MOPA — Medical Oncology Prior Authorization
0.1.1-snapshot-080926 - snapshot-080926 United States of America flag

MOPA — Medical Oncology Prior Authorization - Local Development build (v0.1.1-snapshot-080926) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Anti-Cancer Regimen RequestGroup - Detailed Descriptions

Page standards status: Draft Maturity Level: 0

Definitions for the anticancer-regimen-requestgroup resource profile

Guidance on how to interpret the contents of this table can be foundhere

0. RequestGroup
Definition

A group of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one".

ShortA group of related requests
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. RequestGroup.implicitRules
Definition

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.

ShortA set of rules under which this content was created
Comments

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.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. RequestGroup.extension
Definition

An Extension


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.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on RequestGroup.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • profile @ $this
  • 6. RequestGroup.extension:category
    Slice Namecategory
    Definition

    Repeated Da Vinci CRD Request Category values that describe this patient's ordered regimen. Treatment intent and line of therapy are distinct categories and are not properties of the canonical PlanDefinition.

    ShortPatient-specific regimen categories, such as treatment intent and line of therapy
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Request Category) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. RequestGroup.extension:category/treatmentIntent
    Slice Namecategory/treatmentIntent
    Definition

    A high-level categorization of the type of request

    ShortTreatment intent category, bound to RegimenIntentVS
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Treatment Intent Request Category) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. RequestGroup.extension:category/lineOfTherapy
    Slice Namecategory/lineOfTherapy
    Definition

    A high-level categorization of the type of request

    ShortLine-of-therapy category, bound to TreatmentLineVS
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Line of Therapy Request Category) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. RequestGroup.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. RequestGroup.instantiatesCanonical
    Definition

    When the canonical regimen definition is known, this SHALL reference an AntiCancerRegimenPlanDefinition. The CRD Service SHOULD use this reference to identify the regimen and locate the associated data requirements Library.

    At order-select this field helps the CRD service identify the regimen protocol for approvability evaluation. At order-sign it supports the final coverage determination.


    A canonical URL referencing a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.

    ShortCanonical URL of the AntiCancerRegimenPlanDefinition this instance instantiatesInstantiates FHIR protocol or definition
    Control0..*
    Typecanonical
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. RequestGroup.status
    Definition

    The current state of the request. For request groups, the status reflects the status of all the requests in the group.

    Shortdraft | active | on-hold | revoked | completed | entered-in-error | unknown
    Control1..1
    BindingThe codes SHALL be taken from RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1)

    Codes identifying the lifecycle stage of a request.

    Typecode
    Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. RequestGroup.intent
    Definition

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

    Shortproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Control1..1
    BindingThe codes SHALL be taken from RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1
    (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

    Codes indicating the degree of authority/intentionality associated with a request.

    Typecode
    Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.

    Alternate Namescategory
    Pattern Valueorder
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. RequestGroup.subject
    Definition

    The subject for which the request group was created.

    ShortWho the request group is about
    Control10..1
    TypeReference(US Core Patient Profile, Cancer Patient Profile, Patient, Group)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. RequestGroup.action
    Definition

    The actions, if any, produced by the evaluation of the artifact.

    ShortProposed actions, if any
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    rqg-1: Must have resource or action but not both (resource.exists() != action.exists())
    rqg-1: Must have resource or action but not both (resource.exists() != action.exists())
    24. RequestGroup.action.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortAction identifier — required for relatedAction cross-referencing in sequential regimensUnique id for inter-element referencing
    Control10..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    26. RequestGroup.action.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. RequestGroup.action.title
    Definition

    The title of the action displayed to a user.

    ShortDrug name or phase labelUser-visible title
    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. RequestGroup.action.relatedAction
    Definition

    A relationship to another action such as "before" or "30-60 minutes after start of".

    ShortRelationship to another action
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. RequestGroup.action.relatedAction.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    34. RequestGroup.action.relatedAction.actionId
    Definition

    The element id of the action this is related to.

    ShortWhat action this is related to
    Control1..1
    Typeid
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. RequestGroup.action.relatedAction.relationship
    Definition

    The relationship of this action to the related action.

    ShortUse 'after-end' for sequential phase orderingbefore-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
    Control1..1
    BindingThe codes SHALL be taken from ActionRelationshipTypehttp://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1
    (required to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1)

    Defines the types of relationships between actions.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. RequestGroup.action.timing[x]
    Definition

    An optional value describing when the action should be performed.

