PrescribeIT® Specification and Guide Version 5.0

 

The official URL for this profile is:

http://prescribeit.ca/fhir/StructureDefinition/task-e161-m

The e161-m - RX Renewal Response - Denied task can be provided as part of two bundle types:

  1. 101 Interaction Bundle
    1. The 101 bundles will be directed to a specific pharmacy and placed directly in the pharmacy’s inbox for retrieval
    2. This applies to jurisdictions that allow directed retrieval from the pharmacy
  2. 401 Interaction Bundle
    1. The 401 bundles will be used for held bundles which requires the pharmacy user to initiate the retrieval of these bundles
    2. This applies to jurisdictions where direct retrieval is not supported and a hold and retrieve flow is being used for authoritative tasks instead

Refer to the functional specification documents to understand which jurisdiction(s) each is applicable for

The following diagram depicts the overall structure of a Denied RX Renewal Response and the relationships between resources. The diagrams are only showing the possible types of resources but that the GridView reflects the true relationships. Each medication in the Renewal request MUST be responded to with either, a Denied, Approved, Approved with Changes or Under Review in the initial response. Further the Renewal response bundle MAY include one or more New and/or Renewal Rx orders.

Conformance Rules and Usage Notes specific to this task may exist.

Download Excel representation

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

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This structure is derived from PrescribeIT® Response from EMR Task

NameCard.TypeConstraints and Usage
.  Task 0..*PrescribeIT® Response from EMR Taskinv-2: A Failure reason may be present only when a task has failed.
inv-1: Last modified date must be greater than or equal to created date.
creator-not-recorder: IF recorder exists, creator MUST not be recorder
Definition:
A task to be performed.

..  id 1..1idDefinition:
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.


Comments:
Usage Note: This will usually be a GUID and is assigned by the sending application.

..  meta 1..1MetaDefinition:
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

...  profile 1..*uriSlice: Unordered, Open by value:value
Definition:
A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]].


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.

...  profile
       (task-e161-m)
1..1uriFixed Value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m
Definition:
A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]].


Comments:
Fixed value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m

..  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

..  extension
     (groupIdentifier)
1..1Task Group IdentifierDefinition:
This is the common identifier that represents a paper order. It may be shared by multiple Task instances for various Medication Orders, reflecting multiple requests that are authorized simultaneously for a patient by a single prescriber


Comments:
Usage Note: This business identifier is assigned by the sending application and is used to group tasks together that need to be processed and managed together. Refer to the PrescribeIT® Version 5.0 Jurisdictional Rules and Task Grouping Excel spreadsheet rules for a full set of scenarios.

..  extension
     (basedOn)
1..1Task Order Based OnDefinition:
Identifies a request, plan or proposal that drove the creation of this task


Comments:
Usage Note: The URL for this extension does not refer to an existing web-page as is a pre-adoption extension. Refer to the Shared Health implementation Guide for more information.

...  url 1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn"
...  value[x] 1..1Reference()Slice: Unordered, Closed by type:$this
Definition:
The identifier of the request task that this task was created based on


Comments:
Conformance Rule: The will be a URN (form urn:uuid:[guid]) containing the Task.id for the task being responded to

...  value[x]
       (valueReference)
1..1Reference() {r}Definition:
Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).


Comments:
Conformance Rule: The will be a URN (form urn:uuid:[guid]) containing the Task.id for the task being responded to

....  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

....  extension
         (multipleResponse)
0..1Task Multiple ResponseDefinition:
If true, indicates that this renewal response is a subsequent response of an initial response that was sent as 'under review'.


Comments:
Conformance Rules:



  1. This must not be provided on any of the initial responses including when initial response is under review

  2. This must only be provided and set to true on a subsequent response of Approve, Approve with change or Deny which follows on initial response of 'under review'

  3. Subsequent responses of under review are not permitted



....  reference 1..1stringDefinition:
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.


Comments:
Conformance Rule: This shall be the Task.id of the request task being responded to, expressed as a uri (i.e. urn:uuid:[original task id])

..  extension
     (reason)
1..1Task ReasonDefinition:
Indicates the reason for the current task's status or existence - used for reasons other than 'failed'


Comments:
Conformance Rule: A reason MUST be provided so the Pharmacy can determine the appropriate action to take.

...  url 1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.reason"
...  value[x] 1..1Shared Health CodeableConcept Code Required with Text OptionalSlice: Unordered, Closed by type:$this
Binding: PrescriptionRenewalRejectReason (20211004) (required)
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


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.

...  value[x]
       (valueCodeableConcept)
1..1Shared Health CodeableConcept Code Required with Text OptionalDefinition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


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.

....  coding 1..*CodingDefinition:
A reference to a code 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 labelled as UserSelected = true.

