This code system http://hl7.org/fhir/v3/HL7UpdateMode defines the following codes:

LvlCodeDisplayDefinitionnotSelectableinactive
1AAddDescription:The item was (or is to be) added, having not been present immediately before. (If it is already present, this may be treated as an error condition.)
1ARAdd or ReplaceDescription:The item was (or is to be) either added or replaced.
1DRemoveDescription:The item was (or is to be) removed (sometimes referred to as deleted). If the item is part of a collection, delete any matching items.
1KKeyDescription:This item is part of the identifying information for this object.
1NNo ChangeDescription:There was (or is to be) no change to the item. This is primarily used when this element has not changed, but other attributes in the instance have changed.
1RReplaceDescription:The item existed previously and has (or is to be) revised. (If an item does not already exist, this may be treated as an error condition.)
1REFReferenceDescription:This item provides enough information to allow a processing system to locate the full applicable record by identifying the object.
1UUnknownDescription:Description:</b>It is not specified whether or what kind of change has occurred to the item, or whether the item is present as a reference or identifying property.
1_SetUpdateModeSetUpdateModeThese concepts apply when the element and/or message is updating a set of items.TrueTrue
2  ESASet AddAdd the message element to the collection of items on the receiving system that correspond to the message element.True
2  ESACSet Add or ChangeChange the item on the receiving system that corresponds to this message element; if a matching element does not exist, add a new one created with the values in the message.True
2  ESCSet ChangeChange the item on the receiving system that corresponds to this message element; do not process if a matching element does not exist.True
2  ESDSet DeleteDelete the item on the receiving system that corresponds to this message element.True
1AUAdd or UpdateDescription: AU: If this item exists, update it with these values. If it does not exist, create it with these values. If the item is part of the collection, update each item that matches this item, and if no items match, add a new item to the collection.True
1IIgnoreIgnore this role, it is not relevant to the update.True
1VVerifyVerify - this message element must match a value already in the receiving systems database in order to process the message.True

Properties

CodeURLDescriptionType
notSelectablehttp://hl7.org/fhir/concept-properties#notSelectableIndicates that the code is abstract - only intended to be used as a selector for other conceptsBoolean
inactivehttp://hl7.org/fhir/concept-properties#inactiveTrue if the concept is not considered active - e.g. not a valid concept any moreBoolean