    ShortWhen the action should take place
    Control0..1
    TypeChoice of: dateTime, Age, Period, Duration, Range, Timing
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on RequestGroup.action.timing[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 40. RequestGroup.action.timing[x]:timingTiming
      Slice NametimingTiming
      Definition

      An optional value describing when the action should be performed.

      ShortCycle period. Use regimen-days-of-cycle extension on this element for cycle-day scheduling.When the action should take place
      Control0..1
      TypeTiming, dateTime, Period, Duration, Range, Age
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. RequestGroup.action.resource
      Definition

      The resource that is the target of the action (e.g. CommunicationRequest).

      ShortReference to draft MedicationRequest for this component. Present at order-sign; MAY be absent at order-select.The target of the action
      Comments

      The target resource SHALL be a Request resource with a Request.intent set to "option".


      The target resource SHALL be a Request resource with a Request.intent set to "option".

      Control0..1
      This element is affected by the following invariants: rqg-1
      TypeReference(Resource)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. RequestGroup.action.action
      Definition

      Sub actions.

      ShortSub action
      Control0..*
      This element is affected by the following invariants: rqg-1
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. RequestGroup.action.action.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control10..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      48. RequestGroup.action.action.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      50. RequestGroup.action.action.title
      Definition

      The title of the action displayed to a user.

      ShortUser-visible title
      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. RequestGroup.action.action.timing[x]
      Definition

      An optional value describing when the action should be performed.

      ShortWhen the action should take place
      Control0..1
      TypeChoice of: dateTime, Age, Period, Duration, Range, Timing
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on RequestGroup.action.action.timing[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 54. RequestGroup.action.action.timing[x]:timingTiming
        Slice NametimingTiming
        Definition

        An optional value describing when the action should be performed.

        ShortWhen the action should take place
        Control0..1
        TypeTiming, dateTime, Period, Duration, Range, Age
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. RequestGroup.action.action.resource
        Definition

        The resource that is the target of the action (e.g. CommunicationRequest).

        ShortThe target of the action
        Comments

        The target resource SHALL be a Request resource with a Request.intent set to "option".


        The target resource SHALL be a Request resource with a Request.intent set to "option".

        Control0..1
        This element is affected by the following invariants: rqg-1
        TypeReference(Resource)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Guidance on how to interpret the contents of this table can be foundhere

        0. RequestGroup
        2. RequestGroup.extension
        SlicingThis element introduces a set of slices on RequestGroup.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • profile @ $this
        • 4. RequestGroup.extension:category
          Slice Namecategory
          Definition

          Repeated Da Vinci CRD Request Category values that describe this patient's ordered regimen. Treatment intent and line of therapy are distinct categories and are not properties of the canonical PlanDefinition.

          ShortPatient-specific regimen categories, such as treatment intent and line of therapy
          Control0..*
          TypeExtension(Request Category) (Extension Type: CodeableConcept)
          Must Supporttrue
          6. RequestGroup.extension:category/treatmentIntent
          Slice Namecategory/treatmentIntent
          ShortTreatment intent category, bound to RegimenIntentVS
          Control0..1
          TypeExtension(Treatment Intent Request Category) (Extension Type: CodeableConcept)
          Must Supporttrue
          8. RequestGroup.extension:category/lineOfTherapy
          Slice Namecategory/lineOfTherapy
          ShortLine-of-therapy category, bound to TreatmentLineVS
          Control0..1
          TypeExtension(Line of Therapy Request Category) (Extension Type: CodeableConcept)
          Must Supporttrue
          10. RequestGroup.instantiatesCanonical
          Definition

          When the canonical regimen definition is known, this SHALL reference an AntiCancerRegimenPlanDefinition. The CRD Service SHOULD use this reference to identify the regimen and locate the associated data requirements Library.

          At order-select this field helps the CRD service identify the regimen protocol for approvability evaluation. At order-sign it supports the final coverage determination.

