.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed Valuekey
      20. ActivityDefinition.extension:externalProperty.extension:key.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control10..1
      This element is affected by the following invariants: ele-1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. ActivityDefinition.extension:externalProperty.extension:value
      Slice Namevalue
      Definition

      An Extension

      ShortExtensionAdditional content defined by implementations
      Control10..1*
      This element is affected by the following invariants: ele-1
      TypeExtension
      LabelValue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      24. ActivityDefinition.extension:externalProperty.extension:value.extension
      Definition

      An Extension


      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.

      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..0*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on ActivityDefinition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 26. ActivityDefinition.extension:externalProperty.extension:value.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuevalue
        28. ActivityDefinition.extension:externalProperty.extension:value.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control10..1
        This element is affected by the following invariants: ele-1
        Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. ActivityDefinition.extension:externalProperty.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuehttps://ths-greifswald.de/fhir/StructureDefinition/gics/ExternalProperty
        32. ActivityDefinition.extension:externalProperty.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..01
        This element is affected by the following invariants: ele-1
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. ActivityDefinition.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 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).

        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..*
        This element is affected by the following invariants: ele-1
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Standard StatusNormative (from Trial Use)
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on ActivityDefinition.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 36. ActivityDefinition.url
          Definition

          An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers.

          ShortCanonical identifier for this activity definition, represented as a URI (globally unique)
          Comments

          Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

          The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

          In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the activity definition to be referenced by a single globally unique identifier.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. ActivityDefinition.identifier
          Definition

          A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance.

          ShortAdditional identifier for the activity definition
          Comments

          Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI.

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeIdentifier
          Summarytrue
          Requirements

          Allows externally provided and/or usable business identifiers to be easily associated with the module.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. ActivityDefinition.version
          Definition

          The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.

          ShortversionBusiness version of the activity definition
          Comments

          There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version].

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control10..1
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Labelversion
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. ActivityDefinition.name
          Definition

          Name der ConsentPolicy (computer friendly)


          A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

          ShortnameName for this activity definition (computer friendly)
          Comments

          The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

          Control10..1
          This element is affected by the following invariants: ele-1, inv-0
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Support human navigation and code generation.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. ActivityDefinition.title
          Definition

          Bezeichnung (human friendly)


          A short, descriptive, user-friendly title for the activity definition.

          ShortlabelName for this activity definition (human friendly)
          Comments

          This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

          Control0..1
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. ActivityDefinition.subtitle
          Definition

          An explanatory or alternate title for the activity definition giving additional information about its content.

          ShortSubordinate title of the activity definition
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control0..01
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. ActivityDefinition.status
          Definition

          Bearbeitungsstatus: gICS-Äquivalente: finalized=true => active finalized=false => draft


          The status of this activity definition. Enables tracking the life-cycle of the content.

          Shortfinalisiert ja/neindraft | active | retired | unknown
          Comments

          Allows filtering of activity definitions that are appropriate for use versus not.

          Control1..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1
          (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

          The lifecycle status of an artifact.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. ActivityDefinition.experimental
          Definition

          A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

          ShortFor testing purposes, not real usage
          Comments

          Allows filtering of activity definitions that are appropriate for use versus not.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Enables experimental content to be developed following the same lifecycle that would be used for a production-level activity definition.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. ActivityDefinition.subject[x]
          Definition

          A code or group definition that describes the intended subject of the activity being defined.

          ShortType of individual the activity definition is intended for
          Control0..01
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from SubjectTypehttp://hl7.org/fhir/ValueSet/subject-type|4.0.1
          (extensible to http://hl7.org/fhir/ValueSet/subject-type|4.0.1)

          The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).

          TypeChoice of: CodeableConcept, Reference(Group)
          Meaning if MissingPatient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. ActivityDefinition.date
          Definition

          The date (and optionally time) when the activity definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes.

          ShortDate last changed
          Comments

          Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

          Control0..01
          This element is affected by the following invariants: ele-1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesRevision Date
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. ActivityDefinition.publisher
          Definition

          The name of the organization or individual that published the activity definition.

          ShortName of the publisher (organization or individual)
          Comments

          Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Helps establish the "authority/credibility" of the activity definition. May also allow for contact.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. ActivityDefinition.contact
          Definition

          Contact details to assist a user in finding and communicating with the publisher.

          ShortContact details for the publisher
          Comments

          May be a web site, an email address, a telephone number, etc.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeContactDetail
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. ActivityDefinition.description
          Definition

          administrative comment


          A free text natural language description of the activity definition from a consumer's perspective.

          ShortcommentNatural language description of the activity definition
          Comments

          This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created).

          Control0..1
          This element is affected by the following invariants: ele-1
          Typemarkdown
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. ActivityDefinition.useContext
          Definition

          Verweis auf die Domäne


          The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate activity definition instances.

          ShortdomainNameThe context that the content is intended to support
          Comments

          When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

          Control10..1*
          This element is affected by the following invariants: ele-1
          TypeUsageContext
          Must Supporttrue
          Summarytrue
          Requirements

          Assist in searching for appropriate content.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. ActivityDefinition.useContext.code
          Definition

          A code that identifies the type of context being specified by this usage context.

          ShortType of context being specified
          Comments

          Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

          Control1..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from UsageContextTypehttp://hl7.org/fhir/ValueSet/usage-context-type|4.0.1
          (extensible to http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1)

          A code that specifies a type of context being specified by a usage context.

          TypeCoding
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. ActivityDefinition.useContext.code.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          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.

          Control10..1
          This element is affected by the following invariants: ele-1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Fixed Valuehttp://terminology.hl7.org/CodeSystem/usage-context-type
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. ActivityDefinition.useContext.code.code
          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).