.....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

.....  code 1..1codeDefinition:
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).


Comments:
This is the code as defined within the binding.

.....  display 1..1stringDefinition:
A representation of the meaning of the code in the system, following the rules of the system.

....  text 0..1stringMax Length: 2500
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.


Comments:
Conformance Rule: This is the text used to convey the exact word that was displayed to the practitioner

..  extension
     (recorder)
0..1Task RecorderDefinition:
Indicates who was responsible for recording the task if other than the requester


Comments:
Conformance Rule: This must only be populated when the MOA is responding with either Task e161-m (Denied) or e164-m (Under Review). When this occurs, Task.creator must not reference the SAML Practitioner profile but rather the Shared Health Practitioner profile.

..  type 1..1Shared Health CodeableConcept CodeBinding: PrescriptionTaskType (20220913) (required)
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


Comments:
This will be a fixed code for each type of task. Review usage comments on child elements.

...  coding 1..*CodingSlice: Unordered, Open by value:system
Definition:
A reference to a code 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 labelled as UserSelected = true.

....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

....  code 1..1codeDefinition:
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).


Comments:
This is the code as defined within the binding.

....  display 0..1stringDefinition:
A representation of the meaning of the code in the system, following the rules of the system.

...  coding
       (taskCode)
1..*CodingDefinition:
A reference to a code 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 labelled as UserSelected = true.

....  system 1..1uriFixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype
Definition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype

....  code 1..1codeFixed Value: e161-m
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).


Comments:
Fixed value: e161-m

....  display 0..1stringDefinition:
A representation of the meaning of the code in the system, following the rules of the system.

..  priority 0..1codeBinding: PrescriptionTaskPriority (20190415) (required)
Definition:
The priority of the task among other tasks of the same type.


Comments:
This element does not apply to Tasks p170-m (Pharmacist Adapt), p200-m (RX Dispense Notification), and p210-m (RX Dispense Cancel Notification)



Conformance Rule: If one of the medications within a group is a high priority, the EMR should present the entire renewal request (based on Group Identifier) as a high priority item within the queue.



Conformance Rule: For Tasks p141-m (Cancel RX Request Denied) and p143-m (Cancel RX Remaining Fills Revoked) the priority must be set to high.



Usage Note: For Task e150-m (Discontinue RX Request) the priority should default to normal.

..  status 1..1codeBinding: TaskStatus (required): The current status of the task.


Fixed Value: rejected
Definition:
The current status of the task.


Comments:
Fixed value: rejected

..  subject 1..1Reference(PrescribeIT® Prescription) {b}Definition:
The subject of the task.

...  reference 1..1stringDefinition:
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.


Comments:
Conformance Rule: This is the reference to the Medication Order resource id. This is not a business identifier. Example: value='MedicationOrder/[guid].'



Conformance Rule: The Medication Order reference must be for the Medication Order that is being Denied or Under Review (i.e. the Medication Order requested by the pharmacy as part of the Renewal Request p160).

..  for 1..1Reference(Shared Health Patient) {b}Definition:
The entity who benefits from the performance of the service specified in the task (e.g., the patient).


Comments:
Identifies the patient tied to the task. (FHIR prohibits inheritance of context, so this must be explicitly declared rather than inferred from the presence of the Patient resource in the message)

...  reference 1..1stringDefinition:
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.


Comments:
This is a reference to the Patient associated with the task. It will be a URN pointing to the id of the patient record in the message

..  created 1..1dateTimecreated-full: Must be at least a full date. i.e. yyyy-mm-dd
Definition:
The date and time this task was created.


Comments:
This indicates when the request was created. This will generally be the same as the date of message construction.



Conformance Rule: Date-Time must be specified down to the day. Time is optional and may be ignored.



Usage Note: If time is present, FHIR requires the UTC offset and for time to be specified down to the seconds. If seconds aren't available, they may be filled with '00'

..  lastModified 1..1dateTimelastModified-full: Must be at least a full date. i.e. yyyy-mm-dd
Definition:
The date and time of last modification to this task.


Comments:
This is required by FHIR but is not needed. It should generally be set to the same value as Task.created. This is the date of the most recent transaction as recorded in the EMR.



Usage Note: If time is present, FHIR requires the UTC offset and for time to be specified down to the seconds. If seconds aren't available, they may be filled with '00'.



Conformance Rule: PMS is not expected to display this date as it is irrelevant to the Pharmacist or to the processing of the discontinue notification.

..  creator 1..1Reference(Shared Health Practitioner | Shared Health SAML Practitioner) {b}Definition:
The creator of the task.


