Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Activitydefinition-predecessor-example.ttl

Example ActivityDefinition/referralPrimaryCareMentalHealth-initial (Turtle)

Clinical Decision Support Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any No defined compartments

Raw Turtle (+ also see Turtle/RDF Format Specification )

Example of a predecessor/successor relationship 

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth-initial> a fhir:ActivityDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "referralPrimaryCareMentalHealth-initial"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Id: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">ActivityDefinition/referralPrimaryCareMentalHealth-initial</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Status: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">draft</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Description: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Category: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">referral</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Code: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-right: 25px;\">\n                  <span style=\"padding-left: 25px;\">\n                     <b>text: </b>\n                     <span>Referral to service (procedure)</span>\n                     <br/>\n                  </span>\n                  <span>\n                     <span>\n                        <span style=\"padding-left: 25px;\">\n                           <b>system: </b>\n                           <span>http://snomed.info/sct</span>\n                           <br/>\n                        </span>\n                        <span style=\"padding-left: 25px;\">\n                           <b>code: </b>\n                           <span>306206005</span>\n                           <br/>\n                        </span>\n                     </span>\n                  </span>\n               </td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Participant: </b>\n               </td>\n            </tr>\n            <tr style=\"vertical-align: top;\">\n               <td style=\"padding-left: 25px; padding-right: 25px;\">practitioner</td>\n            </tr>\n         </table>\n      </div>"
  ];
  fhir:ActivityDefinition.url [ fhir:value "http://motivemi.com/artifacts/ActivityDefinition/referralPrimaryCareMentalHealth"];
  fhir:ActivityDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://motivemi.com/artifacts" ];
     fhir:Identifier.value [ fhir:value "referralPrimaryCareMentalHealth" ]
  ];
  fhir:ActivityDefinition.version [ fhir:value "1.0.0"];
  fhir:ActivityDefinition.name [ fhir:value "ReferralPrimaryCareMentalHealth"];
  fhir:ActivityDefinition.title [ fhir:value "Referral to Primary Care Mental Health"];
  fhir:ActivityDefinition.status [ fhir:value "retired"];
  fhir:ActivityDefinition.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:ActivityDefinition.date [ fhir:value "2017-03-03T14:06:00Z"^^xsd:dateTime];
  fhir:ActivityDefinition.publisher [ fhir:value "Motive Medical Intelligence"];
  fhir:ActivityDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "phone" ];
       fhir:ContactPoint.value [ fhir:value "415-362-4007" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "info@motivemi.com" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ];
  fhir:ActivityDefinition.description [ fhir:value "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now"];
  fhir:ActivityDefinition.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "age" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://meshb.nlm.nih.gov" ];
         fhir:Coding.code [ fhir:value "D000328" ];
         fhir:Coding.display [ fhir:value "Adult" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:87512008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "87512008" ];
         fhir:Coding.display [ fhir:value "Mild major depression" ]
       ]

[a fhir:ActivityDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "referralPrimaryCareMentalHealth-initial"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Id: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">ActivityDefinition/referralPrimaryCareMentalHealth-initial</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Status: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">draft</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Description: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Category: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-left: 25px; padding-right: 25px;\">referral</td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Code: </b>\n               </td>\n            </tr>\n            <tr>\n               <td style=\"padding-right: 25px;\">\n                  <span style=\"padding-left: 25px;\">\n                     <b>text: </b>\n                     <span>Referral to service (procedure)</span>\n                     <br/>\n                  </span>\n                  <span>\n                     <span>\n                        <span style=\"padding-left: 25px;\">\n                           <b>system: </b>\n                           <span>http://snomed.info/sct</span>\n                           <br/>\n                        </span>\n                        <span style=\"padding-left: 25px;\">\n                           <b>code: </b>\n                           <span>306206005</span>\n                           <br/>\n                        </span>\n                     </span>\n                  </span>\n               </td>\n            </tr>\n         </table>\n         <p/>\n         <table class=\"grid dict\">\n            <tr>\n               <td>\n                  <b>Participant: </b>\n               </td>\n            </tr>\n            <tr style=\"vertical-align: top;\">\n               <td style=\"padding-left: 25px; padding-right: 25px;\">practitioner</td>\n            </tr>\n         </table>\n      </div>"
  ] ; # 
  fhir:url [ fhir:v "http://motivemi.com/artifacts/ActivityDefinition/referralPrimaryCareMentalHealth"^^xsd:anyURI] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.19.5" ]
  ] [
     fhir:use [ fhir:v "official" ] ;
     fhir:system [ fhir:v "http://motivemi.com/artifacts"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "referralPrimaryCareMentalHealth" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "ReferralPrimaryCareMentalHealth"] ; # 
  fhir:title [ fhir:v "Referral to Primary Care Mental Health"] ; # 
  fhir:status [ fhir:v "retired"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2017-03-03T14:06:00Z"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Motive Medical Intelligence"] ; # 
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "phone" ] ;
       fhir:value [ fhir:v "415-362-4007" ] ;
       fhir:use [ fhir:v "work" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "info@motivemi.com" ] ;
       fhir:use [ fhir:v "work" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now"] ; # 
  fhir:useContext ( [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "age" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [ fhir:v "https://meshb.nlm.nih.gov"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "D000328" ] ;
         fhir:display [ fhir:v "Adult" ]
       ] )