          ShortCanonical URL of the AntiCancerRegimenPlanDefinition this instance instantiates
          Must Supporttrue
          12. RequestGroup.status
          Must Supporttrue
          14. RequestGroup.intent
          Must Supporttrue
          Pattern Valueorder
          16. RequestGroup.subject
          Control1..?
          TypeReference(US Core Patient Profile, Cancer Patient Profile)
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          18. RequestGroup.action
          Must Supporttrue
          20. RequestGroup.action.id
          ShortAction identifier — required for relatedAction cross-referencing in sequential regimens
          Control1..?
          22. RequestGroup.action.title
          ShortDrug name or phase label
          Control1..?
          Must Supporttrue
          24. RequestGroup.action.relatedAction
          Must Supporttrue
          26. RequestGroup.action.relatedAction.relationship
          ShortUse 'after-end' for sequential phase ordering
          28. RequestGroup.action.timing[x]
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          SlicingThis element introduces a set of slices on RequestGroup.action.timing[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 30. RequestGroup.action.timing[x]:timingTiming
            Slice NametimingTiming
            ShortCycle period. Use regimen-days-of-cycle extension on this element for cycle-day scheduling.
            Control0..1
            TypeTiming
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Must Supporttrue
            32. RequestGroup.action.resource
            ShortReference to draft MedicationRequest for this component. Present at order-sign; MAY be absent at order-select.
            Must Supporttrue
            34. RequestGroup.action.action
            TypeBackboneElement
            Must Supporttrue
            36. RequestGroup.action.action.id
            Control1..?
            38. RequestGroup.action.action.title
            Control1..?
            Must Supporttrue
            40. RequestGroup.action.action.timing[x]
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            SlicingThis element introduces a set of slices on RequestGroup.action.action.timing[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • type @ $this
            • 42. RequestGroup.action.action.timing[x]:timingTiming
              Slice NametimingTiming
              Control0..1
              TypeTiming
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Must Supporttrue
              44. RequestGroup.action.action.resource
              Must Supporttrue

              Guidance on how to interpret the contents of this table can be foundhere

              0. RequestGroup
              Definition

              A group of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one".

              ShortA group of related requests
              Control0..*
              Is Modifierfalse
              Summaryfalse
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
              dom-4: 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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
              dom-6: A resource should have narrative for robust management (text.`div`.exists())
              2. RequestGroup.id
              Definition

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

              ShortLogical id of this artifact
              Comments

              The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

              Control0..1
              Typeid
              Is Modifierfalse
              Summarytrue
              4. RequestGroup.meta
              Definition

              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.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. RequestGroup.implicitRules
              Definition

              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.

              ShortA set of rules under which this content was created
              Comments

              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.

              Control0..1
              Typeuri
              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              8. RequestGroup.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              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).

              Control0..1
              BindingThe codes SHOULD be taken from CommonLanguages
              (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

              A human language.

              Additional BindingsPurpose
              AllLanguagesMax Binding
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              10. RequestGroup.text
              Definition

              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.

              ShortText summary of the resource, for human interpretation
              Comments

              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). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

              Control0..1
              TypeNarrative
              Is Modifierfalse
              Summaryfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. RequestGroup.contained
              Definition

              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.

              ShortContained, inline Resources
              Comments

              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.

              Control0..*
              TypeResource
              Is Modifierfalse
              Summaryfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              14. RequestGroup.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on RequestGroup.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • profile @ $this
              • 16. RequestGroup.extension:category
                Slice Namecategory
                Definition

                Repeated Da Vinci CRD Request Category values that describe this patient's ordered regimen. Treatment intent and line of therapy are distinct categories and are not properties of the canonical PlanDefinition.

                ShortPatient-specific regimen categories, such as treatment intent and line of therapy
                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(Request Category) (Extension Type: CodeableConcept)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                18. RequestGroup.extension:category/treatmentIntent
                Slice Namecategory/treatmentIntent
                Definition

                A high-level categorization of the type of request

                ShortTreatment intent category, bound to RegimenIntentVS
                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(Treatment Intent Request Category) (Extension Type: CodeableConcept)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                20. RequestGroup.extension:category/lineOfTherapy
                Slice Namecategory/lineOfTherapy
                Definition

                A high-level categorization of the type of request

                ShortLine-of-therapy category, bound to TreatmentLineVS
                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(Line of Therapy Request Category) (Extension Type: CodeableConcept)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                22. RequestGroup.modifierExtension
                Definition

                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).

                ShortExtensions that cannot be ignored
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Summaryfalse
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                24. RequestGroup.identifier
                Definition

                Allows a service to provide a unique, business identifier for the request.

                ShortBusiness identifier
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows identification of the request as it is known by various participating systems and in a way that remains consistent across servers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. RequestGroup.instantiatesCanonical
                Definition

                When the canonical regimen definition is known, this SHALL reference an AntiCancerRegimenPlanDefinition. The CRD Service SHOULD use this reference to identify the regimen and locate the associated data requirements Library.