Comments:
Conformance Rule: The Shared Health Practitioner is used when the practitioner is responding but does not have a SAML or when the MOA is identified as the Task.extension(recorder). When a recorder is present the Task.creator represents the practitioner for which the MOA is responding on behalf of.

...  reference 1..1stringDefinition:
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.


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.

..  owner 1..1Reference(Shared Health - eRx Service Location) {b}Definition:
The owner of this task. The participant who can execute this task.


Comments:
This is who is intended to receive/act on the task

...  reference 1..1stringDefinition:
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.


Comments:
This is a reference to the pharmacy Organization being responded to. This value should echo the Task.creator from the request task being responded to. Example: value='https://{environmentSpecificHost}/{environmentAndContextSpecificPath}/Organization/{CPRID}'

..  output 0..5BackboneElementSlice: Unordered, Closed by value:name
Definition:
Outputs produced by the Task.

..  output
     (newRx)
0..5BackboneElementDefinition:
The active prescription that is taking the place of the prescription for which renewal had been requested

...  extension
       (drugName)
1..1Task Drug NameDefinition:
The name of the New Rx drug.

...  extension
       (taskReference)
1..1Task NewRx ReferenceDefinition:
The local reference for the Task corresponding to the prescription that was created to replace the prescription that was the target of the renewal.

...  name 1..1stringFixed Value: newRx
Definition:
The name of the Output parameter.


Comments:
Fixed value: newRx

...  value[x] 1..1PrescribeIT® Prescriber Prescription IdentifierDefinition:
The business identifier of the prescription that was created to replace the prescription that was the target of the renewal


Comments:
This is a reference by business identifier, not by resource id

This structure is derived from PrescribeIT® Response from EMR Task

Summary

Mandatory: 15 elements (4 nested mandatory elements)
Must-Support: 25 elements
Fixed Value: 5 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Task.meta.profile is sliced based on the value of value:value
  • The element Task.type.coding is sliced based on the value of value:system
  • The element Task.output is sliced based on the value of value:name (Closed)

This structure is derived from PrescribeIT® Response from EMR Task

NameFlagsCard.TypeDescription & Constraintsdoco
.. Task I0..*PrescribeIT® Response from EMR TaskRX Renewal Response - Denied
creator-not-recorder: IF recorder exists, creator MUST not be recorder
... meta S1..1MetaMetadata about the resource
.... profile S1..*(Slice Definition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:task-e161-m S1..1uriProfiles this resource claims to conform to
Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m
... ext-task-reason S1..1CodeableConceptTask reason
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.reason profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-reason
.... value[x] S1..1Shared Health CodeableConcept Code Required with Text OptionalConcept - reference to a terminology or just text
Binding: PrescriptionRenewalRejectReason (20211004) (required)
.... value[x]:valueCodeableConcept S1..1Shared Health CodeableConcept Code Required with Text OptionalConcept - reference to a terminology or just text
..... coding S1..*CodingCode defined by a terminology system
...... display S1..1stringRepresentation defined by the system
... ext-task-recorder SI0..1Reference(Shared Health Non-Clinician Practitioner) {b}Task reason
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder
... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
.... coding S1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:taskCode S1..*CodingCode defined by a terminology system
...... system S1..1uriIdentity of the terminology system
Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype
...... code S1..1codeSymbol in syntax defined by the system
Fixed Value: e161-m
... status S1..1codedraft | requested | received | accepted | +
Fixed Value: rejected
... subject S1..1Reference(PrescribeIT® Prescription) {b}Prescription whose renewal is rejected
.... reference S1..1stringRelative, internal or absolute URL reference
... creator SI1..1Reference(Shared Health Practitioner | Shared Health SAML Practitioner) {b}Task requestor
.... reference S1..1stringRelative, internal or absolute URL reference
... input 0..0
... output S0..5(Slice Definition)Task Output
Slice: Unordered, Closed by value:name
.... output:newRx S0..5BackboneElementReplacement prescription
..... ext-task-drug-name S1..1stringnew Prescription drug name
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-drug-name
..... ext-task-newrx-reference S1..1Reference(PrescribeIT® base Task profile) {b}Extension
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-newrx-reference
..... name S1..1stringOutput Name
Fixed Value: newRx
..... value[x] S1..1PrescribeIT® Prescriber Prescription IdentifierReplacement Prescription

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Task I0..*PrescribeIT® Response from EMR TaskRX Renewal Response - Denied
creator-not-recorder: IF recorder exists, creator MUST not be recorder
... id SΣ1..1idLogical id of this artifact
... meta SΣ1..1MetaMetadata about the resource
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... profile SΣ1..*(Slice Definition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:task-e161-m SΣ1..1uriProfiles this resource claims to conform to

Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m
.... tag Σ0..*CodingTags applied to this resource
Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required): A human language.


... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-task-group-identifier S1..1Shared Health IdentifierGroup Identifier
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-group-identifier
... ext-task-basedon S1..1Reference()Plan, request or referral
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-basedon
.... id 0..1idxml:id (or equivalent in JSON)
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn"
.... value[x] S1..1(Slice Definition)e-Renewal request
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference S1..1Reference() {r}Value of extension
...... id 0..1idxml:id (or equivalent in JSON)
...... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... ext-task-multiple-response S0..1booleanTask Multiple Response?
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-multiple-response
...... reference SΣI1..1stringRelative, internal or absolute URL reference
...... display Σ0..1stringText alternative for the resource
... ext-task-reason S1..1CodeableConceptTask reason
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.reason profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-reason
.... id 0..1idxml:id (or equivalent in JSON)
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.reason"
.... value[x] S1..1(Slice Definition)Concept - reference to a terminology or just text
Slice: Unordered, Closed by type:$this
Binding: PrescriptionRenewalRejectReason (20211004) (required)
..... value[x]:valueCodeableConcept S1..1Shared Health CodeableConcept Code Required with Text OptionalConcept - reference to a terminology or just text
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... coding SΣ1..*CodingCode defined by a terminology system
....... id 0..1idxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
....... system SΣ1..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code SΣ1..1codeSymbol in syntax defined by the system
....... display SΣ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text SΣ0..1stringPlain text representation of the concept
Max Length: 2500
... ext-task-recorder SI0..1Reference(Shared Health Non-Clinician Practitioner) {b}Task reason
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..1IdentifierTask Instance Identifier
... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
Binding: PrescriptionTaskType (20220913) (required)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding SΣ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system SΣ1..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display SΣ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:taskCode SΣ1..*CodingCode defined by a terminology system
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: e161-m
...... display SΣ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... description Σ0..1stringTask Description
... performerType 0..*Codingrequester | dispatcher | scheduler | performer | monitor | manager | acquirer | reviewer
Binding: TaskPerformerType (preferred): The type(s) of task performers allowed


... priority S0..1codenormal | high
Binding: PrescriptionTaskPriority (20190415) (required)
... status SΣI1..1codedraft | requested | received | accepted | +
Binding: TaskStatus (required): The current status of the task.


Fixed Value: rejected
... failureReason ΣI0..1CodeableConceptTask Failure Reason
... subject S1..1Reference(PrescribeIT® Prescription) {b}Prescription whose renewal is rejected
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... for SΣ1..1Reference(Shared Health Patient) {b}Beneficiary of the Task
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... definition Σ0..1uriTask Definition
... created SI1..1dateTimeTask Creation Date
created-full: Must be at least a full date. i.e. yyyy-mm-dd
... lastModified SΣI1..1dateTimeTask Last Modified Date
lastModified-full: Must be at least a full date. i.e. yyyy-mm-dd
... creator SI1..1Reference(Shared Health Practitioner | Shared Health SAML Practitioner) {b}Task requestor
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... owner S1..1Reference(Shared Health - eRx Service Location) {b}Task recipient
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... parent 0..1Reference(Task)Composite task
... output S0..5(Slice Definition)Task Output
Slice: Unordered, Closed by value:name
.... output:All Slices Content/Rules for all slices
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... name 1..1stringOutput Name
..... value[x] 1..1Output Value
...... valueBooleanboolean
...... valueIntegerinteger
...... valueDecimaldecimal
...... valueBase64Binarybase64Binary
...... valueInstantinstant
...... valueStringstring
...... valueUriuri
...... valueDatedate
...... valueDateTimedateTime
...... valueTimetime
...... valueCodecode
...... valueOidoid
...... valueIdid
...... valueUnsignedIntunsignedInt
...... valuePositiveIntpositiveInt
...... valueMarkdownmarkdown
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueIdentifierIdentifier
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueQuantityQuantity
...... valueRangeRange
...... valuePeriodPeriod
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueHumanNameHumanName
...... valueAddressAddress
...... valueContactPointContactPoint
...... valueTimingTiming
...... valueReferenceReference(Any)
...... valueMetaMeta
.... output:newRx S0..5BackboneElementReplacement prescription
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... ext-task-drug-name S1..1stringnew Prescription drug name
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-drug-name
..... ext-task-newrx-reference S1..1Reference(PrescribeIT® base Task profile) {b}Extension
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-newrx-reference
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... name S1..1stringOutput Name
Fixed Value: newRx
..... value[x] S1..1PrescribeIT® Prescriber Prescription IdentifierReplacement Prescription

doco Documentation for this format

Grid View

This structure is derived from PrescribeIT® Response from EMR Task

NameCard.TypeConstraints and Usage
.  Task 0..*PrescribeIT® Response from EMR Taskinv-2: A Failure reason may be present only when a task has failed.
inv-1: Last modified date must be greater than or equal to created date.
creator-not-recorder: IF recorder exists, creator MUST not be recorder
Definition:
A task to be performed.