     ]
  ], [
     fhir:index 2;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:40379007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "40379007" ];
         fhir:Coding.display [ fhir:value "Major depression, recurrent, mild" ]
       ]

  ] [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "focus" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:87512008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "87512008" ] ;
         fhir:display [ fhir:v "Mild major depression" ]
       ] )

     ]
  ], [
     fhir:index 3;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:225444004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "225444004" ];
         fhir:Coding.display [ fhir:value "At risk for suicide (finding)" ]
       ]

  ] [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "focus" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:40379007 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "40379007" ] ;
         fhir:display [ fhir:v "Major depression, recurrent, mild" ]
       ] )

     ]
  ], [
     fhir:index 4;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:306206005;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "306206005" ];
         fhir:Coding.display [ fhir:value "Referral to service (procedure)" ]
       ]

  ] [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "focus" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:225444004 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "225444004" ] ;
         fhir:display [ fhir:v "At risk for suicide (finding)" ]
       ] )

     ]
  ], [
     fhir:index 5;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "user" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:309343006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "309343006" ];
         fhir:Coding.display [ fhir:value "Physician" ]
       ]

  ] [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "focus" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:306206005 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "306206005" ] ;
         fhir:display [ fhir:v "Referral to service (procedure)" ]
       ] )

     ]
  ], [
     fhir:index 6;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "venue" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:440655000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "440655000" ];
         fhir:Coding.display [ fhir:value "Outpatient environment" ]
       ]

  ] [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "user" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:309343006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "309343006" ] ;
         fhir:display [ fhir:v "Physician" ]
       ] )

     ]
  ];
  fhir:ActivityDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]

  ] [
     fhir:code [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "venue" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:440655000 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "440655000" ] ;
         fhir:display [ fhir:v "Outpatient environment" ]
       ] )

     ]
  ];
  fhir:ActivityDefinition.purpose [ fhir:value "Defines a referral to a mental-health integrated care program for use in suicide risk order sets. The definition is independent of the order set in which it appears to allow reuse of the general definition of the referrral."];
  fhir:ActivityDefinition.usage [ fhir:value "This activity definition is used as the definition of a referral request within various suicide risk order sets. Elements that apply universally are defined here, while elements that apply to the specific setting of a referral within a particular order set are defined in the order set."];
  fhir:ActivityDefinition.copyright [ fhir:value "© Copyright 2016 Motive Medical Intelligence. All rights reserved."];
  fhir:ActivityDefinition.approvalDate [ fhir:value "2016-03-12"^^xsd:date];
  fhir:ActivityDefinition.lastReviewDate [ fhir:value "2016-08-15"^^xsd:date];
  fhir:ActivityDefinition.effectivePeriod [
     fhir:Period.start [ fhir:value "2016-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2017-12-31"^^xsd:date ]
  ];
  fhir:ActivityDefinition.topic [
     fhir:index 0;
     fhir:CodeableConcept.text [ fhir:value "Mental Health Referral" ]
  ];
  fhir:ActivityDefinition.author [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Motive Medical Intelligence" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "phone" ];
       fhir:ContactPoint.value [ fhir:value "415-362-4007" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "info@motivemi.com" ];
       fhir:ContactPoint.use [ fhir:value "work" ]

  ] ) ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "US" ]
     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "Defines a referral to a mental-health integrated care program for use in suicide risk order sets. The definition is independent of the order set in which it appears to allow reuse of the general definition of the referrral."] ; # 
  fhir:usage [ fhir:v "This activity definition is used as the definition of a referral request within various suicide risk order sets. Elements that apply universally are defined here, while elements that apply to the specific setting of a referral within a particular order set are defined in the order set."] ; # 
  fhir:copyright [ fhir:v "© Copyright 2016 Motive Medical Intelligence. All rights reserved."] ; # 
  fhir:approvalDate [ fhir:v "2016-03-12"^^xsd:date] ; # 
  fhir:lastReviewDate [ fhir:v "2016-08-15"^^xsd:date] ; # 
  fhir:effectivePeriod [
     fhir:start [ fhir:v "2016-01-01"^^xsd:date ] ;
     fhir:end [ fhir:v "2017-12-31"^^xsd:date ]
  ] ; # 
  fhir:topic ( [
     fhir:text [ fhir:v "Mental Health Referral" ]
  ] ) ; # 
  fhir:author ( [
     fhir:name [ fhir:v "Motive Medical Intelligence" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "phone" ] ;
       fhir:value [ fhir:v "415-362-4007" ] ;
       fhir:use [ fhir:v "work" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "info@motivemi.com" ] ;
       fhir:use [ fhir:v "work" ]
     ] )
  ] ) ; # 
  fhir:relatedArtifact ( [
     fhir:type [ fhir:v "citation" ] ;
     fhir:display [ fhir:v "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ] ;
     fhir:document [
       fhir:url [ fhir:v "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"^^xsd:anyURI ]

     ]
  ];
  fhir:ActivityDefinition.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "citation" ];
     fhir:RelatedArtifact.display [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ];
     fhir:RelatedArtifact.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "successor" ];
     fhir:RelatedArtifact.resource [
       fhir:value "ActivityDefinition/referralPrimaryCareMentalHealth";
       fhir:link <http://hl7.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth>

  ] [
     fhir:type [ fhir:v "successor" ] ;
     fhir:resource [
       fhir:v "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth"^^xsd:anyURI ;
       fhir:link <http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth>

     ]
  ];
  fhir:ActivityDefinition.kind [ fhir:value "ServiceRequest"];
  fhir:ActivityDefinition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:306206005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "306206005" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Referral to service (procedure)" ]
  ];
  fhir:ActivityDefinition.timingTiming [
     fhir:Timing.event [
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ];
         fhir:Extension.valueExpression [
           fhir:Expression.language [ fhir:value "text/cql" ];
           fhir:Expression.expression [ fhir:value "Now()" ]

  ] ) ; # 
  fhir:kind [ fhir:v "ServiceRequest"] ; #   Kind indicates the type of resource that is defined by this activity, a ServiceRequest in this case  
  fhir:code [
     fhir:coding ( [
       a sct:306206005 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "306206005" ]
     ] ) ;
     fhir:text [ fhir:v "Referral to service (procedure)" ]
  ] ; # 
  fhir:timing [
     a fhir:Timing ;
     fhir:event ( [
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ] ;
         fhir:value [
           a fhir:Expression ;
           fhir:language [ fhir:v "text/cql" ] ;
           fhir:expression [ fhir:v "Now()" ]

         ]
       ]
     ]
  ];
  fhir:ActivityDefinition.participant [
     fhir:index 0;
     fhir:ActivityDefinition.participant.type [ fhir:value "practitioner" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth-initial.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/ActivityDefinition/referralPrimaryCareMentalHealth-initial.ttl> .

       ] ) #   The expression here specifies the value for the timing of the resulting resource.\n		   In this case, ServiceRequest.fulfillmentTime.start  
     ] )
  ] ; # 
  fhir:participant ( [
     fhir:type [ fhir:v "practitioner" ]
  ] )] . # 


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

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.