                At order-select this field helps the CRD service identify the regimen protocol for approvability evaluation. At order-sign it supports the final coverage determination.

                ShortCanonical URL of the AntiCancerRegimenPlanDefinition this instance instantiates
                Control0..*
                Typecanonical
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                28. RequestGroup.instantiatesUri
                Definition

                A URL referencing an externally defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.

                ShortInstantiates external protocol or definition
                Control0..*
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                30. RequestGroup.basedOn
                Definition

                A plan, proposal or order that is fulfilled in whole or in part by this request.

                ShortFulfills plan, proposal, or order
                Control0..*
                TypeReference(Resource)
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.

                Alternate Namesfulfills
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                32. RequestGroup.replaces
                Definition

                Completed or terminated request(s) whose function is taken by this new request.

                ShortRequest(s) replaced by this request
                Comments

                The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.

                Control0..*
                TypeReference(Resource)
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.

                Alternate Namessupersedes, prior, renewed order
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                34. RequestGroup.groupIdentifier
                Definition

                A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition, prescription or similar form.

                ShortComposite request this is part of
                Comments

                Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Requirements

                Some business processes need to know if multiple items were ordered as part of the same "prescription" or "requisition" for billing or other purposes.

                Alternate Namesgrouperid, requisition
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                36. RequestGroup.status
                Definition

                The current state of the request. For request groups, the status reflects the status of all the requests in the group.

                Shortdraft | active | on-hold | revoked | completed | entered-in-error | unknown
                Control1..1
                BindingThe codes SHALL be taken from RequestStatus
                (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1)

                Codes identifying the lifecycle stage of a request.

                Typecode
                Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                38. RequestGroup.intent
                Definition

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

                Shortproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
                Control1..1
                BindingThe codes SHALL be taken from RequestIntent
                (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

                Codes indicating the degree of authority/intentionality associated with a request.

                Typecode
                Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.

                Alternate Namescategory
                Pattern Valueorder
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                40. RequestGroup.priority
                Definition

                Indicates how quickly the request should be addressed with respect to other requests.

                Shortroutine | urgent | asap | stat
                Control0..1
                BindingThe codes SHALL be taken from RequestPriority
                (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

                Identifies the level of importance to be assigned to actioning the request.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Meaning if MissingIf missing, this request should be performed with normal priority
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                42. RequestGroup.code
                Definition

                A code that identifies what the overall request group is.

                ShortWhat's being requested/ordered
                Comments

                This element can be used to provide a code that captures the meaning of the request group as a whole, as opposed to the code of the action element, which captures the meaning of the individual actions within the request group.

                Control0..1
                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                44. RequestGroup.subject
                Definition

                The subject for which the request group was created.

                ShortWho the request group is about
                Control1..1
                TypeReference(US Core Patient Profile, Cancer Patient Profile)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. RequestGroup.encounter
                Definition

                Describes the context of the request group, if any.

                ShortCreated as part of
                Control0..1
                TypeReference(Encounter)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. RequestGroup.authoredOn
                Definition

                Indicates when the request group was created.

                ShortWhen the request group was authored
                Control0..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. RequestGroup.author
                Definition

                Provides a reference to the author of the request group.

                ShortDevice or practitioner that authored the request group
                Control0..1
                TypeReference(Device, Practitioner, PractitionerRole)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                52. RequestGroup.reasonCode
                Definition

                Describes the reason for the request group in coded or textual form.

                ShortWhy the request group is needed
                Control0..*
                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. RequestGroup.reasonReference
                Definition

                Indicates another resource whose existence justifies this request group.

                ShortWhy the request group is needed
                Control0..*
                TypeReference(Condition, Observation, DiagnosticReport, DocumentReference)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. RequestGroup.note
                Definition

                Provides a mechanism to communicate additional information about the response.

                ShortAdditional notes about the response
                Control0..*
                TypeAnnotation
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. RequestGroup.action
                Definition

                The actions, if any, produced by the evaluation of the artifact.

                ShortProposed actions, if any
                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                rqg-1: Must have resource or action but not both (resource.exists() != action.exists())
                60. RequestGroup.action.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortAction identifier — required for relatedAction cross-referencing in sequential regimens
                Control1..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                62. RequestGroup.action.extension
                Definition

                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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                64. RequestGroup.action.modifierExtension
                Definition

                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).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                66. RequestGroup.action.prefix
                Definition

                A user-visible prefix for the action.

