This
page
is
part
of
the
Continuous
Integration
Build
of
FHIR
Specification
(v4.0.1:
R4
-
Mixed
Normative
and
STU
)
in
it's
permanent
home
(it
will
always
(will
be
available
incorrect/inconsistent
at
this
URL).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
times).
See
the
Directory
of
published
versions
.
Page
versions:
R4B
R4
R3
Valueset-care-plan-activity-outcome.json
Example
CodeSystem/reference-handling-policy
(Turtle)
Raw
Raw
Turtle
(+
also
see
JSON
Turtle/RDF
Format
Specification
)
Definition
for
Value
SetCare
Plan
Activity
Outcome
Code
SystemReferenceHandlingPolicy
{
"resourceType" : "ValueSet",
"id" : "care-plan-activity-outcome",
"meta" : {
"lastUpdated" : "2019-11-01T09:29:23.356+11:00",
"profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "draft"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
}],
"url" : "http://hl7.org/fhir/ValueSet/care-plan-activity-outcome",
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.3.149"
}],
"version" : "4.0.1",
"name" : "CarePlanActivityOutcome",
"title" : "Care Plan Activity Outcome",
"status" : "draft",
"experimental" : false,
"date" : "2019-11-01T09:29:23+11:00",
"publisher" : "HL7 International - Patient Care WG",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/patientcare/"
}]
}],
"description" : "Example codes indicating the outcome of a care plan activity. Note that these are in no way complete and might not even be appropriate for some uses.",
"copyright" : "This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org",
"compose" : {
"include" : [{
"system" : "http://snomed.info/sct",
"filter" : [{
"property" : "concept",
"op" : "is-a",
"value" : "397640006"
}]
}]
}
}
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/reference-handling-policy> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "reference-handling-policy"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2025-12-17T09:50:17.012+00:00"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem reference-handling-policy</b></p><a name=\"reference-handling-policy\"> </a><a name=\"hcreference-handling-policy\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/reference-handling-policy</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">literal<a name=\"reference-handling-policy-literal\"> </a></td><td>Literal References</td><td>The server supports and populates Literal references (i.e. using Reference.reference) where they are known (this code does not guarantee that all references are literal; see 'enforced').</td></tr><tr><td style=\"white-space:nowrap\">logical<a name=\"reference-handling-policy-logical\"> </a></td><td>Logical References</td><td>The server allows logical references (i.e. using Reference.identifier).</td></tr><tr><td style=\"white-space:nowrap\">resolves<a name=\"reference-handling-policy-resolves\"> </a></td><td>Resolves References</td><td>The server will attempt to resolve logical references to literal references - i.e. converting Reference.identifier to Reference.reference (if resolution fails, the server may still accept resources; see logical).</td></tr><tr><td style=\"white-space:nowrap\">enforced<a name=\"reference-handling-policy-enforced\"> </a></td><td>Reference Integrity Enforced</td><td>The server enforces that references have integrity - e.g. it ensures that references can always be resolved. This is typically the case for clinical record systems, but often not the case for middleware/proxy systems.</td></tr><tr><td style=\"white-space:nowrap\">local<a name=\"reference-handling-policy-local\"> </a></td><td>Local References Only</td><td>The server does not support references that point to other servers.</td></tr></table></div>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>
] ;
fhir:value [
a fhir:Code ;
fhir:v "fhir"
]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>
] ;
fhir:value [
a fhir:Code ;
fhir:v "normative"
]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>
] ;
fhir:value [
a fhir:Integer ;
fhir:v 5
]
] ) ; #
fhir:url [
fhir:v "http://hl7.org/fhir/reference-handling-policy"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/reference-handling-policy>
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>
] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.203" ]
] [
fhir:use [ fhir:v "old" ] ;
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>
] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.193" ]
] ) ; #
fhir:version [ fhir:v "6.0.0-ballot3"] ; #
fhir:name [ fhir:v "ReferenceHandlingPolicy"] ; #
fhir:title [ fhir:v "Reference Handling Policy"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v false] ; #
fhir:date [ fhir:v "2021-01-05T10:01:24+11:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 (FHIR Project)"] ; #
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] ) ; #
fhir:description [ fhir:v "A set of flags that defines how references are supported."] ; #
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>
] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ; #
fhir:caseSensitive [ fhir:v true] ; #
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/reference-handling-policy"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/reference-handling-policy>
] ; #
fhir:hierarchyMeaning [] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:concept ( [
fhir:code [ fhir:v "literal" ] ;
fhir:display [ fhir:v "Literal References" ] ;
fhir:definition [ fhir:v "The server supports and populates Literal references (i.e. using Reference.reference) where they are known (this code does not guarantee that all references are literal; see 'enforced')." ]
] [
fhir:code [ fhir:v "logical" ] ;
fhir:display [ fhir:v "Logical References" ] ;
fhir:definition [ fhir:v "The server allows logical references (i.e. using Reference.identifier)." ]
] [
fhir:code [ fhir:v "resolves" ] ;
fhir:display [ fhir:v "Resolves References" ] ;
fhir:definition [ fhir:v "The server will attempt to resolve logical references to literal references - i.e. converting Reference.identifier to Reference.reference (if resolution fails, the server may still accept resources; see logical)." ]
] [
fhir:code [ fhir:v "enforced" ] ;
fhir:display [ fhir:v "Reference Integrity Enforced" ] ;
fhir:definition [ fhir:v "The server enforces that references have integrity - e.g. it ensures that references can always be resolved. This is typically the case for clinical record systems, but often not the case for middleware/proxy systems." ]
] [
fhir:code [ fhir:v "local" ] ;
fhir:display [ fhir:v "Local References Only" ] ;
fhir:definition [ fhir:v "The server does not support references that point to other servers." ]
] ) . #
# -------------------------------------------------------------------------------------
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.