Summary
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ActivityDefinition
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ValueSet
default
TriggerDefinition Type: A description of a triggering event. Triggering events can be named events, data events, or periodic, as determined by the type element.
TriggerDefinition
Path
TriggerDefinition
Id
TriggerDefinition
Cardinality
0 - *
Definition
A description of a triggering event. Triggering events can be named events, data events, or periodic, as determined by the type element.
Comment
If an event is a named-event, it means the event is completely pre-coordinated, and no other information can be specified for the event. If the event is one of the data- events, the data and condition elements specify the triggering criteria. The data element specifies the structured component, and the condition element provides additional optional refinement of that structured component. If the event is periodic, the timing element defines when the event is triggered. For both data- and periodic events, a name can be provided as a shorthand for the formal semantics provided by the other elements.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
trd-1 [error]
Either timing, or a data requirement, but not both
trd-2 [error]
A condition only if there is a data requirement
trd-3 [error]
A named event requires a name, a periodic event requires timing, and a data event requires data
type
named-event | periodic | data-changed | data-added | data-modified | data-removed | data-accessed | data-access-ended
Path
TriggerDefinition.type
Id
TriggerDefinition.type
Type
Cardinality
1 - 1
Definition
The type of triggering event.
Comment
Binding
Strength
required
Description
The type of trigger.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
trd-3
Path
TriggerDefinition.name
Id
TriggerDefinition.name
Type
Cardinality
0 - 1
Definition
A formal name for the event. This may be an absolute URI that identifies the event formally (e.g. from a trigger registry), or a simple relative URI that identifies the event in a local context.
Comment
An event name can be provided for all event types, but is required for named events. If a name is provided for a type other than named events, it is considered to be a shorthand for the semantics described by the formal description of the event.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
trd-3
Path
TriggerDefinition.code
Id
TriggerDefinition.code
Type
Cardinality
0 - 1
Definition
A code that identifies the event.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.code.CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
Definition
A reference to a code defined by a terminology system.
Comment
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.code.CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
Definition
The identification of the code system that defines the meaning of the symbol in the code.
Comment
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.code.CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comment
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.code.CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.code.CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.code.CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Comment
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.subscriptionTopic
Id
TriggerDefinition.subscriptionTopic
Type
Cardinality
0 - 1
Definition
A reference to a SubscriptionTopic resource that defines the event. If this element is provided, no other information about the trigger definition may be supplied.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x]
Id
TriggerDefinition.timing[x]
Type
Cardinality
0 - 1
Definition
The timing of the event (if this is a periodic trigger).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
trd-3
trd-1
Path
TriggerDefinition.timing[x].Timing.event
Id
Timing.event
Type
Cardinality
0 - *
Definition
Identifies specific times when the event occurs.
Comment
Requirements
In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat
Id
Timing.repeat
Type
Cardinality
0 - 1
Definition
A set of rules that describe when the event is scheduled.
Comment
Requirements
Many timing schedules are determined by regular repetitions.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
tim-1 [error]
if there's a duration, there needs to be duration units
tim-2 [error]
if there's a period, there needs to be period units
tim-4 [error]
duration SHALL be a non-negative value
tim-5 [error]
period SHALL be a non-negative value
tim-6 [error]
If there's a periodMax, there must be a period
tim-7 [error]
If there's a durationMax, there must be a duration
tim-8 [error]
If there's a countMax, there must be a count
tim-9 [error]
If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10 [error]
If there's a timeOfDay, there cannot be a when, or vice versa
Path
TriggerDefinition.timing[x].Timing.repeat.bounds[x]
Id
Timing.repeat.bounds[x]
Type
Cardinality
0 - 1
Definition
Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat.bounds[x].Duration.value
Id
Duration.value
Type
Cardinality
0 - 1
Definition
The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Comment
The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Requirements
Precision is handled implicitly in almost all cases of measurement.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat.bounds[x].Duration.comparator
Id
Duration.comparator
Type
Cardinality
0 - 1
Definition
How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Comment
Requirements
Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Binding
Strength
required
Description
How the Quantity should be understood and represented.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat.bounds[x].Duration.unit
Id
Duration.unit
Type
Cardinality
0 - 1
Definition
A human-readable form of the unit.