..  id 1..1idDefinition:
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.


Comments:
Usage Note: This will usually be a GUID and is assigned by the sending application.

..  meta 1..1MetaDefinition:
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

...  profile 1..*uriSlice: Unordered, Open by value:value
Definition:
A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]].


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.

...  profile
       (task-e161-m)
1..1uriFixed Value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m
Definition:
A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]].


Comments:
Fixed value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m

..  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

..  extension
     (groupIdentifier)
1..1Task Group IdentifierDefinition:
This is the common identifier that represents a paper order. It may be shared by multiple Task instances for various Medication Orders, reflecting multiple requests that are authorized simultaneously for a patient by a single prescriber


Comments:
Usage Note: This business identifier is assigned by the sending application and is used to group tasks together that need to be processed and managed together. Refer to the PrescribeIT® Version 5.0 Jurisdictional Rules and Task Grouping Excel spreadsheet rules for a full set of scenarios.

..  extension
     (basedOn)
1..1Task Order Based OnDefinition:
Identifies a request, plan or proposal that drove the creation of this task


Comments:
Usage Note: The URL for this extension does not refer to an existing web-page as is a pre-adoption extension. Refer to the Shared Health implementation Guide for more information.

...  url 1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn"
...  value[x] 1..1Reference()Slice: Unordered, Closed by type:$this
Definition:
The identifier of the request task that this task was created based on


Comments:
Conformance Rule: The will be a URN (form urn:uuid:[guid]) containing the Task.id for the task being responded to

...  value[x]
       (valueReference)
1..1Reference() {r}Definition:
Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).


Comments:
Conformance Rule: The will be a URN (form urn:uuid:[guid]) containing the Task.id for the task being responded to

....  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

....  extension
         (multipleResponse)
0..1Task Multiple ResponseDefinition:
If true, indicates that this renewal response is a subsequent response of an initial response that was sent as 'under review'.


Comments:
Conformance Rules:



  1. This must not be provided on any of the initial responses including when initial response is under review

  2. This must only be provided and set to true on a subsequent response of Approve, Approve with change or Deny which follows on initial response of 'under review'

  3. Subsequent responses of under review are not permitted



....  reference 1..1stringDefinition:
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.


Comments:
Conformance Rule: This shall be the Task.id of the request task being responded to, expressed as a uri (i.e. urn:uuid:[original task id])

..  extension
     (reason)
1..1Task ReasonDefinition:
Indicates the reason for the current task's status or existence - used for reasons other than 'failed'


Comments:
Conformance Rule: A reason MUST be provided so the Pharmacy can determine the appropriate action to take.

...  url 1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.reason"
...  value[x] 1..1Shared Health CodeableConcept Code Required with Text OptionalSlice: Unordered, Closed by type:$this
Binding: PrescriptionRenewalRejectReason (20211004) (required)
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


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.

...  value[x]
       (valueCodeableConcept)
1..1Shared Health CodeableConcept Code Required with Text OptionalDefinition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


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.

....  coding 1..*CodingDefinition:
A reference to a code 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 labelled as UserSelected = true.

.....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

.....  code 1..1codeDefinition:
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).


Comments:
This is the code as defined within the binding.

.....  display 1..1stringDefinition:
A representation of the meaning of the code in the system, following the rules of the system.

....  text 0..1stringMax Length: 2500
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.


Comments:
Conformance Rule: This is the text used to convey the exact word that was displayed to the practitioner

..  extension
     (recorder)
0..1Task RecorderDefinition:
Indicates who was responsible for recording the task if other than the requester


Comments:
Conformance Rule: This must only be populated when the MOA is responding with either Task e161-m (Denied) or e164-m (Under Review). When this occurs, Task.creator must not reference the SAML Practitioner profile but rather the Shared Health Practitioner profile.

..  type 1..1Shared Health CodeableConcept CodeBinding: PrescriptionTaskType (20220913) (required)
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


Comments:
This will be a fixed code for each type of task. Review usage comments on child elements.

...  coding 1..*CodingSlice: Unordered, Open by value:system
Definition:
A reference to a code 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 labelled as UserSelected = true.

....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

....  code 1..1codeDefinition:
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).


Comments:
This is the code as defined within the binding.

....  display 0..1stringDefinition:
A representation of the meaning of the code in the system, following the rules of the system.

...  coding
       (taskCode)
1..*CodingDefinition:
A reference to a code 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 labelled as UserSelected = true.