          ShortSymbol in syntax defined by the system
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control10..1
          This element is affected by the following invariants: ele-1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Fixed Valueprogram
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. ActivityDefinition.useContext.value[x]
          Definition

          A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

          ShortValue that defines the context
          Control1..1
          This element is affected by the following invariants: ele-1
          TypeReference(Consent Domain, PlanDefinition, ResearchStudy, InsurancePlan, HealthcareService, Group, Location, Organization), Quantity, Range, CodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. ActivityDefinition.useContext.value[x].reference
          Definition

          A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

          ShortLiteral reference, Relative, internal or absolute URL
          Comments

          Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

          Control10..1
          This element is affected by the following invariants: ele-1, ref-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          74. ActivityDefinition.jurisdiction
          Definition

          A legal or geographic region in which the activity definition is intended to be used.

          ShortIntended jurisdiction for activity definition (if applicable)
          Comments

          It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended.

          Control0..0*
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction|4.0.1
          (extensible to http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1)

          Countries and regions within which this artifact is targeted for use.

          TypeCodeableConcept
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          76. ActivityDefinition.purpose
          Definition

          Explanation of why this activity definition is needed and why it has been designed as it has.

          ShortWhy this activity definition is defined
          Comments

          This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this activity definition.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typemarkdown
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. ActivityDefinition.usage
          Definition

          administrative comment


          A detailed description of how the activity definition is used from a clinical perspective.

          ShortcommentDescribes the clinical usage of the activity definition
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control0..01
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. ActivityDefinition.copyright
          Definition

          A copyright statement relating to the activity definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the activity definition.

          ShortUse and/or publishing restrictions
          Comments

          Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

          Control0..01
          This element is affected by the following invariants: ele-1
          Typemarkdown
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Requirements

          Consumers must be able to determine any legal restrictions on the use of the activity definition and/or its content.

          Alternate NamesLicense, Restrictions
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. ActivityDefinition.approvalDate
          Definition

          The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

          ShortWhen the activity definition was approved by publisher
          Comments

          The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typedate
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. ActivityDefinition.lastReviewDate
          Definition

          The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

          ShortWhen the activity definition was last reviewed
          Comments

          If specified, this date follows the original approval date.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typedate
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Requirements

          Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          86. ActivityDefinition.effectivePeriod
          Definition

          The period during which the activity definition content was or is planned to be in active use.

          ShortWhen the activity definition is expected to be used
          Comments

          The effective period for a activity definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

          Control0..01
          This element is affected by the following invariants: ele-1
          TypePeriod
          Summarytrue
          Requirements

          Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the activity definition are or are expected to be used instead.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
          88. ActivityDefinition.topic
          Definition

          Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching.

          ShortE.g. Education, Treatment, Assessment, etc.
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

          Control0..0*
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic|4.0.1
          (example to http://hl7.org/fhir/ValueSet/definition-topic|4.0.1)

          High-level categorization of the definition, used for searching, sorting, and filtering.

          TypeCodeableConcept
          Requirements

          Repositories must be able to determine how to categorize the activity definition so that it can be found by topical searches.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          90. ActivityDefinition.author
          Definition

          An individiual or organization primarily involved in the creation and maintenance of the content.

          ShortWho authored the content
          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeContactDetail
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. ActivityDefinition.editor
          Definition

          An individual or organization primarily responsible for internal coherence of the content.

          ShortWho edited the content
          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeContactDetail
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. ActivityDefinition.reviewer
          Definition

          An individual or organization primarily responsible for review of some aspect of the content.

          ShortWho reviewed the content
          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeContactDetail
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. ActivityDefinition.endorser
          Definition

          An individual or organization responsible for officially endorsing the content for use in some setting.

          ShortWho endorsed the content
          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeContactDetail
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. ActivityDefinition.relatedArtifact
          Definition

          Related artifacts such as additional documentation, justification, or bibliographic references.

          ShortAdditional documentation, citations, etc.
          Comments

          Each related artifact is either an attachment, or a reference to another resource, but not both.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeRelatedArtifact
          Requirements

          Activity definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. ActivityDefinition.library
          Definition

          A reference to a Library resource containing any formal logic used by the activity definition.

          ShortLogic used by the activity definition
          Comments

          see Canonical References

          Control0..0*
          This element is affected by the following invariants: ele-1
          Typecanonical(Library)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. ActivityDefinition.kind
          Definition

          A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always, this is a Request resource.

          ShortKind of resource
          Comments

          May determine what types of extensions are permitted.

          Control0..01
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from RequestResourceTypehttp://hl7.org/fhir/ValueSet/request-resource-types|4.0.1
          (required to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1)

          The kind of activity the definition is describing.

          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. ActivityDefinition.profile
          Definition

          A profile to which the target of the activity definition is expected to conform.

          ShortWhat profile the resource needs to conform to
          Comments

          see Canonical References

          Control0..01
          This element is affected by the following invariants: ele-1
          Typecanonical(StructureDefinition)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Requirements

          Allows profiles to be used to describe the types of activities that can be performed within a workflow, protocol, or order set.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          106. ActivityDefinition.code
          Definition

          Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

          ShortDetail type of activity
          Comments

          Tends to be less relevant for activities involving particular products.

          Control10..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see Policyhttp://hl7.org/fhir/ValueSet/procedure-code|4.0.1
          (extensible to https://ths-greifswald.de/fhir/ValueSet/gics/Policy)
          TypeCodeableConcept
          Must Supporttrue
          Summarytrue
          Requirements

          Allows matching performed to planned as well as validation against protocols.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. ActivityDefinition.code.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

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

          Control10..*
          This element is affected by the following invariants: ele-1
          TypeCoding
          Must Supporttrue
          Summarytrue
          Requirements

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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. ActivityDefinition.code.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          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.

          Control10..1
          This element is affected by the following invariants: ele-1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. ActivityDefinition.code.coding.code
          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).

