StructureDefinition Definition for activitydefinition Code SystemSubstanceStereochemistry

@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#> .


In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A formal identifier that is used to identify this activity definition when it is represented
       in other formats, or referenced in a specification, model, design or an instance.
      Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this activity definition outside of FHIR, where it is
       not possible to use the logical URI.
      Allows externally provided and/or usable business identifiers to be easily associated
       with the module.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier that is used to identify this version of the activity definition when it
       is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the activity definition author and is not expected to be globally unique. For
       example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
       There is also no expectation that versions can be placed in a lexicographical sequence.
       To provide a version consistent with the Decision Support Service specification, use the
       format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge
       assets, refer to the Decision Support Service specification. Note that a version is required
       for non-experimental active assets.
      There may be different activity definition instances that have the same identifier but
       different versions.  The version can be appended to the url in a reference to allow a
       reference to a particular business version of the activity definition with the format
       [url]|[version].
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A natural language name identifying the activity definition. This name should be usable
       as an identifier for the module by machine processing applications such as code generation.
      The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly.
      
      
      
      
        
        
        
      
      
        
      
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      An explanatory or alternate title for the activity definition giving additional information
       about its content.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A Boolean value to indicate that this activity definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level activity definition.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization,
         Location, etc.).
        
      
      
        
        
      
    
    
      
      
      The date  (and optionally time) when the activity definition was published. The date must
       change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the activity definition
       changes.
      Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the activity definition. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the activity
       definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the activity definition. This is not necessarily the same individual or
       organization that developed and initially authored the content. The publisher is the primary
       point of contact for questions or issues with the activity definition. This item SHOULD
       be populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the activity definition.  May
       also allow for contact.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      A free text natural language description of the activity definition from a consumer's
       perspective.
      This description can be used to capture details such as why the activity definition was
       built, comments about misuse, instructions for clinical use and interpretation, literature
       references, examples from the paper world, etc. It is not a rendering of the activity
       definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
       populated unless the information is available from context (e.g. the language of the activity
       definition is presumed to be the predominant language in the place the activity definition
       was created).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate activity definition instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      It may be possible for the activity definition to be used in jurisdictions other than
       those for which it was originally designed or intended.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Explanation of why this activity definition is needed and why it has been designed as
       it has.
      This element does not describe the usage of the activity definition. Instead, it provides
       traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.
        This may be used to point to source materials or specifications that drove the structure
       of this activity definition.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      A copyright statement relating to the activity definition and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the activity
       definition.
      Consumers must be able to determine any legal restrictions on the use of the activity
       definition and/or its content.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage.
      The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        .outboundRelationship[typeCode=&quot;SUBJ&quot;].act[classCode=CACT;moodCode=EVN;code=&quot;approval
        &quot;].effectiveTime
      
      
        
        
      
    
    
      
      
      The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date.
      
      Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        .outboundRelationship[typeCode=&quot;SUBJ&quot;; subsetCode=&quot;RECENT&quot;].act[classCode=CACT;m
        oodCode=EVN;code=&quot;review&quot;].effectiveTime
      
      
        
        
      
    
    
      
      
      The period during which the activity definition content was or is planned to be in active
       use.
      The effective period for a activity definition  determines when the content is applicable
       for usage and is independent of publication and review dates. For example, a measure intended
       to be used for the year 2016 might be published in 2015.
      Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the activity definition are or are expected
       to be used instead.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Descriptive topics related to the content of the activity. Topics provide a high-level
       categorization of the activity that can be useful for filtering and searching.
      Repositories must be able to determine how to categorize the activity definition so that
       it can be found by topical searches.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      An individiual or organization primarily involved in the creation and maintenance of the
       content.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      An individual or organization responsible for officially endorsing the content for use
       in some setting.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Each related artifact is either an attachment, or a reference to another resource, but
       not both.
      Activity definitions must be able to provide enough information for consumers of the content
       (and/or interventions or results produced by the content) to be able to determine and
       understand the justification for and evidence in support of the content.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV
         w/ inversionInd=true; No support for citation}
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      A description of the kind of resource the activity definition is representing. For example,
       a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always,
       this is a Request resource.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      Allows profiles to be used to describe the types of activities that can be performed within
       a workflow, protocol, or order set.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Detailed description of the type of activity; e.g. What lab test, what procedure, what
       kind of encounter.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order
       | option
      Indicates the level of authority/intentionality associated with the activity and where
       the request should fit into the workflow chain.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      Set this to true if the definition is to indicate that a particular activity should NOT
       be performed. If true, this element should be interpreted to reinforce a negative coding.
       For example NPO as a code with a doNotPerform of true would still indicate to NOT perform
       the action.
      This element is not intended to be used to communicate a decision support response to
       cancel an order in progress. That should be done with the &quot;remove&quot; type of a
       PlanDefinition or RequestGroup.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      If true this element negates the specified action. For Example,  instead of a request
       for a procedure, it is a request for the procedure to not occur.
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic,
       etc.
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
      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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      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.

