ActivityDefinition | Medplum

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

Elements

Name Required Type Description
url uri Canonical identifier for this activity definition, represented as a URI (globally unique)
Details
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.
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.
identifier Identifier[] Additional identifier for the activity definition
Details
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.
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.
version string Business version of the activity definition
Details
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.
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]
name string Name for this activity definition (computer friendly)
Details
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.
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.
title string Name for this activity definition (human friendly)
Details
A short, descriptive, user-friendly title for the activity definition.
This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
subtitle string Subordinate title of the activity definition
Details
An explanatory or alternate title for the activity definition giving additional information about its content.
status code draft
experimental boolean For testing purposes, not real usage
Details
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.
Allows filtering of activity definitions that are appropriate for use versus not.
subject[x] CodeableConcept, Reference< Group > Type of individual the activity definition is intended for
Details
A code or group definition that describes the intended subject of the activity being defined.
date dateTime Date last changed
Details
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.
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.
publisher string Name of the publisher (organization or individual)
Details
The name of the organization or individual that published the activity definition.
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.
contact ContactDetail[] Contact details for the publisher
Details
Contact details to assist a user in finding and communicating with the publisher.
May be a web site, an email address, a telephone number, etc.
description markdown Natural language description of the activity definition
Details
A free text natural language description of the activity definition from a consumer's perspective.
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).
useContext UsageContext[] The context that the content is intended to support
Details
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.
When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
jurisdiction CodeableConcept[] Intended jurisdiction for activity definition (if applicable)
Details
A legal or geographic region in which the activity definition is intended to be used.
It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended.
purpose markdown Why this activity definition is defined
Details
Explanation of why this activity definition is needed and why it has been designed as it has.
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.
usage string Describes the clinical usage of the activity definition
Details
A detailed description of how the activity definition is used from a clinical perspective.
copyright markdown Use and/or publishing restrictions
Details
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.
approvalDate date When the activity definition was approved by publisher
Details
The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.
The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.
lastReviewDate date When the activity definition was last reviewed
Details
The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.
If specified, this date follows the original approval date.
effectivePeriod Period When the activity definition is expected to be used
Details
The period during which the activity definition content was or is planned to be in active use.
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.
topic CodeableConcept[] E.g. Education, Treatment, Assessment, etc.
Details
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.
author ContactDetail[] Who authored the content
Details
An individiual or organization primarily involved in the creation and maintenance of the content.
editor ContactDetail[] Who edited the content
Details
An individual or organization primarily responsible for internal coherence of the content.
reviewer ContactDetail[] Who reviewed the content
Details
An individual or organization primarily responsible for review of some aspect of the content.
endorser ContactDetail[] Who endorsed the content
Details
An individual or organization responsible for officially endorsing the content for use in some setting.
relatedArtifact RelatedArtifact[] Additional documentation, citations, etc.
Details
Related artifacts such as additional documentation, justification, or bibliographic references.
Each related artifact is either an attachment, or a reference to another resource, but not both.
library canonical[] Logic used by the activity definition
Details
A reference to a Library resource containing any formal logic used by the activity definition.
kind code Kind of resource
Details
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.
May determine what types of extensions are permitted.
profile canonical What profile the resource needs to conform to
Details
A profile to which the target of the activity definition is expected to conform.
code CodeableConcept Detail type of activity
Details
Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
Tends to be less relevant for activities involving particular products.
intent code proposal
priority code routine
doNotPerform boolean True if the activity should not be performed
Details
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.
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.
timing[x] Timing, dateTime, Age, Period, Range, Duration When activity is to occur
Details
The period, timing or frequency upon which the described activity is to occur.
location Reference< Location > Where it should happen
Details
Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.
May reference a specific clinical location or may just identify a type of location.
participant ActivityDefinitionParticipant[] Who should participate in the action
Details
Indicates who should participate in performing the action described.
id string Unique id for inter-element referencing
Details
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension Extension[] Additional content defined by implementations
Details
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.
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.
modifierExtension Extension[] Extensions that cannot be ignored even if unrecognized
Details
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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.
path string The path to the element to be set dynamically
Details
The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. 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 for full details).
The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation.
expression Expression An expression that provides the dynamic value for the customization
Details
An expression specifying the value of the customized element.
The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.

Search Parameters

Name Type Description Expression
composed-of reference What resource is being referenced ActivityDefinition.relatedArtifact.where((type = 'composed-of')).resource
context token A use context assigned to the activity definition ActivityDefinition.useContext.value.ofType(CodeableConcept)
context-quantity quantity A quantity- or range-valued use context assigned to the activity definition ActivityDefinition.useContext.value.ofType(Quantity)
context-type token A type of use context assigned to the activity definition ActivityDefinition.useContext.code
date date The activity definition publication date ActivityDefinition.date
depends-on reference What resource is being referenced ActivityDefinition.relatedArtifact.where((type = 'depends-on')).resource
derived-from reference What resource is being referenced ActivityDefinition.relatedArtifact.where((type = 'derived-from')).resource
description string The description of the activity definition ActivityDefinition.description
effective date The time during which the activity definition is intended to be in use ActivityDefinition.effectivePeriod
identifier token External identifier for the activity definition ActivityDefinition.identifier
jurisdiction token Intended jurisdiction for the activity definition ActivityDefinition.jurisdiction
name string Computationally friendly name of the activity definition ActivityDefinition.name
predecessor reference What resource is being referenced ActivityDefinition.relatedArtifact.where((type = 'predecessor')).resource
publisher string Name of the publisher of the activity definition ActivityDefinition.publisher
status token The current status of the activity definition ActivityDefinition.status
successor reference What resource is being referenced ActivityDefinition.relatedArtifact.where((type = 'successor')).resource
title string The human-friendly name of the activity definition ActivityDefinition.title
topic token Topics associated with the module ActivityDefinition.topic
url uri The uri that identifies the activity definition ActivityDefinition.url
version token The business version of the activity definition ActivityDefinition.version
context-type-quantity composite A use context type and quantity- or range-based value assigned to the activity definition ActivityDefinition.useContext
context-type-value composite A use context type and value assigned to the activity definition ActivityDefinition.useContext
code token The code(s) described by this ActivityDefinition ActivityDefinition.code

Inherited Elements

Name Required Type Description
id string Logical id of this artifact
Details
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
meta Meta Metadata about the resource
Details
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.
implicitRules uri A set of rules under which this content was created
Details
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.
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.
language code Language of the resource content
Details
The base language in which the resource is written.
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).
text Narrative Text summary of the resource, for human interpretation
Details
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.
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).
contained Resource[] Contained, inline Resources
Details
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.
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.
extension Extension[] Additional content defined by implementations
Details
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.
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.
modifierExtension Extension[] Extensions that cannot be ignored
Details
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).
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.