          ShortSymbol in syntax defined by the system
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control10..1
          This element is affected by the following invariants: ele-1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. ActivityDefinition.intent
          Definition

          Indicates the level of authority/intentionality associated with the activity and where the request should fit into the workflow chain.

          Shortproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control0..01
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1
          (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

          Codes indicating the degree of authority/intentionality associated with a request.

          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          116. ActivityDefinition.priority
          Definition

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

          Shortroutine | urgent | asap | stat
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control0..01
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1
          (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

          Identifies the level of importance to be assigned to actioning the request.

          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          118. ActivityDefinition.doNotPerform
          Definition

          Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action.

          ShortTrue if the activity should not be performed
          Comments

          This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestGroup.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typeboolean
          Is Modifiertrue because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          120. ActivityDefinition.timing[x]
          Definition

          The period, timing or frequency upon which the described activity is to occur.

          ShortWhen activity is to occur
          Control0..01
          This element is affected by the following invariants: ele-1
          TypeChoice of: Timing, dateTime, Age, Period, Range, Duration
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Requirements

          Allows prompting for activities and detection of missed planned activities.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          122. ActivityDefinition.location
          Definition

          Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.

          ShortWhere it should happen
          Comments

          May reference a specific clinical location or may just identify a type of location.

          Control0..01
          This element is affected by the following invariants: ele-1
          TypeReference(Location)
          Requirements

          Helps in planning of activity.

          Alternate Namesfacility
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
          124. ActivityDefinition.participant
          Definition

          Indicates who should participate in performing the action described.

          ShortWho should participate in the action
          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          128. ActivityDefinition.product[x]
          Definition

          Identifies the food, drug or other product being consumed or supplied in the activity.

          ShortWhat's administered/supplied
          Control0..01
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1
          (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

          Code describing the type of substance or medication.

          TypeChoice of: Reference(Medication, Substance), CodeableConcept
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          130. ActivityDefinition.quantity
          Definition

          Identifies the quantity expected to be consumed at once (per dose, per meal, etc.).

          ShortHow much is administered/consumed/supplied
          Comments

          The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

          Control0..01
          This element is affected by the following invariants: ele-1
          TypeQuantity(SimpleQuantity)
          Is Modifierfalse
          Alternate Namesdose
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists())
          sqty-1: The comparator is not used on a SimpleQuantity (comparator.empty())
          132. ActivityDefinition.dosage
          Definition

          Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources.

          ShortDetailed dosage instructions
          Comments

          If a dosage instruction is used, the definition should not specify timing or quantity.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeDosage
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. ActivityDefinition.bodySite
          Definition

          Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).

          ShortWhat part of body to perform on
          Comments

          Only used if not implicit in the code found in ServiceRequest.type.

          Control0..0*
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1
          (example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

          A code that identifies the anatomical location.

          TypeCodeableConcept
          Requirements

          Knowing where the procedure is made is important for tracking if multiple sites are possible.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          136. ActivityDefinition.specimenRequirement
          Definition

          Defines specimen requirements for the action to be performed, such as required specimens for a lab test.

          ShortWhat specimens are required to perform this action
          Comments

          References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeReference(SpecimenDefinition)
          Requirements

          Needed to represent lab order definitions.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
          138. ActivityDefinition.observationRequirement
          Definition

          Defines observation requirements for the action to be performed, such as body weight or surface area.

          ShortWhat observations are required to perform this action
          Comments

          References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeReference(ObservationDefinition)
          Requirements

          Needed to represent observation definitions.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
          140. ActivityDefinition.observationResultRequirement
          Definition

          Defines the observations that are expected to be produced by the action.

          ShortWhat observations must be produced by this action
          Comments

          References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeReference(ObservationDefinition)
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
          142. ActivityDefinition.transform
          Definition

          A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.

          ShortTransform to apply the template
          Comments

          Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.

          Control0..01
          This element is affected by the following invariants: ele-1
          Typecanonical(StructureMap)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          144. ActivityDefinition.dynamicValue
          Definition

          Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result.

          ShortDynamic aspects of the definition
          Comments

          Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.

          Control0..0*
          This element is affected by the following invariants: ele-1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

          0. ActivityDefinition
          Definition

          Atomare Aussage zu der eine Person seine Einwilligung erteilen kann

          ShortConsent Policy
          2. ActivityDefinition.meta
          Control1..?
          Must Supporttrue
          4. ActivityDefinition.meta.lastUpdated
          ShortupdateDate
          Control1..?
          Must Supporttrue
          6. ActivityDefinition.extension:created
          Slice Namecreated
          Control0..1
          TypeExtension(Created) (Extension Type: instant)
          Must Supporttrue
          8. ActivityDefinition.extension:externalProperty
          Slice NameexternalProperty
          Definition

          Liste frei konfigurierbarer external Properties nach dem KeyValuePrinzip zur Auswertung durch externe Anwendersysteme

          ShortexternalProperties
          Control0..*
          TypeExtension(External Property Element) (Complex Extension)
          Must Supporttrue
          LabelexternalProperties
          10. ActivityDefinition.extension:externalProperty.extension:key
          Slice Namekey
          12. ActivityDefinition.extension:externalProperty.extension:key.value[x]
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Must Supporttrue
          14. ActivityDefinition.extension:externalProperty.extension:value
          Slice Namevalue
          16. ActivityDefinition.extension:externalProperty.extension:value.value[x]
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Must Supporttrue
          18. ActivityDefinition.url
          Control0..0
          20. ActivityDefinition.identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0
          22. ActivityDefinition.version
          Shortversion
          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control1..?
          Must Supporttrue
          Labelversion
          24. ActivityDefinition.name
          Definition

          Name der ConsentPolicy (computer friendly)

          Shortname
          Control1..?
          Must Supporttrue
          26. ActivityDefinition.title
          Definition

          Bezeichnung (human friendly)

