Record of delivery of what is supplied.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

An Extension

The campaign round — the ICRCampaign CarePlan — this record belongs to. The uniform record→campaign join: delivery events (Immunization, MedicationAdministration, SupplyDelivery) and coverage reports (MeasureReport) all point AT their campaign, in the same direction as Task.basedOn — the CarePlan itself is never rewritten as records accumulate. Replaces the core event-basedOn extension previously used on the delivery profiles: its R4 context is Condition-only, so every use on a delivery resource was context-invalid, and MeasureReport needs the same link (a coverage report otherwise has no computable path back to its campaign).

The activity of an integrated campaign that this record belongs to: the ICRCampaignActivity a CarePlan.activity.detail of the campaign instantiates. On a coverage report, the report's denominator is then that activity's planning denominator and its numerator counts only that activity's doses or treatments; absent on a report for a single-intervention campaign, or for a campaign as a whole. On a delivery event (Immunization, MedicationAdministration, SupplyDelivery), the activity the dose, treatment or handover was for: per-activity results count events by this link, not by product code. An event must carry it whenever its visit Task has no instantiatesCanonical and its campaign lists more than one activity (a conformance rule stated in the IG text, since an event cannot see its Task). On a Task output, the activity a per-activity tally (treated-count) is for, on a visit that delivers several activities.

Whether this delivery event was recorded during a campaign or a routine facility visit. REQUIRED on all ICR delivery-event profiles — without it, SIA doses contaminate routine coverage analytics (working doc §4.4). Also valid on AdverseEvent so a campaign-context AEFI/side-effect stays separable from routine pharmacovigilance (v0.19.0).

Who received a distributed commodity — the delivery-unit Group (household, community, school cohort) or a registered person. R4 SupplyDelivery.patient targets only Patient, but ICR's usual recipient is the household; this extension supplies the Group join that per-capita coverage (e.g. 1 net per 2 household members: quantity ÷ Group.quantity) computes against (supply-split round).

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Identifier for the supply delivery event that is used to identify it across multiple disparate systems.

This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems.

Identifier for the supply delivery event that is used to identify it across multiple disparate systems.

This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

A code specifying the state of the dispense event.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Status of the supply delivery.

A link to a resource representing the person whom the delivered item is for.

The item that is being delivered or has been supplied.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

The amount of supply that has been dispensed. Includes unit of measure.

Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.

The item that was delivered.

Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.

Identification of the facility/location where the Supply was shipped to, as part of the dispense event.

Record of delivery of what is supplied.

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

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

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

A human language.

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

An Extension

The campaign round — the ICRCampaign CarePlan — this record belongs to. The uniform record→campaign join: delivery events (Immunization, MedicationAdministration, SupplyDelivery) and coverage reports (MeasureReport) all point AT their campaign, in the same direction as Task.basedOn — the CarePlan itself is never rewritten as records accumulate. Replaces the core event-basedOn extension previously used on the delivery profiles: its R4 context is Condition-only, so every use on a delivery resource was context-invalid, and MeasureReport needs the same link (a coverage report otherwise has no computable path back to its campaign).

The activity of an integrated campaign that this record belongs to: the ICRCampaignActivity a CarePlan.activity.detail of the campaign instantiates. On a coverage report, the report's denominator is then that activity's planning denominator and its numerator counts only that activity's doses or treatments; absent on a report for a single-intervention campaign, or for a campaign as a whole. On a delivery event (Immunization, MedicationAdministration, SupplyDelivery), the activity the dose, treatment or handover was for: per-activity results count events by this link, not by product code. An event must carry it whenever its visit Task has no instantiatesCanonical and its campaign lists more than one activity (a conformance rule stated in the IG text, since an event cannot see its Task). On a Task output, the activity a per-activity tally (treated-count) is for, on a visit that delivers several activities.

Whether this delivery event was recorded during a campaign or a routine facility visit. REQUIRED on all ICR delivery-event profiles — without it, SIA doses contaminate routine coverage analytics (working doc §4.4). Also valid on AdverseEvent so a campaign-context AEFI/side-effect stays separable from routine pharmacovigilance (v0.19.0).

Who received a distributed commodity — the delivery-unit Group (household, community, school cohort) or a registered person. R4 SupplyDelivery.patient targets only Patient, but ICR's usual recipient is the household; this extension supplies the Group join that per-capita coverage (e.g. 1 net per 2 household members: quantity ÷ Group.quantity) computes against (supply-split round).

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Identifier for the supply delivery event that is used to identify it across multiple disparate systems.

This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems.

Identifier for the supply delivery event that is used to identify it across multiple disparate systems.

This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems.

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

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.

The purpose of this identifier.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Time period during which identifier is/was valid for use.

Organization that issued/manages the identifier.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

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

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

A larger event of which this particular event is a component or step.

Not to be used to link an event to an Encounter - use Event.context for that.

[The allowed reference resources may be adjusted as appropriate for the event resource].

E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

A code specifying the state of the dispense event.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Status of the supply delivery.

A link to a resource representing the person whom the delivered item is for.

Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.

The type of supply dispense.

The item that is being delivered or has been supplied.

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

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.

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.

The amount of supply that has been dispensed. Includes unit of measure.

Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.

The item that was delivered.

Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.

The date or time(s) the activity occurred.

[The list of types may be constrained as appropriate for the type of event].

The individual responsible for dispensing the medication, supplier or device.

Identification of the facility/location where the Supply was shipped to, as part of the dispense event.

Identifies the person who picked up the Supply.