....  system 1..1uriFixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype
Definition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype

....  code 1..1codeFixed Value: e161-m
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).


Comments:
Fixed value: e161-m

....  display 0..1stringDefinition:
A representation of the meaning of the code in the system, following the rules of the system.

..  priority 0..1codeBinding: PrescriptionTaskPriority (20190415) (required)
Definition:
The priority of the task among other tasks of the same type.


Comments:
This element does not apply to Tasks p170-m (Pharmacist Adapt), p200-m (RX Dispense Notification), and p210-m (RX Dispense Cancel Notification)



Conformance Rule: If one of the medications within a group is a high priority, the EMR should present the entire renewal request (based on Group Identifier) as a high priority item within the queue.



Conformance Rule: For Tasks p141-m (Cancel RX Request Denied) and p143-m (Cancel RX Remaining Fills Revoked) the priority must be set to high.



Usage Note: For Task e150-m (Discontinue RX Request) the priority should default to normal.

..  status 1..1codeBinding: TaskStatus (required): The current status of the task.


Fixed Value: rejected
Definition:
The current status of the task.


Comments:
Fixed value: rejected

..  subject 1..1Reference(PrescribeIT® Prescription) {b}Definition:
The subject of the task.

...  reference 1..1stringDefinition:
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.


Comments:
Conformance Rule: This is the reference to the Medication Order resource id. This is not a business identifier. Example: value='MedicationOrder/[guid].'



Conformance Rule: The Medication Order reference must be for the Medication Order that is being Denied or Under Review (i.e. the Medication Order requested by the pharmacy as part of the Renewal Request p160).

..  for 1..1Reference(Shared Health Patient) {b}Definition:
The entity who benefits from the performance of the service specified in the task (e.g., the patient).


Comments:
Identifies the patient tied to the task. (FHIR prohibits inheritance of context, so this must be explicitly declared rather than inferred from the presence of the Patient resource in the message)

...  reference 1..1stringDefinition:
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.


Comments:
This is a reference to the Patient associated with the task. It will be a URN pointing to the id of the patient record in the message

..  created 1..1dateTimecreated-full: Must be at least a full date. i.e. yyyy-mm-dd
Definition:
The date and time this task was created.


Comments:
This indicates when the request was created. This will generally be the same as the date of message construction.



Conformance Rule: Date-Time must be specified down to the day. Time is optional and may be ignored.



Usage Note: If time is present, FHIR requires the UTC offset and for time to be specified down to the seconds. If seconds aren't available, they may be filled with '00'

..  lastModified 1..1dateTimelastModified-full: Must be at least a full date. i.e. yyyy-mm-dd
Definition:
The date and time of last modification to this task.


Comments:
This is required by FHIR but is not needed. It should generally be set to the same value as Task.created. This is the date of the most recent transaction as recorded in the EMR.



Usage Note: If time is present, FHIR requires the UTC offset and for time to be specified down to the seconds. If seconds aren't available, they may be filled with '00'.



Conformance Rule: PMS is not expected to display this date as it is irrelevant to the Pharmacist or to the processing of the discontinue notification.

..  creator 1..1Reference(Shared Health Practitioner | Shared Health SAML Practitioner) {b}Definition:
The creator of the task.


Comments:
Conformance Rule: The Shared Health Practitioner is used when the practitioner is responding but does not have a SAML or when the MOA is identified as the Task.extension(recorder). When a recorder is present the Task.creator represents the practitioner for which the MOA is responding on behalf of.

...  reference 1..1stringDefinition:
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.


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.

..  owner 1..1Reference(Shared Health - eRx Service Location) {b}Definition:
The owner of this task. The participant who can execute this task.


Comments:
This is who is intended to receive/act on the task

...  reference 1..1stringDefinition:
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.


Comments:
This is a reference to the pharmacy Organization being responded to. This value should echo the Task.creator from the request task being responded to. Example: value='https://{environmentSpecificHost}/{environmentAndContextSpecificPath}/Organization/{CPRID}'

..  output 0..5BackboneElementSlice: Unordered, Closed by value:name
Definition:
Outputs produced by the Task.

..  output
     (newRx)
0..5BackboneElementDefinition:
The active prescription that is taking the place of the prescription for which renewal had been requested

...  extension
       (drugName)
1..1Task Drug NameDefinition:
The name of the New Rx drug.

...  extension
       (taskReference)
1..1Task NewRx ReferenceDefinition:
The local reference for the Task corresponding to the prescription that was created to replace the prescription that was the target of the renewal.

...  name 1..1stringFixed Value: newRx
Definition:
The name of the Output parameter.