                ShortUser-visible prefix for the action (e.g. 1. or A.)
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. RequestGroup.action.title
                Definition

                The title of the action displayed to a user.

                ShortDrug name or phase label
                Control1..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. RequestGroup.action.description
                Definition

                A short description of the action used to provide a summary to display to the user.

                ShortShort description of the action
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. RequestGroup.action.textEquivalent
                Definition

                A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.

                ShortStatic text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. RequestGroup.action.priority
                Definition

                Indicates how quickly the action should be addressed with respect to other actions.

                Shortroutine | urgent | asap | stat
                Control0..1
                BindingThe codes SHALL be taken from RequestPriority
                (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

                Identifies the level of importance to be assigned to actioning the request.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. RequestGroup.action.code
                Definition

                A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a section of a documentation template.

                ShortCode representing the meaning of the action or sub-actions
                Control0..*
                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. RequestGroup.action.documentation
                Definition

                Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.

                ShortSupporting documentation for the intended performer of the action
                Control0..*
                TypeRelatedArtifact
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. RequestGroup.action.condition
                Definition

                An expression that describes applicability criteria, or start/stop conditions for the action.

                ShortWhether or not the action is applicable
                Comments

                When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all of the conditions are true.

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. RequestGroup.action.condition.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                84. RequestGroup.action.condition.extension
                Definition

                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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                86. RequestGroup.action.condition.modifierExtension
                Definition

                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).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                88. RequestGroup.action.condition.kind
                Definition

                The kind of condition.

                Shortapplicability | start | stop
                Comments

                Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.

                Control1..1
                BindingThe codes SHALL be taken from ActionConditionKind
                (required to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1)

                The kind of condition for the action.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                90. RequestGroup.action.condition.expression
                Definition

                An expression that returns true or false, indicating whether or not the condition is satisfied.

                ShortBoolean-valued expression
                Comments

                The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.

                Control0..1
                TypeExpression
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                92. RequestGroup.action.relatedAction
                Definition

                A relationship to another action such as "before" or "30-60 minutes after start of".

                ShortRelationship to another action
                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                94. RequestGroup.action.relatedAction.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                96. RequestGroup.action.relatedAction.extension
                Definition

                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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                98. RequestGroup.action.relatedAction.modifierExtension
                Definition

                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).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                100. RequestGroup.action.relatedAction.actionId
                Definition

                The element id of the action this is related to.

                ShortWhat action this is related to
                Control1..1
                Typeid
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. RequestGroup.action.relatedAction.relationship
                Definition

                The relationship of this action to the related action.

                ShortUse 'after-end' for sequential phase ordering
                Control1..1
                BindingThe codes SHALL be taken from ActionRelationshipType
                (required to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1)

                Defines the types of relationships between actions.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                104. RequestGroup.action.relatedAction.offset[x]
                Definition

                A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.

                ShortTime offset for the relationship
                Control0..1
                TypeChoice of: Duration, Range
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                106. RequestGroup.action.timing[x]
                Definition

                An optional value describing when the action should be performed.

                ShortWhen the action should take place
                Control0..1
                TypeChoice of: dateTime, Age, Period, Duration, Range, Timing
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on RequestGroup.action.timing[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • type @ $this
                • 108. RequestGroup.action.timing[x]:timingTiming
                  Slice NametimingTiming
                  Definition

                  An optional value describing when the action should be performed.

                  ShortCycle period. Use regimen-days-of-cycle extension on this element for cycle-day scheduling.
                  Control0..1
                  TypeTiming
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  110. RequestGroup.action.participant
                  Definition

                  The participant that should perform or be responsible for this action.

                  ShortWho should perform the action
                  Control0..*
                  TypeReference(Patient, Practitioner, PractitionerRole, RelatedPerson, Device)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  112. RequestGroup.action.type
                  Definition

                  The type of action to perform (create, update, remove).

                  Shortcreate | update | remove | fire-event
                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from ActionType
                  (extensible to http://hl7.org/fhir/ValueSet/action-type|4.0.1)

                  The type of action to be performed.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  114. RequestGroup.action.groupingBehavior
                  Definition

                  Defines the grouping behavior for the action and its children.