          Shortlabel
          Must Supporttrue
          28. ActivityDefinition.subtitle
          Control0..0
          30. ActivityDefinition.status
          Definition

          Bearbeitungsstatus: gICS-Äquivalente: finalized=true => active finalized=false => draft

          Shortfinalisiert ja/nein
          Must Supporttrue
          32. ActivityDefinition.experimental
          Control0..0
          34. ActivityDefinition.subject[x]
          Control0..0
          36. ActivityDefinition.date
          Control0..0
          38. ActivityDefinition.publisher
          Control0..0
          40. ActivityDefinition.contact
          Control0..0
          42. ActivityDefinition.description
          Definition

          administrative comment

          Shortcomment
          Must Supporttrue
          44. ActivityDefinition.useContext
          Definition

          Verweis auf die Domäne

          ShortdomainName
          Control1..1
          Must Supporttrue
          46. ActivityDefinition.useContext.code
          Must Supporttrue
          48. ActivityDefinition.useContext.code.system
          Control1..?
          Must Supporttrue
          Fixed Valuehttp://terminology.hl7.org/CodeSystem/usage-context-type
          50. ActivityDefinition.useContext.code.code
          Control1..?
          Must Supporttrue
          Fixed Valueprogram
          52. ActivityDefinition.useContext.value[x]
          TypeReference(Consent Domain)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Must Supporttrue
          54. ActivityDefinition.useContext.value[x].reference
          Control1..?
          Must Supporttrue
          56. ActivityDefinition.jurisdiction
          Control0..0
          58. ActivityDefinition.purpose
          Control0..0
          60. ActivityDefinition.usage
          Definition

          administrative comment

          Shortcomment
          Control0..0
          62. ActivityDefinition.copyright
          Control0..0
          64. ActivityDefinition.approvalDate
          Control0..0
          66. ActivityDefinition.lastReviewDate
          Control0..0
          68. ActivityDefinition.effectivePeriod
          Control0..0
          70. ActivityDefinition.topic
          Control0..0
          72. ActivityDefinition.author
          Control0..0
          74. ActivityDefinition.editor
          Control0..0
          76. ActivityDefinition.reviewer
          Control0..0
          78. ActivityDefinition.endorser
          Control0..0
          80. ActivityDefinition.relatedArtifact
          Control0..0
          82. ActivityDefinition.library
          Control0..0
          84. ActivityDefinition.kind
          Control0..0
          86. ActivityDefinition.profile
          Control0..0
          88. ActivityDefinition.code
          Control1..?
          BindingUnless not suitable, these codes SHALL be taken from Policy
          (extensible to https://ths-greifswald.de/fhir/ValueSet/gics/Policy)
          Must Supporttrue
          90. ActivityDefinition.code.coding
          Control1..?
          Must Supporttrue
          92. ActivityDefinition.code.coding.system
          Control1..?
          Must Supporttrue
          94. ActivityDefinition.code.coding.code
          Control1..?
          Must Supporttrue
          96. ActivityDefinition.intent
          Control0..0
          98. ActivityDefinition.priority
          Control0..0
          100. ActivityDefinition.doNotPerform
          Control0..0
          102. ActivityDefinition.timing[x]
          Control0..0
          104. ActivityDefinition.location
          Control0..0
          106. ActivityDefinition.participant
          Control0..0
          108. ActivityDefinition.product[x]
          Control0..0
          110. ActivityDefinition.quantity
          Control0..0
          112. ActivityDefinition.dosage
          Control0..0
          114. ActivityDefinition.bodySite
          Control0..0
          116. ActivityDefinition.specimenRequirement
          Control0..0
          118. ActivityDefinition.observationRequirement
          Control0..0
          120. ActivityDefinition.observationResultRequirement
          Control0..0
          122. ActivityDefinition.transform
          Control0..0
          124. ActivityDefinition.dynamicValue
          Control0..0

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

          0. ActivityDefinition
          Definition

          Atomare Aussage zu der eine Person seine Einwilligung erteilen kann

          ShortConsent Policy
          Control0..*
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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 or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
          2. ActivityDefinition.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
          Summarytrue
          4. ActivityDefinition.meta
          Definition

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

          ShortMetadata about the resource
          Control1..1
          This element is affected by the following invariants: ele-1
          TypeMeta
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. ActivityDefinition.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.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          XML FormatIn the XML format, this property is represented as an attribute.
          8. ActivityDefinition.meta.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          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..*
          This element is affected by the following invariants: ele-1
          TypeExtension
          Standard StatusNormative (from Trial Use)
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on ActivityDefinition.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 10. ActivityDefinition.meta.versionId
            Definition

            The version specific identifier, as it appears in the version portion of the URL. This value 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
            This element is affected by the following invariants: ele-1
            Typeid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            12. ActivityDefinition.meta.lastUpdated
            Definition

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

            ShortupdateDate
            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. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

            Control1..1
            This element is affected by the following invariants: ele-1
            Typeinstant
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            14. ActivityDefinition.meta.source
            Definition

            A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

            ShortIdentifies where the resource comes from
            Comments

            In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

            This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

            Control0..1
            This element is affected by the following invariants: ele-1
            Typeuri
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. ActivityDefinition.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..*
            This element is affected by the following invariants: ele-1
            Typecanonical(StructureDefinition)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            18. ActivityDefinition.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..*
            This element is affected by the following invariants: ele-1
            BindingUnless not suitable, these codes SHALL be taken from All Security Labels
            (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

            Security Labels from the Healthcare Privacy and Security Classification System.

            TypeCoding
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. ActivityDefinition.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..*
            This element is affected by the following invariants: ele-1
            BindingFor example codes, see CommonTags
            (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

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

            TypeCoding
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. ActivityDefinition.implicitRules
            Definition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

            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. 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.

