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StructureDefinition: ehealth-activitydefinition

Introduction

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

Scope and Usage

In the eHealth Infrastructure the ActivityDefinition resource is used together with PlanDefinition to define the steps to be performed in the course of a telemedical package. As the name implies, the ActivityDefinition resource is strictly definitional. It does not represent the intention to take any action, nor does it represent that any actions have been taken. Rather, the resource provides a definition that can be applied in the appropriate circumstances.

Once a PlanDefinition is applied to a Patient it is transformed into a CarePlan, and all of the PlanDefinition’s underlying ActivityDefinitions are transformed into activities under the CarePlan.

The eHealth profile of ActivityDefinition has the following extensions:

• ehealth-reuseCriteria which defines whether resource(s) resulting from conducting the activity may be reused and if so with which criteria
• ehealth-recommendation which defines the recommendation level of this ActivityDefinition. The values of the used ValueSet allows for indicating the life cycle state, for instance that it is a draft or recommended ActivityDefinition.
• ehealth-intendedAudience can be set to one or more Organizations to indicate for which Organization(s) this ActivityDefinition should be selectable for use. This is meant for filtering and is not enforced or in any way restricting which Organization have access.
• ehealth-referenceRange can contain one or more reference ranges against which values in measurements (resource(s) resulting from conducting the activity) can be compared. The reference ranges in the ActivityDefinition function as templates assigned and adaptable to a particular Patient in the ProcedureRequest reference ranges.
• ehealth-modifier-role see below.
• ehealth-quality The minimum quality levels that should be obtained with measurements (resource(s) resulting from conducting the activity). These do not constitute enforced levels but rather expectations which may or may not be met with actual submitted measurements.
• ehealth-sharingPolicy sets a stance on whether publication to national document sharing of the measurements (resource(s) resulting from conducting the activity) shall be allowed or not. The value in the ActivityDefinition function as a template assigned and adaptable to a particular Patient in a similar element in the ProcedureRequest.

Update restrictions

The element ehealth-modifier-role specifies one or more Organization and each Organization’s role in maintaining the ActivityDefinition:

• ehealth-modifier-role.reference references the Organization
• ehealth-modifier-role.role set to owner means that the referenced Organization can update the resource and alter the entities referenced by ehealth-modifier-role, for instance, by adding more co-authors.
• ehealth-modifier-role.role set to co-author means that the referenced Organization can update the resource but not alter the element ehealth-modifier-role.

Formal Views of Profile Content

The official URL for this profile is:

http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-activitydefinition

This profile builds on ActivityDefinition.

This profile was published on Fri May 22 12:11:22 UTC 2020 as a draft by ehealth.sundhed.dk.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

 

Terminology Bindings

Path	Conformance	ValueSet
ActivityDefinition.language	extensible	Common Languages Max Binding: All Languages
ActivityDefinition.status	required	PublicationStatus
ActivityDefinition.jurisdiction	extensible	Jurisdiction
ActivityDefinition.topic	required	TopicType
ActivityDefinition.kind	required	ResourceType
ActivityDefinition.code	required	ActivityDefinitionCode
ActivityDefinition.participant.type	required	ActionParticipantType
ActivityDefinition.participant.role	example	ActionParticipantRole
ActivityDefinition.product[x]	example	SNOMED CT Medication Codes
ActivityDefinition.bodySite	example	SNOMED CT Body Structures

Constraints

Id	Path	Details	Requirements
dom-2	ActivityDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-1	ActivityDefinition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-4	ActivityDefinition	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	ActivityDefinition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1	ActivityDefinition.extension:reuseCriteria	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:reuseCriteria	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.extension:recommendation	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:recommendation	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.extension:intendedAudience	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:intendedAudience	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.extension:referenceRange	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:referenceRange	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.extension:modifierRole	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:modifierRole	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.extension:minimumQuality	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:minimumQuality	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.extension:sharingPolicy	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	ActivityDefinition.extension:sharingPolicy	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ActivityDefinition.relatedArtifact	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ele-1	ActivityDefinition.participant	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ele-1	ActivityDefinition.dynamicValue	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

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