                  Shortvisual-group | logical-group | sentence-group
                  Control0..1
                  BindingThe codes SHALL be taken from ActionGroupingBehavior
                  (required to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1)

                  Defines organization behavior of a group.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  116. RequestGroup.action.selectionBehavior
                  Definition

                  Defines the selection behavior for the action and its children.

                  Shortany | all | all-or-none | exactly-one | at-most-one | one-or-more
                  Control0..1
                  BindingThe codes SHALL be taken from ActionSelectionBehavior
                  (required to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1)

                  Defines selection behavior of a group.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  118. RequestGroup.action.requiredBehavior
                  Definition

                  Defines expectations around whether an action is required.

                  Shortmust | could | must-unless-documented
                  Control0..1
                  BindingThe codes SHALL be taken from ActionRequiredBehavior
                  (required to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1)

                  Defines expectations around whether an action or action group is required.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  120. RequestGroup.action.precheckBehavior
                  Definition

                  Defines whether the action should usually be preselected.

                  Shortyes | no
                  Control0..1
                  BindingThe codes SHALL be taken from ActionPrecheckBehavior
                  (required to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1)

                  Defines selection frequency behavior for an action or group.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  122. RequestGroup.action.cardinalityBehavior
                  Definition

                  Defines whether the action can be selected multiple times.

                  Shortsingle | multiple
                  Control0..1
                  BindingThe codes SHALL be taken from ActionCardinalityBehavior
                  (required to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1)

                  Defines behavior for an action or a group for how many times that item may be repeated.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  124. RequestGroup.action.resource
                  Definition

                  The resource that is the target of the action (e.g. CommunicationRequest).

                  ShortReference to draft MedicationRequest for this component. Present at order-sign; MAY be absent at order-select.
                  Comments

                  The target resource SHALL be a Request resource with a Request.intent set to "option".

                  Control0..1
                  This element is affected by the following invariants: rqg-1
                  TypeReference(Resource)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  126. RequestGroup.action.action
                  Definition

                  Sub actions.

                  ShortSub action
                  Control0..*
                  This element is affected by the following invariants: rqg-1
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  128. RequestGroup.action.action.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control1..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  130. RequestGroup.action.action.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  132. RequestGroup.action.action.modifierExtension
                  Definition

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  134. RequestGroup.action.action.prefix
                  Definition

                  A user-visible prefix for the action.

                  ShortUser-visible prefix for the action (e.g. 1. or A.)
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  136. RequestGroup.action.action.title
                  Definition

                  The title of the action displayed to a user.

                  ShortUser-visible title
                  Control1..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  138. RequestGroup.action.action.description
                  Definition

                  A short description of the action used to provide a summary to display to the user.

                  ShortShort description of the action
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  140. RequestGroup.action.action.textEquivalent
                  Definition

                  A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.

                  ShortStatic text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  142. RequestGroup.action.action.priority
                  Definition

                  Indicates how quickly the action should be addressed with respect to other actions.

                  Shortroutine | urgent | asap | stat
                  Control0..1
                  BindingThe codes SHALL be taken from RequestPriority
                  (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

                  Identifies the level of importance to be assigned to actioning the request.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  144. RequestGroup.action.action.code
                  Definition

                  A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a section of a documentation template.

                  ShortCode representing the meaning of the action or sub-actions
                  Control0..*
                  TypeCodeableConcept
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  146. RequestGroup.action.action.documentation
                  Definition

                  Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.

                  ShortSupporting documentation for the intended performer of the action
                  Control0..*
                  TypeRelatedArtifact
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  148. RequestGroup.action.action.condition
                  Definition

                  An expression that describes applicability criteria, or start/stop conditions for the action.

                  ShortWhether or not the action is applicable
                  Comments

                  When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all of the conditions are true.

                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  150. RequestGroup.action.action.condition.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  152. RequestGroup.action.action.condition.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  154. RequestGroup.action.action.condition.modifierExtension
                  Definition

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  156. RequestGroup.action.action.condition.kind
                  Definition

                  The kind of condition.

                  Shortapplicability | start | stop
                  Comments

                  Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.

                  Control1..1
                  BindingThe codes SHALL be taken from ActionConditionKind
                  (required to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1)

                  The kind of condition for the action.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  158. RequestGroup.action.action.condition.expression
                  Definition

                  An expression that returns true or false, indicating whether or not the condition is satisfied.

                  ShortBoolean-valued expression
                  Comments

                  The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.