            Control0..1
            This element is affected by the following invariants: ele-1
            Typeuri
            Is Modifiertrue because 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
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. ActivityDefinition.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
            This element is affected by the following invariants: ele-1
            BindingThe codes SHOULD be taken from CommonLanguages
            (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

            A human language.

            Additional BindingsPurpose
            AllLanguagesMax Binding
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. ActivityDefinition.text
            Definition

            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

            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 information is added later.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeNarrative
            Alternate Namesnarrative, html, xhtml, display
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. ActivityDefinition.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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

            Control0..*
            TypeResource
            Alternate Namesinline resources, anonymous resources, contained resources
            30. ActivityDefinition.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            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..*
            This element is affected by the following invariants: ele-1
            TypeExtension
            Standard StatusNormative (from Trial Use)
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on ActivityDefinition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 32. ActivityDefinition.extension:created
              Slice Namecreated
              Definition

              Erstellungsdatum der Ressource/Information

              ShortCreated
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Created) (Extension Type: instant)
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              34. ActivityDefinition.extension:externalProperty
              Slice NameexternalProperty
              Definition

              Liste frei konfigurierbarer external Properties nach dem KeyValuePrinzip zur Auswertung durch externe Anwendersysteme

              ShortexternalProperties
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(External Property Element) (Complex Extension)
              Must Supporttrue
              LabelexternalProperties
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              36. ActivityDefinition.extension:externalProperty.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              XML FormatIn the XML format, this property is represented as an attribute.
              38. ActivityDefinition.extension:externalProperty.extension
              Definition

              An Extension

              ShortExtension
              Control2..*
              This element is affected by the following invariants: ele-1
              TypeExtension
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on ActivityDefinition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 40. ActivityDefinition.extension:externalProperty.extension:key
                Slice Namekey
                Definition

                An Extension

                ShortExtension
                Control1..1
                This element is affected by the following invariants: ele-1
                TypeExtension
                LabelKey
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                42. ActivityDefinition.extension:externalProperty.extension:key.id
                Definition

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

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                XML FormatIn the XML format, this property is represented as an attribute.
                44. ActivityDefinition.extension:externalProperty.extension:key.extension
                Definition

                An Extension

                ShortExtension
                Control0..0
                This element is affected by the following invariants: ele-1
                TypeExtension
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on ActivityDefinition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 46. ActivityDefinition.extension:externalProperty.extension:key.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed Valuekey
                  48. ActivityDefinition.extension:externalProperty.extension:key.value[x]
                  Definition

                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                  ShortValue of extension
                  Control1..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  50. ActivityDefinition.extension:externalProperty.extension:value
                  Slice Namevalue
                  Definition

                  An Extension

                  ShortExtension
                  Control1..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension
                  LabelValue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  52. ActivityDefinition.extension:externalProperty.extension:value.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  XML FormatIn the XML format, this property is represented as an attribute.
                  54. ActivityDefinition.extension:externalProperty.extension:value.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..0
                  This element is affected by the following invariants: ele-1
                  TypeExtension
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on ActivityDefinition.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 56. ActivityDefinition.extension:externalProperty.extension:value.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed Valuevalue
                    58. ActivityDefinition.extension:externalProperty.extension:value.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control1..1
                    This element is affected by the following invariants: ele-1
                    Typestring
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. ActivityDefinition.extension:externalProperty.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed Valuehttps://ths-greifswald.de/fhir/StructureDefinition/gics/ExternalProperty
                    62. ActivityDefinition.extension:externalProperty.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control0..0
                    This element is affected by the following invariants: ele-1
                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. ActivityDefinition.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 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).

                    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..*
                    This element is affected by the following invariants: ele-1
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Standard StatusNormative (from Trial Use)
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on ActivityDefinition.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 66. ActivityDefinition.url
                      Definition

                      An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers.

                      ShortCanonical identifier for this activity definition, represented as a URI (globally unique)
                      Comments

                      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

                      The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

                      In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

                      Control0..0
                      This element is affected by the following invariants: ele-1
                      Typeuri
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Allows the activity definition to be referenced by a single globally unique identifier.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      68. ActivityDefinition.identifier
                      Definition

                      A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance.

                      ShortAdditional identifier for the activity definition
                      Comments

                      Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI.

                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeIdentifier
                      Summarytrue
                      Requirements

                      Allows externally provided and/or usable business identifiers to be easily associated with the module.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. ActivityDefinition.version
                      Definition

                      The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.

                      Shortversion
                      Comments

                      There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version].

                      NoteThis is a business version Id, not a resource version Id (see discussion)
                      Control1..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Labelversion
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. ActivityDefinition.name
                      Definition

                      Name der ConsentPolicy (computer friendly)

                      Shortname
                      Comments

                      The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                      Control1..1
                      This element is affected by the following invariants: ele-1, inv-0
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Support human navigation and code generation.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      74. ActivityDefinition.title
                      Definition

                      Bezeichnung (human friendly)

                      Shortlabel
                      Comments

                      This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      76. ActivityDefinition.subtitle
                      Definition

                      An explanatory or alternate title for the activity definition giving additional information about its content.

                      ShortSubordinate title of the activity definition
                      Comments

                      Note that FHIR strings SHALL NOT exceed 1MB in size

                      Control0..0
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      78. ActivityDefinition.status
                      Definition

                      Bearbeitungsstatus: gICS-Äquivalente: finalized=true => active finalized=false => draft

                      Shortfinalisiert ja/nein
                      Comments

                      Allows filtering of activity definitions that are appropriate for use versus not.

                      Control1..1
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from PublicationStatus
                      (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

                      The lifecycle status of an artifact.

                      Typecode
                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      80. ActivityDefinition.experimental
                      Definition

                      A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

                      ShortFor testing purposes, not real usage
                      Comments

                      Allows filtering of activity definitions that are appropriate for use versus not.