Comment
Requirements
There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat.bounds[x].Duration.system
Id
Duration.system
Type
Cardinality
0 - 1
Definition
The identification of the system that provides the coded form of the unit.
Comment
Requirements
Need to know the system that defines the coded form of the unit.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
qty-3
Path
TriggerDefinition.timing[x].Timing.repeat.bounds[x].Duration.code
Id
Duration.code
Type
Cardinality
0 - 1
Definition
A computer processable form of the unit in some unit representation system.
Comment
The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Requirements
Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
qty-3
Path
TriggerDefinition.timing[x].Timing.repeat.count
Id
Timing.repeat.count
Type
Cardinality
0 - 1
Definition
A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.
Comment
If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
Requirements
Repetitions may be limited by end time or total occurrences.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-8
Path
TriggerDefinition.timing[x].Timing.repeat.countMax
Id
Timing.repeat.countMax
Type
Cardinality
0 - 1
Definition
If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-8
Path
TriggerDefinition.timing[x].Timing.repeat.duration
Id
Timing.repeat.duration
Type
Cardinality
0 - 1
Definition
How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.
Comment
For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Requirements
Some activities are not instantaneous and need to be maintained for a period of time.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-7
tim-1
tim-4
Path
TriggerDefinition.timing[x].Timing.repeat.durationMax
Id
Timing.repeat.durationMax
Type
Cardinality
0 - 1
Definition
If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.
Comment
For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Requirements
Some activities are not instantaneous and need to be maintained for a period of time.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-7
Path
TriggerDefinition.timing[x].Timing.repeat.durationUnit
Id
Timing.repeat.durationUnit
Type
Cardinality
0 - 1
Definition
The units of time for the duration, in UCUM units
Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence.
Comment
Binding
Strength
required
Description
A unit of time (units from UCUM).
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-1
frequency
Indicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period
Path
TriggerDefinition.timing[x].Timing.repeat.frequency
Id
Timing.repeat.frequency
Type
Cardinality
0 - 1
Definition
The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat.frequencyMax
Id
Timing.repeat.frequencyMax
Type
Cardinality
0 - 1
Definition
If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
period
The duration to which the frequency applies. I.e. Event occurs frequency times per period
Path
TriggerDefinition.timing[x].Timing.repeat.period
Id
Timing.repeat.period
Type
Cardinality
0 - 1
Definition
Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-6
tim-5
tim-2
Path
TriggerDefinition.timing[x].Timing.repeat.periodMax
Id
Timing.repeat.periodMax
Type
Cardinality
0 - 1
Definition
If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-6
Path
TriggerDefinition.timing[x].Timing.repeat.periodUnit
Id
Timing.repeat.periodUnit
Type
Cardinality
0 - 1
Definition
The units of time for the period in UCUM units
Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence.
Comment
Binding
Strength
required
Description
A unit of time (units from UCUM).
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-2
Path
TriggerDefinition.timing[x].Timing.repeat.dayOfWeek
Id
Timing.repeat.dayOfWeek
Type
Cardinality
0 - *
Definition
If one or more days of week is provided, then the action happens only on the specified day(s).
Comment
If no days are specified, the action is assumed to happen every day as otherwise specified.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.repeat.timeOfDay
Id
Timing.repeat.timeOfDay
Type
Cardinality
0 - *
Definition
Specified time of day for action to take place.
Comment
When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. If there's a timeOfDay, there cannot be a when, or vice versa.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-10
Path
TriggerDefinition.timing[x].Timing.repeat.when
Id
Timing.repeat.when
Type
Cardinality
0 - *
Definition
An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.