# - resource -------------------------------------------------------------------


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      Provides detailed dosage instructions in the same way that they are described for MedicationRequest
       resources.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      Indicates the sites on the subject's body where the procedure should be performed (I.e.
       the target sites).
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Defines specimen requirements for the action to be performed, such as required specimens
       for a lab test.
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Defines observation requirements for the action to be performed, such as body weight or
       surface area.
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      A reference to a StructureMap resource that defines a transform that can be executed to
       produce the intent resource using the ActivityDefinition instance as the input.
      Note that if both a transform and dynamic values are specified, the dynamic values will
       be applied to the result of the transform.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      Dynamic values that will be evaluated to produce values for elements of the resulting
       resource. For example, if the dosage of a medication must be computed based on the patient's
       weight, a dynamic value would be used to specify an expression that calculated the weight,
       and the path on the request resource that would contain the result.
      Dynamic values are applied in the order in which they are defined in the ActivityDefinition.
       Note that if both a transform and dynamic values are specified, the dynamic values will
       be applied to the result of the transform.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
      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.
      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.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      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.

<http://hl7.org/fhir/CodeSystem/substance-stereochemistry> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "substance-stereochemistry"] ; # 
  fhir:meta [
     fhir:lastUpdated [ fhir:v "2025-12-17T20:50:17.012+11:00"^^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 substance-stereochemistry</b></p><a name=\"substance-stereochemistry\"> </a><a name=\"hcsubstance-stereochemistry\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-01-05T10:01:24.148+11:00</p></div><p>This case-sensitive code system <code>http://hl7.org/fhir/substance-stereochemistry</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">ConstitutionalIsomer<a name=\"substance-stereochemistry-ConstitutionalIsomer\"> </a></td><td>constitutional isomer</td></tr><tr><td style=\"white-space:nowrap\">Stereoisomer<a name=\"substance-stereochemistry-Stereoisomer\"> </a></td><td>stereoisomer</td></tr><tr><td style=\"white-space:nowrap\">Enantiomer<a name=\"substance-stereochemistry-Enantiomer\"> </a></td><td>enantiomer</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 "brr"
     ]
  ] [
     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 "informative"
     ]
  ] [
     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 1
     ]
  ] ) ; # 
  fhir:url [
     fhir:v "http://hl7.org/fhir/substance-stereochemistry"^^xsd:anyURI ;
     fhir:l <http://hl7.org/fhir/substance-stereochemistry>
  ] ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
       fhir:l <urn:ietf:rfc:3986>
     ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.2087" ]
  ] ) ; # 
  fhir:version [ fhir:v "6.0.0-ballot3"] ; # 
  fhir:name [ fhir:v "SubstanceStereochemistry"] ; # 
  fhir:title [ fhir:v "Substance Stereochemistry"] ; # 
  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 "The stereochemistry type of a substance."] ; # 
  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/substance-stereochemistry"^^xsd:anyURI ;
     fhir:l <http://hl7.org/fhir/ValueSet/substance-stereochemistry>
  ] ; # 
  fhir:hierarchyMeaning [] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
     fhir:code [ fhir:v "ConstitutionalIsomer" ] ;
     fhir:display [ fhir:v "constitutional isomer" ]
  ] [
     fhir:code [ fhir:v "Stereoisomer" ] ;
     fhir:display [ fhir:v "stereoisomer" ]
  ] [
     fhir:code [ fhir:v "Enantiomer" ] ;
     fhir:display [ fhir:v "enantiomer" ]
  ] ) . # 