                      Control0..0
                      This element is affected by the following invariants: ele-1
                      Typeboolean
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Enables experimental content to be developed following the same lifecycle that would be used for a production-level activity definition.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. ActivityDefinition.subject[x]
                      Definition

                      A code or group definition that describes the intended subject of the activity being defined.

                      ShortType of individual the activity definition is intended for
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      BindingUnless not suitable, these codes SHALL be taken from SubjectType
                      (extensible to http://hl7.org/fhir/ValueSet/subject-type|4.0.1)

                      The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).

                      TypeChoice of: CodeableConcept, Reference(Group)
                      Meaning if MissingPatient
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      84. ActivityDefinition.date
                      Definition

                      The date (and optionally time) when the activity definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes.

                      ShortDate last changed
                      Comments

                      Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Alternate NamesRevision Date
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. ActivityDefinition.publisher
                      Definition

                      The name of the organization or individual that published the activity definition.

                      ShortName of the publisher (organization or individual)
                      Comments

                      Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context.

                      Control0..0
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Helps establish the "authority/credibility" of the activity definition. May also allow for contact.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      88. ActivityDefinition.contact
                      Definition

                      Contact details to assist a user in finding and communicating with the publisher.

                      ShortContact details for the publisher
                      Comments

                      May be a web site, an email address, a telephone number, etc.

                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeContactDetail
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. ActivityDefinition.description
                      Definition

                      administrative comment

                      Shortcomment
                      Comments

                      This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created).

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typemarkdown
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. ActivityDefinition.useContext
                      Definition

                      Verweis auf die Domäne

                      ShortdomainName
                      Comments

                      When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                      Control1..1
                      This element is affected by the following invariants: ele-1
                      TypeUsageContext
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Assist in searching for appropriate content.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      94. ActivityDefinition.useContext.id
                      Definition

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

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      XML FormatIn the XML format, this property is represented as an attribute.
                      96. ActivityDefinition.useContext.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      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..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension
                      Standard StatusNormative (from Trial Use)
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on ActivityDefinition.useContext.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 98. ActivityDefinition.useContext.code
                        Definition

                        A code that identifies the type of context being specified by this usage context.

                        ShortType of context being specified
                        Comments

                        Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

                        Control1..1
                        This element is affected by the following invariants: ele-1
                        BindingUnless not suitable, these codes SHALL be taken from UsageContextType
                        (extensible to http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1)

                        A code that specifies a type of context being specified by a usage context.

                        TypeCoding
                        Must Supporttrue
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        100. ActivityDefinition.useContext.code.id
                        Definition

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

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        XML FormatIn the XML format, this property is represented as an attribute.
                        102. ActivityDefinition.useContext.code.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        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..*
                        This element is affected by the following invariants: ele-1
                        TypeExtension
                        Standard StatusNormative (from Trial Use)
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on ActivityDefinition.useContext.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 104. ActivityDefinition.useContext.code.system
                          Definition

                          The identification of the code system that defines the meaning of the symbol in the code.

                          ShortIdentity of the terminology system
                          Comments

                          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.

                          Control1..1
                          This element is affected by the following invariants: ele-1
                          Typeuri
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Need to be unambiguous about the source of the definition of the symbol.

                          Fixed Valuehttp://terminology.hl7.org/CodeSystem/usage-context-type
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          106. ActivityDefinition.useContext.code.version
                          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.

                          ShortVersion of the system - if relevant
                          Comments

                          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.

                          NoteThis is a business version Id, not a resource version Id (see discussion)
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          108. ActivityDefinition.useContext.code.code
                          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).

                          ShortSymbol in syntax defined by the system
                          Comments

                          Note that FHIR strings SHALL NOT exceed 1MB in size

                          Control1..1
                          This element is affected by the following invariants: ele-1
                          Typecode
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Need to refer to a particular code in the system.

                          Fixed Valueprogram
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          110. ActivityDefinition.useContext.code.display
                          Definition

                          A representation of the meaning of the code in the system, following the rules of the system.

                          ShortRepresentation defined by the system
                          Comments

                          Note that FHIR strings SHALL NOT exceed 1MB in size

                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          112. ActivityDefinition.useContext.code.userSelected
                          Definition

                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                          ShortIf this coding was chosen directly by the user
                          Comments

                          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.

                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typeboolean
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          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.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          114. ActivityDefinition.useContext.value[x]
                          Definition

                          A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.

                          ShortValue that defines the context
                          Control1..1
                          This element is affected by the following invariants: ele-1
                          TypeReference(Consent Domain)
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Must Supporttrue
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. ActivityDefinition.useContext.value[x].id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          XML FormatIn the XML format, this property is represented as an attribute.
                          118. ActivityDefinition.useContext.value[x].extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          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..*
                          This element is affected by the following invariants: ele-1
                          TypeExtension
                          Standard StatusNormative (from Trial Use)
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on ActivityDefinition.useContext.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 120. ActivityDefinition.useContext.value[x].reference
                            Definition

                            A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                            ShortLiteral reference, Relative, internal or absolute URL
                            Comments

                            Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                            Control1..1
                            This element is affected by the following invariants: ele-1, ref-1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            122. ActivityDefinition.useContext.value[x].type
                            Definition

                            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                            ShortType the reference refers to (e.g. "Patient")
                            Comments

                            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                            Control0..1
                            This element is affected by the following invariants: ele-1
                            BindingUnless not suitable, these codes SHALL be taken from ResourceType
                            (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

                            Aa resource (or, for logical models, the URI of the logical model).

                            Typeuri
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            124. ActivityDefinition.useContext.value[x].identifier
                            Definition

                            An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                            ShortLogical reference, when literal reference is not known
                            Comments

                            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                            Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeIdentifier
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            126. ActivityDefinition.useContext.value[x].display
                            Definition

                            Plain text narrative that identifies the resource in addition to the resource reference.