Comments:
Fixed value: newRx

...  value[x] 1..1PrescribeIT® Prescriber Prescription IdentifierDefinition:
The business identifier of the prescription that was created to replace the prescription that was the target of the renewal


Comments:
This is a reference by business identifier, not by resource id

This structure is derived from PrescribeIT® Response from EMR Task

Summary

Mandatory: 15 elements (4 nested mandatory elements)
Must-Support: 25 elements
Fixed Value: 5 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Task.meta.profile is sliced based on the value of value:value
  • The element Task.type.coding is sliced based on the value of value:system
  • The element Task.output is sliced based on the value of value:name (Closed)

Differential View

This structure is derived from PrescribeIT® Response from EMR Task

NameFlagsCard.TypeDescription & Constraintsdoco
.. Task I0..*PrescribeIT® Response from EMR TaskRX Renewal Response - Denied
creator-not-recorder: IF recorder exists, creator MUST not be recorder
... meta S1..1MetaMetadata about the resource
.... profile S1..*(Slice Definition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:task-e161-m S1..1uriProfiles this resource claims to conform to
Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m
... ext-task-reason S1..1CodeableConceptTask reason
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.reason profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-reason
.... value[x] S1..1Shared Health CodeableConcept Code Required with Text OptionalConcept - reference to a terminology or just text
Binding: PrescriptionRenewalRejectReason (20211004) (required)
.... value[x]:valueCodeableConcept S1..1Shared Health CodeableConcept Code Required with Text OptionalConcept - reference to a terminology or just text
..... coding S1..*CodingCode defined by a terminology system
...... display S1..1stringRepresentation defined by the system
... ext-task-recorder SI0..1Reference(Shared Health Non-Clinician Practitioner) {b}Task reason
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder
... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
.... coding S1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:taskCode S1..*CodingCode defined by a terminology system
...... system S1..1uriIdentity of the terminology system
Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype
...... code S1..1codeSymbol in syntax defined by the system
Fixed Value: e161-m
... status S1..1codedraft | requested | received | accepted | +
Fixed Value: rejected
... subject S1..1Reference(PrescribeIT® Prescription) {b}Prescription whose renewal is rejected
.... reference S1..1stringRelative, internal or absolute URL reference
... creator SI1..1Reference(Shared Health Practitioner | Shared Health SAML Practitioner) {b}Task requestor
.... reference S1..1stringRelative, internal or absolute URL reference
... input 0..0
... output S0..5(Slice Definition)Task Output
Slice: Unordered, Closed by value:name
.... output:newRx S0..5BackboneElementReplacement prescription
..... ext-task-drug-name S1..1stringnew Prescription drug name
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-drug-name
..... ext-task-newrx-reference S1..1Reference(PrescribeIT® base Task profile) {b}Extension
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-newrx-reference
..... name S1..1stringOutput Name
Fixed Value: newRx
..... value[x] S1..1PrescribeIT® Prescriber Prescription IdentifierReplacement Prescription

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Task I0..*PrescribeIT® Response from EMR TaskRX Renewal Response - Denied
creator-not-recorder: IF recorder exists, creator MUST not be recorder
... id SΣ1..1idLogical id of this artifact
... meta SΣ1..1MetaMetadata about the resource
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... profile SΣ1..*(Slice Definition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
..... profile:task-e161-m SΣ1..1uriProfiles this resource claims to conform to

Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/task-e161-m
.... tag Σ0..*CodingTags applied to this resource
Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required): A human language.


... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-task-group-identifier S1..1Shared Health IdentifierGroup Identifier
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-group-identifier
... ext-task-basedon S1..1Reference()Plan, request or referral
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-basedon
.... id 0..1idxml:id (or equivalent in JSON)
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.basedOn"
.... value[x] S1..1(Slice Definition)e-Renewal request
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference S1..1Reference() {r}Value of extension
...... id 0..1idxml:id (or equivalent in JSON)
...... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... ext-task-multiple-response S0..1booleanTask Multiple Response?
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-multiple-response
...... reference SΣI1..1stringRelative, internal or absolute URL reference
...... display Σ0..1stringText alternative for the resource
... ext-task-reason S1..1CodeableConceptTask reason
URL: http://hl7.org/fhir/StructureDefinition/extension-Task.reason profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-task-reason
.... id 0..1idxml:id (or equivalent in JSON)
.... url S1..1uri"http://hl7.org/fhir/StructureDefinition/extension-Task.reason"
.... value[x] S1..1(Slice Definition)Concept - reference to a terminology or just text
Slice: Unordered, Closed by type:$this
Binding: PrescriptionRenewalRejectReason (20211004) (required)
..... value[x]:valueCodeableConcept S1..1Shared Health CodeableConcept Code Required with Text OptionalConcept - reference to a terminology or just text
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... coding SΣ1..*CodingCode defined by a terminology system
....... id 0..1idxml:id (or equivalent in JSON)
....... extension 0..*ExtensionAdditional Content defined by implementations
....... system SΣ1..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code SΣ1..1codeSymbol in syntax defined by the system
....... display SΣ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text SΣ0..1stringPlain text representation of the concept
Max Length: 2500
... ext-task-recorder SI0..1Reference(Shared Health Non-Clinician Practitioner) {b}Task reason
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..1IdentifierTask Instance Identifier
... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
Binding: PrescriptionTaskType (20220913) (required)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding SΣ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system SΣ1..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
...... display SΣ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:taskCode SΣ1..*CodingCode defined by a terminology system
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: e161-m
...... display SΣ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... description Σ0..1stringTask Description
... performerType 0..*Codingrequester | dispatcher | scheduler | performer | monitor | manager | acquirer | reviewer
Binding: TaskPerformerType (preferred): The type(s) of task performers allowed