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      The path to the element to be customized. This is the path on the resource that will hold
       the result of the calculation defined by the expression. The specified path SHALL be a
       FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL
       consist only of identifiers, constant indexers, and a restricted subset of functions.
       The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers
       ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html
      #simple) for full details).
      The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows
       path traversal, but not calculation.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      The expression may be inlined, or may be a reference to a named expression within a logic
       library referenced by the library element.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
  
  
    
      
      The definition of a specific activity to be taken, independent of any particular patient
       or context
      This resource allows for the definition of some activity to be performed, independent
       of a particular patient, practitioner, or other performance context.
      
      
      
        
        
        Name should be usable as an identifier for the module by machine processing applications
         such as code generation
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      An absolute URI that is used to identify this activity definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
       instance of this activity definition is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the activity definition is stored
       on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

# -------------------------------------------------------------------------------------


The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 


In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A formal identifier that is used to identify this activity definition when it is represented
       in other formats, or referenced in a specification, model, design or an instance.
      Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this activity definition outside of FHIR, where it is
       not possible to use the logical URI.
      Allows externally provided and/or usable business identifiers to be easily associated
       with the module.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier that is used to identify this version of the activity definition when it
       is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the activity definition author and is not expected to be globally unique. For
       example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
       There is also no expectation that versions can be placed in a lexicographical sequence.
       To provide a version consistent with the Decision Support Service specification, use the
       format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge
       assets, refer to the Decision Support Service specification. Note that a version is required
       for non-experimental active assets.
      There may be different activity definition instances that have the same identifier but
       different versions.  The version can be appended to the url in a reference to allow a
       reference to a particular business version of the activity definition with the format
       [url]|[version].
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A natural language name identifying the activity definition. This name should be usable
       as an identifier for the module by machine processing applications such as code generation.
      The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly.
      
      
      
      
        
      
      
      
      
        
        
      
    
    
      
      
      
      This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      An explanatory or alternate title for the activity definition giving additional information
       about its content.
      
      
      
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A Boolean value to indicate that this activity definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level activity definition.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
          
        
        
        The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization,
         Location, etc.).
        
      
      
        
        
      
    
    
      
      
      The date  (and optionally time) when the activity definition was published. The date must
       change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the activity definition
       changes.
      Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the activity definition. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the activity
       definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the activity definition. This is not necessarily the same individual or
       organization that developed and initially authored the content. The publisher is the primary
       point of contact for questions or issues with the activity definition. This item SHOULD
       be populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the activity definition.  May
       also allow for contact.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      A free text natural language description of the activity definition from a consumer's
       perspective.
      This description can be used to capture details such as why the activity definition was
       built, comments about misuse, instructions for clinical use and interpretation, literature
       references, examples from the paper world, etc. It is not a rendering of the activity
       definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
       populated unless the information is available from context (e.g. the language of the activity
       definition is presumed to be the predominant language in the place the activity definition
       was created).
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate activity definition instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      It may be possible for the activity definition to be used in jurisdictions other than
       those for which it was originally designed or intended.
      
      
      
        
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Explanation of why this activity definition is needed and why it has been designed as
       it has.
      This element does not describe the usage of the activity definition. Instead, it provides
       traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.
        This may be used to point to source materials or specifications that drove the structure
       of this activity definition.
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      A copyright statement relating to the activity definition and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the activity
       definition.
      Consumers must be able to determine any legal restrictions on the use of the activity
       definition and/or its content.
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage.
      The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections.
      
      
      
        
      
      
        
        
      
      
        
        .outboundRelationship[typeCode=&quot;SUBJ&quot;].act[classCode=CACT;moodCode=EVN;code=&quot;approval
        &quot;].effectiveTime
      
      
        
        
      
    
    
      
      
      The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date.
      
      Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant.
      