Comment
When more than one event is listed, the event is tied to the union of the specified events.
Requirements
Timings are frequently determined by occurrences such as waking, eating and sleep.
Binding
Strength
required
Description
Real-world event relating to the schedule.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-9
tim-10
Path
TriggerDefinition.timing[x].Timing.repeat.offset
Id
Timing.repeat.offset
Type
Cardinality
0 - 1
Definition
The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
tim-9
Path
TriggerDefinition.timing[x].Timing.code
Id
Timing.code
Type
Cardinality
0 - 1
Definition
A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Comment
BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Binding
Strength
preferred
Description
Code for a known / defined timing pattern.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.code.CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
Definition
A reference to a code defined by a terminology system.
Comment
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.code.CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
Definition
The identification of the code system that defines the meaning of the symbol in the code.
Comment
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.code.CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comment
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.timing[x].Timing.code.CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.timing[x].Timing.code.CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.timing[x].Timing.code.CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Comment
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data
Id
TriggerDefinition.data
Type
Cardinality
0 - *
Definition
The triggering data of the event (if this is a data trigger). If more than one data is requirement is specified, then all the data requirements must be true.
Comment
This element shall be present for any data type trigger.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
trd-3
trd-2
trd-1
Path
TriggerDefinition.data.DataRequirement.type
Id
DataRequirement.type
Type
Cardinality
1 - 1
Definition
The type of the required data, specified as the type name of a resource. For profiles, this value is set to the type of the base resource of the profile.
Comment
Binding
Strength
required
Description
List of FHIR types (resources, data types).
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.profile
Id
DataRequirement.profile
Type
Cardinality
0 - *
Definition
The profile of the required data, specified as the uri of the profile definition.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
subject[x]
E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Path
TriggerDefinition.data.DataRequirement.subject[x]
Id
DataRequirement.subject[x]
Type
Cardinality
0 - 1
Definition
The intended subjects of the data requirement. If this element is not provided, a Patient subject is assumed.
Comment
The subject of a data requirement is critical, as the data being specified is determined with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what data is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.
Binding
Strength
extensible
Description
The possible types of subjects for a data requirement (E.g., Patient, Practitioner, Organization, Location, etc.).
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.subject[x].CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
Definition
A reference to a code defined by a terminology system.
Comment
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Requirements
Allows for alternative encodings within a code system, and translations to other code systems.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.subject[x].CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
Definition
The identification of the code system that defines the meaning of the symbol in the code.
Comment
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.subject[x].CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comment
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.subject[x].CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.data.DataRequirement.subject[x].CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.data.DataRequirement.subject[x].CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Comment
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
mustSupport
Indicates specific structure elements that are referenced by the knowledge module
Path
TriggerDefinition.data.DataRequirement.mustSupport
Id
DataRequirement.mustSupport
Type
Cardinality
0 - *
Definition
Indicates that specific elements of the type are referenced by the knowledge module and must be supported by the consumer in order to obtain an effective evaluation. This does not mean that a value is required for this element, only that the consuming system must understand the element and be able to provide values for it if they are available.
The value of mustSupport SHALL be a FHIRPath resolvable on the type of the DataRequirement. The path SHALL consist only of identifiers, constant indexers, and .resolve() (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.codeFilter
Id
DataRequirement.codeFilter
Type
Cardinality
0 - *
Definition
Code filters specify additional constraints on the data, specifying the value set of interest for a particular element of the data. Each code filter defines an additional constraint on the data, i.e. code filters are AND'ed, not OR'ed.
Comment
Constraint
drq-1 [error]
Either a path or a searchParam must be provided, but not both
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.codeFilter.path
Id
DataRequirement.codeFilter.path
Type
Cardinality
0 - 1
Definition
The code-valued attribute of the filter. The specified path SHALL be a FHIRPath resolvable on the specified type of the DataRequirement, and SHALL consist only of identifiers, constant indexers, and .resolve(). The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Note that the index must be an integer constant. The path must resolve to an element of type code, Coding, or CodeableConcept.