                            ShortText alternative for the resource
                            Comments

                            This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            128. ActivityDefinition.jurisdiction
                            Definition

                            A legal or geographic region in which the activity definition is intended to be used.

                            ShortIntended jurisdiction for activity definition (if applicable)
                            Comments

                            It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            BindingUnless not suitable, these codes SHALL be taken from Jurisdiction ValueSet
                            (extensible to http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1)

                            Countries and regions within which this artifact is targeted for use.

                            TypeCodeableConcept
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            130. ActivityDefinition.purpose
                            Definition

                            Explanation of why this activity definition is needed and why it has been designed as it has.

                            ShortWhy this activity definition is defined
                            Comments

                            This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this activity definition.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typemarkdown
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            132. ActivityDefinition.usage
                            Definition

                            administrative comment

                            Shortcomment
                            Comments

                            Note that FHIR strings SHALL NOT exceed 1MB in size

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. ActivityDefinition.copyright
                            Definition

                            A copyright statement relating to the activity definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the activity definition.

                            ShortUse and/or publishing restrictions
                            Comments

                            Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typemarkdown
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Requirements

                            Consumers must be able to determine any legal restrictions on the use of the activity definition and/or its content.

                            Alternate NamesLicense, Restrictions
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            136. ActivityDefinition.approvalDate
                            Definition

                            The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

                            ShortWhen the activity definition was approved by publisher
                            Comments

                            The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typedate
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            138. ActivityDefinition.lastReviewDate
                            Definition

                            The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

                            ShortWhen the activity definition was last reviewed
                            Comments

                            If specified, this date follows the original approval date.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typedate
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Requirements

                            Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            140. ActivityDefinition.effectivePeriod
                            Definition

                            The period during which the activity definition content was or is planned to be in active use.

                            ShortWhen the activity definition is expected to be used
                            Comments

                            The effective period for a activity definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            TypePeriod
                            Summarytrue
                            Requirements

                            Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the activity definition are or are expected to be used instead.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                            142. ActivityDefinition.topic
                            Definition

                            Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching.

                            ShortE.g. Education, Treatment, Assessment, etc.
                            Comments

                            Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            BindingFor example codes, see DefinitionTopic
                            (example to http://hl7.org/fhir/ValueSet/definition-topic|4.0.1)

                            High-level categorization of the definition, used for searching, sorting, and filtering.

                            TypeCodeableConcept
                            Requirements

                            Repositories must be able to determine how to categorize the activity definition so that it can be found by topical searches.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            144. ActivityDefinition.author
                            Definition

                            An individiual or organization primarily involved in the creation and maintenance of the content.

                            ShortWho authored the content
                            Control0..0
                            This element is affected by the following invariants: ele-1
                            TypeContactDetail
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. ActivityDefinition.editor
                            Definition

                            An individual or organization primarily responsible for internal coherence of the content.

                            ShortWho edited the content
                            Control0..0
                            This element is affected by the following invariants: ele-1
                            TypeContactDetail
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            148. ActivityDefinition.reviewer
                            Definition

                            An individual or organization primarily responsible for review of some aspect of the content.

                            ShortWho reviewed the content
                            Control0..0
                            This element is affected by the following invariants: ele-1
                            TypeContactDetail
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            150. ActivityDefinition.endorser
                            Definition

                            An individual or organization responsible for officially endorsing the content for use in some setting.

                            ShortWho endorsed the content
                            Control0..0
                            This element is affected by the following invariants: ele-1
                            TypeContactDetail
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            152. ActivityDefinition.relatedArtifact
                            Definition

                            Related artifacts such as additional documentation, justification, or bibliographic references.

                            ShortAdditional documentation, citations, etc.
                            Comments

                            Each related artifact is either an attachment, or a reference to another resource, but not both.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            TypeRelatedArtifact
                            Requirements

                            Activity definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            154. ActivityDefinition.library
                            Definition

                            A reference to a Library resource containing any formal logic used by the activity definition.

                            ShortLogic used by the activity definition
                            Comments

                            see Canonical References

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typecanonical(Library)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            156. ActivityDefinition.kind
                            Definition

                            A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always, this is a Request resource.

                            ShortKind of resource
                            Comments

                            May determine what types of extensions are permitted.

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            BindingThe codes SHALL be taken from RequestResourceType
                            (required to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1)

                            The kind of activity the definition is describing.

                            Typecode
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            158. ActivityDefinition.profile
                            Definition

                            A profile to which the target of the activity definition is expected to conform.

                            ShortWhat profile the resource needs to conform to
                            Comments

                            see Canonical References

                            Control0..0
                            This element is affected by the following invariants: ele-1
                            Typecanonical(StructureDefinition)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Requirements

                            Allows profiles to be used to describe the types of activities that can be performed within a workflow, protocol, or order set.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            160. ActivityDefinition.code
                            Definition

                            Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

                            ShortDetail type of activity
                            Comments

                            Tends to be less relevant for activities involving particular products.

                            Control1..1
                            This element is affected by the following invariants: ele-1
                            BindingUnless not suitable, these codes SHALL be taken from Policy
                            (extensible to https://ths-greifswald.de/fhir/ValueSet/gics/Policy)
                            TypeCodeableConcept
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Allows matching performed to planned as well as validation against protocols.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            162. ActivityDefinition.code.id
                            Definition

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

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            XML FormatIn the XML format, this property is represented as an attribute.
                            164. ActivityDefinition.code.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            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..*
                            This element is affected by the following invariants: ele-1
                            TypeExtension
                            Standard StatusNormative (from Trial Use)
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on ActivityDefinition.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 166. ActivityDefinition.code.coding
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortCode defined by a terminology system
                              Comments

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

                              Control1..*
                              This element is affected by the following invariants: ele-1
                              TypeCoding
                              Must Supporttrue
                              Summarytrue
                              Requirements

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

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              168. ActivityDefinition.code.coding.id
                              Definition

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

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              XML FormatIn the XML format, this property is represented as an attribute.
                              170. ActivityDefinition.code.coding.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              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..*
                              This element is affected by the following invariants: ele-1
                              TypeExtension
                              Standard StatusNormative (from Trial Use)
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on ActivityDefinition.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 172. ActivityDefinition.code.coding.system
                                Definition

                                The identification of the code system that defines the meaning of the symbol in the code.

