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Action

The Action domain contains base definitions for interventions and procedures, from education to surgery.

Action [Abstract]

An entry related to an action or intervention, whether potential or actual, past or future. An intervention is an action addressing a undesired health state, behavior, risk, or goal.

Based On Content

Type optional The most specific code (lowest level term) describing the kind or sort of thing being represented.
Category 0 or more A class or division of people or things having particular shared characteristics
ActionContext required The ontological status of the intervention, e.g., performed/not performed, requested/not requested.
RelatedEncounter optional If content was generated during a patient encounter, related encounter is the encounter where the information was gained.
Author optional The person or organization who created the entry and is responsible for (and may certify) the content.
Informant optional The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program.

ActionContext [Abstract]

The ontological status of the intervention, e.g., performed/not performed, requested/not requested. C0449255

Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.

CommunicationMethod

This is the method the provider used to communicate. Examples include: Written, Telephoned, Verbal, Electronically Entered, Policy, Service Correction, Duplicate, etc. 'Code indicating the origin of the prescription.' - NCPDP Telecommunication (Field 419-DJ, Data Dictionary 201104). Possible values include: Written; Telephone; Electronic; Facsimile; Pharmacy; Not Known.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

ExpectedMethod

The method that should be used to carry out the action.

Value:  Method The technique used to carry out an action, for example, the specific imaging technical or assessment vehicle.

ExpectedPerformanceTime

When an action should be done. If the action is a series or recurs (e.g. daily blood sugar testing in the morning) then a Timing can be used to describe the periodicity.

Value:  Choice required
         |  dateTime
         |  date
         |  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.
         |  Timing A timing schedule that specifies an event that may occur multiple times. Timing offers a choice of multiple OccurrenceTime (used is used to specify specific times), or recurrence patterns.

ExpectedPerformer

Who should carry out the tests. For example, the patient or caregiver.

Value:  Choice required
         |  Role Abstract parent class for human parties, such as practitioners, patients, research subjects, and related persons. Role can also represent an object playing a specific role, such as a room playing the role of operating theater. The value contains the entity (party) playing the role.
         |  Organization A social or legal structure formed by human beings.

ExpectedPerformerType

What type of party should carry out the testing.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

Method

The technique used to carry out an action, for example, the specific imaging technical or assessment vehicle.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

NotPerformedContext

A record that a clinical act was not performed at a certain time or during a stated period of time, particularly when there might be an expectation of performing such an act, for example, if a vaccination is not given because of parental objection. Do not use this context if the act was initiated or started but aborted or cancelled.

Based On ActionContext

RelatedRequest optional The request that this action fulfills
RelatedPlan optional The plan that this action fulfills
OccurrenceTimeOrPeriod optional The point in time or span of time in which something happens.
Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.

Outcome

The result of performing an action or behavior, for example, an adverse reaction or new finding.

Value:  CodeableConcept could be from http://hl7.org/fhir/ValueSet/procedure-outcome
A set of codes drawn from different coding systems, representing the same concept.
Finding 0 or more Base class for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.

Participant

An object (usually a Person, Party, or Organization but potentially a device or other Entity) that participates in a task or activity. C1550369

Value:  Party A person, organization, or object that be involved in a healthcare activity. A party has a separate and distinct existence, and objective or conceptual reality. Includes information, physical objects, and roles.
ParticipationType optional The role played by the participant engaged in the action, for example, as the attending physician, surgical assistant, etc.
ParticipationPeriod optional The point in time or span of time the participant is involved.
OnBehalfOf optional The party represented by the actual participant.

ParticipationPeriod

The point in time or span of time the participant is involved.

Value:  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.

ParticipationType

The role played by the participant engaged in the action, for example, as the attending physician, surgical assistant, etc. C1553854

Value:  CodeableConcept must be from http://hl7.org/fhir/ValueSet/v3-ParticipationType
A set of codes drawn from different coding systems, representing the same concept.

PatientInstructions

Information for the patient, such as, where to get the test, how to prepare for the test, etc.

Value:  string

PerformedContext

ActionContext indicating actual performance or execution of a healthcare-related action, e.g., 3rd dose of Hepatitis B vaccine administered on Dec 4th 2012, appendectomy performed today.

Based On ActionContext

OccurrenceTimeOrPeriod optional The point in time or span of time in which something happens.
Participant 0 or more An object (usually a Person, Party, or Organization but potentially a device or other Entity) that participates in a task or activity.
Status should be from http://hl7.org/fhir/ValueSet/event-status
required Position in workflow.
Method optional The technique used to carry out an action, for example, the specific imaging technical or assessment vehicle.
RelatedRequest optional The request that this action fulfills
RelatedPlan optional The plan that this action fulfills
Facility 0 or more Services and space and equipment provided for a particular purpose; a building or place that provides a particular service or is used for a particular industry. Could be a clinical site, community site, or a mobile facility.
Outcome 0 or more The result of performing an action or behavior, for example, an adverse reaction or new finding.
Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.

PerformerInstructions

Information for the performer of the test, if needed.

Value:  string

RelatedPlan

The plan that this action fulfills

Value:  Action An entry related to an action or intervention, whether potential or actual, past or future. An intervention is an action addressing a undesired health state, behavior, risk, or goal.

RelatedRequest

The request that this action fulfills

Value:  Action An entry related to an action or intervention, whether potential or actual, past or future. An intervention is an action addressing a undesired health state, behavior, risk, or goal.

RequestedAgainstContext

Represents a recommendation or order from a practitioner or clinical decision support system to NOT perform an act.

Based On ActionContext

Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.

RequestedContext

An order for something to take place. C1705178

Based On ActionContext

Status should be from http://hl7.org/fhir/ValueSet/request-status
required Position in workflow.
Informant not used The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program.
RequestIntent required Indicates the level of authority/intentionality associated with the request and where the request fits into the workflow chain.
ExpectedPerformanceTime optional When an action should be done. If the action is a series or recurs (e.g. daily blood sugar testing in the morning) then a Timing can be used to describe the periodicity.
ExpectedPerformerType optional What type of party should carry out the testing.
ExpectedPerformer optional Who should carry out the tests. For example, the patient or caregiver.
ExpectedMethod optional The method that should be used to carry out the action.
Priority should be from http://hl7.org/fhir/ValueSet/request-priority
optional An indication of the importance of an action.
PerformerInstructions optional Information for the performer of the test, if needed.
PatientInstructions optional Information for the patient, such as, where to get the test, how to prepare for the test, etc.
CommunicationMethod optional This is the method the provider used to communicate. Examples include: Written, Telephoned, Verbal, Electronically Entered, Policy, Service Correction, Duplicate, etc. 'Code indicating the origin of the prescription.' - NCPDP Telecommunication (Field 419-DJ, Data Dictionary 201104). Possible values include: Written; Telephone; Electronic; Facsimile; Pharmacy; Not Known.
Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.

RequestIntent

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

Value:  code must be from http://hl7.org/fhir/ValueSet/request-intent

Status

Position in workflow. C0449438

Value:  Choice required
         |  code
         |  Coding Coding of a concept, drawn from a controlled vocabulary. Includes the vocabulary and version, if applicable. May include a display text, and a descriptor expressing the intended interpretation of the code.
         |  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.