Comment
The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows path traversal, but not calculation.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
drq-1
Path
TriggerDefinition.data.DataRequirement.codeFilter.searchParam
Id
DataRequirement.codeFilter.searchParam
Type
Cardinality
0 - 1
Definition
A token parameter that refers to a search parameter defined on the specified type of the DataRequirement, and which searches on elements of type code, Coding, or CodeableConcept.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
drq-1
Path
TriggerDefinition.data.DataRequirement.codeFilter.valueSet
Id
DataRequirement.codeFilter.valueSet
Type
Cardinality
0 - 1
Definition
The valueset for the code filter. The valueSet and code elements are additive. If valueSet is specified, the filter will return only those data items for which the value of the code-valued element specified in the path is a member of the specified valueset.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.codeFilter.code
Id
DataRequirement.codeFilter.code
Type
Cardinality
0 - *
Definition
The codes for the code filter. If values are given, the filter will return only those data items for which the code-valued attribute specified by the path has a value that is one of the specified codes. If codes are specified in addition to a value set, the filter returns items matching a code in the value set or one of the specified codes.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.codeFilter.code.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
Definition
The identification of the code system that defines the meaning of the symbol in the code.
Comment
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.
Requirements
Need to be unambiguous about the source of the definition of the symbol.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.codeFilter.code.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
Definition
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comment
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.codeFilter.code.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.data.DataRequirement.codeFilter.code.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
TriggerDefinition.data.DataRequirement.codeFilter.code.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
Definition
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Comment
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Requirements
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.dateFilter
Id
DataRequirement.dateFilter
Type
Cardinality
0 - *
Definition
Date filters specify additional constraints on the data in terms of the applicable date range for specific elements. Each date filter specifies an additional constraint on the data, i.e. date filters are AND'ed, not OR'ed.
Comment
Constraint
drq-2 [error]
Either a path or a searchParam must be provided, but not both
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.dateFilter.path
Id
DataRequirement.dateFilter.path
Type
Cardinality
0 - 1
Definition
The date-valued attribute of the filter. The specified path SHALL be a FHIRPath resolvable on the specified type of the DataRequirement, and SHALL consist only of identifiers, constant indexers, and .resolve(). The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Note that the index must be an integer constant. The path must resolve to an element of type date, dateTime, Period, Schedule, or Timing.
Comment
The path attribute contains a [Simple FHIR Subset](fhirpath.html#simple) that allows path traversal, but not calculation.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
drq-2
Path
TriggerDefinition.data.DataRequirement.dateFilter.searchParam
Id
DataRequirement.dateFilter.searchParam
Type
Cardinality
0 - 1
Definition
A date parameter that refers to a search parameter defined on the specified type of the DataRequirement, and which searches on elements of type date, dateTime, Period, Schedule, or Timing.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
drq-2
Path
TriggerDefinition.data.DataRequirement.dateFilter.value[x]
Id
DataRequirement.dateFilter.value[x]
Type
Cardinality
0 - 1
Definition
The value of the filter. If period is specified, the filter will return only those data items that fall within the bounds determined by the Period, inclusive of the period boundaries. If dateTime is specified, the filter will return only those data items that are equal to the specified dateTime. If a Duration is specified, the filter will return only those data items that fall within Duration before now.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.valueFilter
Id
DataRequirement.valueFilter
Type
Cardinality
0 - *
Definition
Value filters specify additional constraints on the data for elements other than code-valued or date-valued. Each value filter specifies an additional constraint on the data (i.e. valueFilters are AND'ed, not OR'ed).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.valueFilter.path
Id
DataRequirement.valueFilter.path
Type
Cardinality
0 - 1
Definition
The attribute of the filter. The specified path SHALL be a FHIRPath resolvable on the specified type of the DataRequirement, and SHALL consist only of identifiers, constant indexers, and .resolve(). The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Note that the index must be an integer constant. The path must resolve to an element of a type that is comparable to the valueFilter.value[x] element for the filter.