                                ShortIdentity of the terminology system
                                Comments

                                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.

                                Control1..1
                                This element is affected by the following invariants: ele-1
                                Typeuri
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to be unambiguous about the source of the definition of the symbol.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                174. ActivityDefinition.code.coding.version
                                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.

                                ShortVersion of the system - if relevant
                                Comments

                                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.

                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                176. ActivityDefinition.code.coding.code
                                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).

                                ShortSymbol in syntax defined by the system
                                Comments

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Control1..1
                                This element is affected by the following invariants: ele-1
                                Typecode
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to refer to a particular code in the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                178. ActivityDefinition.code.coding.display
                                Definition

                                A representation of the meaning of the code in the system, following the rules of the system.

                                ShortRepresentation defined by the system
                                Comments

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                180. ActivityDefinition.code.coding.userSelected
                                Definition

                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                ShortIf this coding was chosen directly by the user
                                Comments

                                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.

                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typeboolean
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                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.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                182. ActivityDefinition.code.text
                                Definition

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

                                ShortPlain text representation of the concept
                                Comments

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

                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

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

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                184. ActivityDefinition.intent
                                Definition

                                Indicates the level of authority/intentionality associated with the activity and where the request should fit into the workflow chain.

                                Shortproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
                                Comments

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                BindingThe codes SHALL be taken from RequestIntent
                                (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

                                Codes indicating the degree of authority/intentionality associated with a request.

                                Typecode
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                186. ActivityDefinition.priority
                                Definition

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

                                Shortroutine | urgent | asap | stat
                                Comments

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                BindingThe codes SHALL be taken from RequestPriority
                                (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

                                Identifies the level of importance to be assigned to actioning the request.

                                Typecode
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                188. ActivityDefinition.doNotPerform
                                Definition

                                Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action.

                                ShortTrue if the activity should not be performed
                                Comments

                                This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestGroup.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                Typeboolean
                                Is Modifiertrue because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                190. ActivityDefinition.timing[x]
                                Definition

                                The period, timing or frequency upon which the described activity is to occur.

                                ShortWhen activity is to occur
                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeChoice of: Timing, dateTime, Age, Period, Range, Duration
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Requirements

                                Allows prompting for activities and detection of missed planned activities.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                192. ActivityDefinition.location
                                Definition

                                Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.

                                ShortWhere it should happen
                                Comments

                                May reference a specific clinical location or may just identify a type of location.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeReference(Location)
                                Requirements

                                Helps in planning of activity.

                                Alternate Namesfacility
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                194. ActivityDefinition.participant
                                Definition

                                Indicates who should participate in performing the action described.

                                ShortWho should participate in the action
                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeBackboneElement
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                201. ActivityDefinition.product[x]
                                Definition

                                Identifies the food, drug or other product being consumed or supplied in the activity.

                                ShortWhat's administered/supplied
                                Control0..0
                                This element is affected by the following invariants: ele-1
                                BindingFor example codes, see SNOMEDCTMedicationCodes
                                (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

                                Code describing the type of substance or medication.

                                TypeChoice of: Reference(Medication, Substance), CodeableConcept
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                203. ActivityDefinition.quantity
                                Definition

                                Identifies the quantity expected to be consumed at once (per dose, per meal, etc.).

                                ShortHow much is administered/consumed/supplied
                                Comments

                                The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeQuantity(SimpleQuantity)
                                Is Modifierfalse
                                Alternate Namesdose
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists())
                                sqty-1: The comparator is not used on a SimpleQuantity (comparator.empty())
                                205. ActivityDefinition.dosage
                                Definition

                                Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources.

                                ShortDetailed dosage instructions
                                Comments

                                If a dosage instruction is used, the definition should not specify timing or quantity.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeDosage
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                207. ActivityDefinition.bodySite
                                Definition

                                Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).

                                ShortWhat part of body to perform on
                                Comments

                                Only used if not implicit in the code found in ServiceRequest.type.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                BindingFor example codes, see SNOMEDCTBodyStructures
                                (example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

                                A code that identifies the anatomical location.

                                TypeCodeableConcept
                                Requirements

                                Knowing where the procedure is made is important for tracking if multiple sites are possible.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                209. ActivityDefinition.specimenRequirement
                                Definition

                                Defines specimen requirements for the action to be performed, such as required specimens for a lab test.

                                ShortWhat specimens are required to perform this action
                                Comments

                                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeReference(SpecimenDefinition)
                                Requirements

                                Needed to represent lab order definitions.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                211. ActivityDefinition.observationRequirement
                                Definition

                                Defines observation requirements for the action to be performed, such as body weight or surface area.

                                ShortWhat observations are required to perform this action
                                Comments

                                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeReference(ObservationDefinition)
                                Requirements

                                Needed to represent observation definitions.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                213. ActivityDefinition.observationResultRequirement
                                Definition

                                Defines the observations that are expected to be produced by the action.

                                ShortWhat observations must be produced by this action
                                Comments

                                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeReference(ObservationDefinition)
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                215. ActivityDefinition.transform
                                Definition

                                A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.

                                ShortTransform to apply the template
                                Comments

                                Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                Typecanonical(StructureMap)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                217. ActivityDefinition.dynamicValue
                                Definition

                                Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result.

                                ShortDynamic aspects of the definition
                                Comments

                                Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.

                                Control0..0
                                This element is affected by the following invariants: ele-1
                                TypeBackboneElement
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))