... priority S0..1codenormal | high
Binding: PrescriptionTaskPriority (20190415) (required)
... status SΣI1..1codedraft | requested | received | accepted | +
Binding: TaskStatus (required): The current status of the task.


Fixed Value: rejected
... failureReason ΣI0..1CodeableConceptTask Failure Reason
... subject S1..1Reference(PrescribeIT® Prescription) {b}Prescription whose renewal is rejected
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... for SΣ1..1Reference(Shared Health Patient) {b}Beneficiary of the Task
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... definition Σ0..1uriTask Definition
... created SI1..1dateTimeTask Creation Date
created-full: Must be at least a full date. i.e. yyyy-mm-dd
... lastModified SΣI1..1dateTimeTask Last Modified Date
lastModified-full: Must be at least a full date. i.e. yyyy-mm-dd
... creator SI1..1Reference(Shared Health Practitioner | Shared Health SAML Practitioner) {b}Task requestor
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... owner S1..1Reference(Shared Health - eRx Service Location) {b}Task recipient
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... reference SΣI1..1stringRelative, internal or absolute URL reference
.... display Σ0..1stringText alternative for the resource
... parent 0..1Reference(Task)Composite task
... output S0..5(Slice Definition)Task Output
Slice: Unordered, Closed by value:name
.... output:All Slices Content/Rules for all slices
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... name 1..1stringOutput Name
..... value[x] 1..1Output Value
...... valueBooleanboolean
...... valueIntegerinteger
...... valueDecimaldecimal
...... valueBase64Binarybase64Binary
...... valueInstantinstant
...... valueStringstring
...... valueUriuri
...... valueDatedate
...... valueDateTimedateTime
...... valueTimetime
...... valueCodecode
...... valueOidoid
...... valueIdid
...... valueUnsignedIntunsignedInt
...... valuePositiveIntpositiveInt
...... valueMarkdownmarkdown
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueIdentifierIdentifier
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueQuantityQuantity
...... valueRangeRange
...... valuePeriodPeriod
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueHumanNameHumanName
...... valueAddressAddress
...... valueContactPointContactPoint
...... valueTimingTiming
...... valueReferenceReference(Any)
...... valueMetaMeta
.... output:newRx S0..5BackboneElementReplacement prescription
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... ext-task-drug-name S1..1stringnew Prescription drug name
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-drug-name
..... ext-task-newrx-reference S1..1Reference(PrescribeIT® base Task profile) {b}Extension
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-task-newrx-reference
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... name S1..1stringOutput Name
Fixed Value: newRx
..... value[x] S1..1PrescribeIT® Prescriber Prescription IdentifierReplacement Prescription

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Task.meta.tagexample
Task.languagerequiredhttp://tools.ietf.org/html/bcp47
Task.extension:reason.value[x]requiredPrescriptionRenewalRejectReason
Task.typerequiredPrescriptionTaskType
Task.performerTypepreferredTaskPerformerType
Task.priorityrequiredPrescriptionTaskPriority
Task.statusrequiredFixed Value: rejected

Constraints

IdPathDetailsRequirements
inv-2TaskA Failure reason may be present only when a task has failed.
: failureReason.empty() or status = 'failed'
inv-1TaskLast modified date must be greater than or equal to created date.
: lastModified >= created
creator-not-recorderTaskIF recorder exists, creator MUST not be recorder
: extension('http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder').exists() implies (creator.reference != extension('http://prescribeit.ca/fhir/StructureDefinition/ext-task-recorder').value.reference)
created-fullTask.createdMust be at least a full date. i.e. yyyy-mm-dd
: length()>=10
lastModified-fullTask.lastModifiedMust be at least a full date. i.e. yyyy-mm-dd
: length()>=10