Comment
The path attribute contains a [Simple FHIR Subset](fhirpath.html#simple) that allows path traversal, but not calculation.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.valueFilter.searchParam
Id
DataRequirement.valueFilter.searchParam
Type
Cardinality
0 - 1
Definition
A search parameter defined on the specified type of the DataRequirement, and which searches on elements of a type compatible with the type of the valueFilter.value[x] for the filter.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.valueFilter.comparator
Id
DataRequirement.valueFilter.comparator
Type
Cardinality
0 - 1
Definition
The comparator to be used to determine whether the value is matching.
Comment
Binding
Strength
required
Description
Possible comparators for the valueFilter element.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.valueFilter.value[x]
Id
DataRequirement.valueFilter.value[x]
Type
Cardinality
0 - 1
Definition
The value of the filter.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.limit
Id
DataRequirement.limit
Type
Cardinality
0 - 1
Definition
Specifies a maximum number of results that are required (uses the _count search parameter).
Comment
This element can be used in combination with the sort element to specify quota requirements such as "the most recent 5" or "the highest 5".
Requirements
Enables the requirement "most recent 5 results" to be expressed.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.sort
Id
DataRequirement.sort
Type
Cardinality
0 - *
Definition
Specifies the order of the results to be returned.
Comment
This element can be used in combination with the sort element to specify quota requirements such as "the most recent 5" or "the highest 5". When multiple sorts are specified, they are applied in the order they appear in the resource.
Requirements
Enables the requirement "most recent 5 results" to be expressed.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.sort.path
Id
DataRequirement.sort.path
Type
Cardinality
1 - 1
Definition
The attribute of the sort. The specified path must be resolvable from the type of the required data. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.data.DataRequirement.sort.direction
Id
DataRequirement.sort.direction
Type
Cardinality
1 - 1
Definition
The direction of the sort, ascending or descending.
Comment
Binding
Strength
required
Description
The possible sort directions, ascending or descending.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.condition
Id
TriggerDefinition.condition
Type
Cardinality
0 - 1
Definition
A boolean-valued expression that is evaluated in the context of the container of the trigger definition and returns whether or not the trigger fires.
Comment
This element can be only be specified for data type triggers and provides additional semantics for the trigger. The context available within the condition is based on the type of data event. For all events, the current resource will be available as context. In addition, for modification events, the previous resource will also be available. The expression may be inlined, or may be a simple absolute URI, which is a reference to a named expression within a logic library referenced by a library element or extension within the containing resource. If the expression is a FHIR Path expression, it evaluates in the context of a resource of one of the type identified in the data requirement, and may also refer to the variable %previous for delta comparisons on events of type data-changed, data-modified, and data-deleted which will always have the same type.
Requirements
Need to be able to formally describe the triggering criteria.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
trd-2
Path
TriggerDefinition.condition.Expression.description
Id
Expression.description
Type
Cardinality
0 - 1
Definition
A brief, natural language description of the condition that effectively communicates the intended semantics.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
TriggerDefinition.condition.Expression.name
Id
Expression.name
Type
Cardinality
0 - 1
Definition
A short name assigned to the expression to allow for multiple reuse of the expression in the context where it is defined.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
exp-2
Path
TriggerDefinition.condition.Expression.expression
Id
Expression.expression
Type
Cardinality
0 - 1
Definition
An expression in the specified language that returns a value.
Comment
If Expression.expression and Expression.reference are both present, the Expression.expression might just be a name pointing something within the referenced content.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
exp-1
Path
TriggerDefinition.condition.Expression.reference
Id
Expression.reference
Type
Cardinality
0 - 1
Definition
A URI that defines where the expression is found.
Comment
If both a reference and an expression is found, the reference SHALL point to the same expression.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
exp-1