                  Control0..1
                  TypeExpression
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  160. RequestGroup.action.action.relatedAction
                  Definition

                  A relationship to another action such as "before" or "30-60 minutes after start of".

                  ShortRelationship to another action
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  162. RequestGroup.action.action.relatedAction.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  164. RequestGroup.action.action.relatedAction.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  166. RequestGroup.action.action.relatedAction.modifierExtension
                  Definition

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  168. RequestGroup.action.action.relatedAction.actionId
                  Definition

                  The element id of the action this is related to.

                  ShortWhat action this is related to
                  Control1..1
                  Typeid
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  170. RequestGroup.action.action.relatedAction.relationship
                  Definition

                  The relationship of this action to the related action.

                  Shortbefore-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
                  Control1..1
                  BindingThe codes SHALL be taken from ActionRelationshipType
                  (required to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1)

                  Defines the types of relationships between actions.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  172. RequestGroup.action.action.relatedAction.offset[x]
                  Definition

                  A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.

                  ShortTime offset for the relationship
                  Control0..1
                  TypeChoice of: Duration, Range
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  174. RequestGroup.action.action.timing[x]
                  Definition

                  An optional value describing when the action should be performed.

                  ShortWhen the action should take place
                  Control0..1
                  TypeChoice of: dateTime, Age, Period, Duration, Range, Timing
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on RequestGroup.action.action.timing[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • type @ $this
                  • 176. RequestGroup.action.action.timing[x]:timingTiming
                    Slice NametimingTiming
                    Definition

                    An optional value describing when the action should be performed.

                    ShortWhen the action should take place
                    Control0..1
                    TypeTiming
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    178. RequestGroup.action.action.participant
                    Definition

                    The participant that should perform or be responsible for this action.

                    ShortWho should perform the action
                    Control0..*
                    TypeReference(Patient, Practitioner, PractitionerRole, RelatedPerson, Device)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    180. RequestGroup.action.action.type
                    Definition

                    The type of action to perform (create, update, remove).

                    Shortcreate | update | remove | fire-event
                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from ActionType
                    (extensible to http://hl7.org/fhir/ValueSet/action-type|4.0.1)

                    The type of action to be performed.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    182. RequestGroup.action.action.groupingBehavior
                    Definition

                    Defines the grouping behavior for the action and its children.

                    Shortvisual-group | logical-group | sentence-group
                    Control0..1
                    BindingThe codes SHALL be taken from ActionGroupingBehavior
                    (required to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1)

                    Defines organization behavior of a group.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    184. RequestGroup.action.action.selectionBehavior
                    Definition

                    Defines the selection behavior for the action and its children.

                    Shortany | all | all-or-none | exactly-one | at-most-one | one-or-more
                    Control0..1
                    BindingThe codes SHALL be taken from ActionSelectionBehavior
                    (required to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1)

                    Defines selection behavior of a group.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    186. RequestGroup.action.action.requiredBehavior
                    Definition

                    Defines expectations around whether an action is required.

                    Shortmust | could | must-unless-documented
                    Control0..1
                    BindingThe codes SHALL be taken from ActionRequiredBehavior
                    (required to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1)

                    Defines expectations around whether an action or action group is required.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    188. RequestGroup.action.action.precheckBehavior
                    Definition

                    Defines whether the action should usually be preselected.

                    Shortyes | no
                    Control0..1
                    BindingThe codes SHALL be taken from ActionPrecheckBehavior
                    (required to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1)

                    Defines selection frequency behavior for an action or group.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    190. RequestGroup.action.action.cardinalityBehavior
                    Definition

                    Defines whether the action can be selected multiple times.

                    Shortsingle | multiple
                    Control0..1
                    BindingThe codes SHALL be taken from ActionCardinalityBehavior
                    (required to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1)

                    Defines behavior for an action or a group for how many times that item may be repeated.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    192. RequestGroup.action.action.resource
                    Definition

                    The resource that is the target of the action (e.g. CommunicationRequest).

                    ShortThe target of the action
                    Comments

                    The target resource SHALL be a Request resource with a Request.intent set to "option".

                    Control0..1
                    This element is affected by the following invariants: rqg-1
                    TypeReference(Resource)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    194. RequestGroup.action.action.action
                    Definition

                    Sub actions.

                    ShortSub action
                    Control0..*
                    This element is affected by the following invariants: rqg-1
                    TypeSeettp://hl7.org/fhir/StructureDefinition/RequestGroup#RequestGroup.action
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))