      
      
        
      
      
        
        
      
      
        
        .outboundRelationship[typeCode=&quot;SUBJ&quot;; subsetCode=&quot;RECENT&quot;].act[classCode=CACT;m
        oodCode=EVN;code=&quot;review&quot;].effectiveTime
      
      
        
        
      
    
    
      
      
      The period during which the activity definition content was or is planned to be in active
       use.
      The effective period for a activity definition  determines when the content is applicable
       for usage and is independent of publication and review dates. For example, a measure intended
       to be used for the year 2016 might be published in 2015.
      Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the activity definition are or are expected
       to be used instead.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Descriptive topics related to the content of the activity. Topics provide a high-level
       categorization of the activity that can be useful for filtering and searching.
      Repositories must be able to determine how to categorize the activity definition so that
       it can be found by topical searches.
      
      
      
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      An individiual or organization primarily involved in the creation and maintenance of the
       content.
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      An individual or organization responsible for officially endorsing the content for use
       in some setting.
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      Each related artifact is either an attachment, or a reference to another resource, but
       not both.
      Activity definitions must be able to provide enough information for consumers of the content
       (and/or interventions or results produced by the content) to be able to determine and
       understand the justification for and evidence in support of the content.
      
      
      
        
      
      
        
        .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV
         w/ inversionInd=true; No support for citation}
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      A description of the kind of resource the activity definition is representing. For example,
       a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always,
       this is a Request resource.
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      Allows profiles to be used to describe the types of activities that can be performed within
       a workflow, protocol, or order set.
      
      
      
        
        
      
    
    
      
      
      Detailed description of the type of activity; e.g. What lab test, what procedure, what
       kind of encounter.
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order
       | option
      Indicates the level of authority/intentionality associated with the activity and where
       the request should fit into the workflow chain.
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
    
    
      
      
      Set this to true if the definition is to indicate that a particular activity should NOT
       be performed. If true, this element should be interpreted to reinforce a negative coding.
       For example NPO as a code with a doNotPerform of true would still indicate to NOT perform
       the action.
      This element is not intended to be used to communicate a decision support response to
       cancel an order in progress. That should be done with the &quot;remove&quot; type of a
       PlanDefinition or RequestGroup.
      
      
      
        
      
      
      If true this element negates the specified action. For Example,  instead of a request
       for a procedure, it is a request for the procedure to not occur.
      
    
    
      
      
      
      
      
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
      
      
        
        
      
    
    
      
      
      Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic,
       etc.
      
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      Provides detailed dosage instructions in the same way that they are described for MedicationRequest
       resources.
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      Indicates the sites on the subject's body where the procedure should be performed (I.e.
       the target sites).
      
      
      
      
      
        
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Defines specimen requirements for the action to be performed, such as required specimens
       for a lab test.
      
      
      
      
        
        
      
    
    
      
      
      Defines observation requirements for the action to be performed, such as body weight or
       surface area.
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
    
    
      
      
      A reference to a StructureMap resource that defines a transform that can be executed to
       produce the intent resource using the ActivityDefinition instance as the input.
      Note that if both a transform and dynamic values are specified, the dynamic values will
       be applied to the result of the transform.
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      Dynamic values that will be evaluated to produce values for elements of the resulting
       resource. For example, if the dosage of a medication must be computed based on the patient's
       weight, a dynamic value would be used to specify an expression that calculated the weight,
       and the path on the request resource that would contain the result.
      Dynamic values are applied in the order in which they are defined in the ActivityDefinition.
       Note that if both a transform and dynamic values are specified, the dynamic values will
       be applied to the result of the transform.
      
      
      
        
      
      
        
        
      
    
    
      
      
      The path to the element to be customized. This is the path on the resource that will hold
       the result of the calculation defined by the expression. The specified path SHALL be a
       FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL
       consist only of identifiers, constant indexers, and a restricted subset of functions.
       The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers
       ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html
      #simple) for full details).
      The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows
       path traversal, but not calculation.
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      The expression may be inlined, or may be a reference to a named expression within a logic
       library referenced by the library element.
      
      
      
        
      
      
        
        
      
    
  
</
StructureDefinition
>