Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Decisionsupportrule.profile.xml

Raw XML (canonical form)

StructureDefinition for decisionsupportrule

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DecisionSupportRule"/>
  <meta>
    <lastUpdated value="2015-12-11T17:38:40.294+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
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            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
            </span>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <span title="DecisionSupportRule : This resource defines a decision support rule of the form [on Event]
             if Condition then Action.">DecisionSupportRule</span>
            <a name="DecisionSupportRule"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">A decision support rule</td>
        </tr>

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            <span title="DecisionSupportRule.identifier : A logical identifier for the module such as the CMS or
             NQF identifiers for a measure artifact.">identifier</span>
            <a name="DecisionSupportRule.identifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Logical identifier</td>
        </tr>

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            <span title="DecisionSupportRule.version : The version of the module, if any. 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 modules, refer to the Decision
             Support Service specification.">version</span>
            <a name="DecisionSupportRule.version"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">The version of the module, if any</td>
        </tr>

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            <span title="DecisionSupportRule.moduleMetadata : A reference to a ModuleMetadata resource that provides
             metadata for the rule.">moduleMetadata</span>
            <a name="DecisionSupportRule.moduleMetadata"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="modulemetadata.html">ModuleMetadata</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Module information for the rule</td>
        </tr>

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            <span title="DecisionSupportRule.library : A reference to a Library containing the formal logic used
             by the rule.">library</span>
            <a name="DecisionSupportRule.library"> </a>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="library.html">Library</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">A library containing logic used by the rule</td>
        </tr>

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            <span title="DecisionSupportRule.trigger : A description of a triggering event.">trigger</span>
            <a name="DecisionSupportRule.trigger"> </a>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="DecisionSupportRule.trigger.type : The type of triggering event.">type</span>
            <a name="DecisionSupportRule.trigger.type"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">named-event | periodic | data-added | data-modified | data-removed | data-accessed | data-access-end
            ed
            <br/>
            <a href="valueset-cds-rule-trigger-type.html" title="The type of trigger">DecisionSupportRuleTriggerType</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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            <span title="DecisionSupportRule.trigger.eventName : The name of the event (if this is a named-event
             trigger).">eventName</span>
            <a name="DecisionSupportRule.trigger.eventName"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="DecisionSupportRule.trigger.eventTiming[x] : The timing of the event (if this is a period
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            <a name="DecisionSupportRule.trigger.eventTiming_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Timing">Timing</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="schedule.html">Schedule</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Attachment">Attachment</a>
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            <br/>
            <a href="valueset-cds-rule-participant.html" title="The type of participant for an action in the module">DecisionSupportRuleParticipantType</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
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            <span title="DecisionSupportRule.action.concept : Concepts associated with the action.">concept</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
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            <span title="DecisionSupportRule.action.type : The type of action to perform (create, update, remove).">type</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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            <a href="datatypes.html#code">code</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">create | update | remove | fire-event
            <br/>
            <a href="valueset-cds-rule-action-type.html" title="The type of action to be performed">DecisionSupportRuleActionType</a> (
            <a href="terminologies.html#extensible" title="To be conformant, instances of this element SHALL include a code from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
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            <span title="DecisionSupportRule.action.resource : The resource that is the target of the action (e.g.
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            <a name="DecisionSupportRule.action.resource"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="resourcelist.html">Any</a>)
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            <span title="DecisionSupportRule.action.customization : Customizations that should be applied to the
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
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            <span title="DecisionSupportRule.action.actions : Sub actions.">actions</span>
            <a name="DecisionSupportRule.action.actions"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">see 
            <a href="#DecisionSupportRule.action" title="DecisionSupportRule.action">action</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/DecisionSupportRule"/>
  <name value="DecisionSupportRule"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Decision Support)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/dss/index.cfm"/>
    </telecom>
  </contact>
  <date value="2015-12-11T17:38:40+11:00"/>
  <description value="Base StructureDefinition for DecisionSupportRule Resource"/>
  <fhirVersion value="1.2.0"/>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <snapshot>
    <element>
      <path value="DecisionSupportRule"/>
      <short value="A decision support rule"/>
      <definition value="This resource defines a decision support rule of the form [on Event] if Condition then
       Action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.general"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DecisionSupportRule.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DecisionSupportRule.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DecisionSupportRule.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may 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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="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."/>
      <comments value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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.
       Usually modifier elements provide negation or qualification. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.identifier"/>
      <short value="Logical identifier"/>
      <definition value="A logical identifier for the module such as the CMS or NQF identifiers for a measure artifact."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.version"/>
      <short value="The version of the module, if any"/>
      <definition value="The version of the module, if any. 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 modules, refer to the Decision Support Service specification."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DecisionSupportRule.moduleMetadata"/>
      <short value="Module information for the rule"/>
      <definition value="A reference to a ModuleMetadata resource that provides metadata for the rule."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ModuleMetadata"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.library"/>
      <short value="A library containing logic used by the rule"/>
      <definition value="A reference to a Library containing the formal logic used by the rule."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Library"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger"/>
      <definition value="A description of a triggering event."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.type"/>
      <short value="named-event | periodic | data-added | data-modified | data-removed | data-accessed | data-access-end
      ed"/>
      <definition value="The type of triggering event."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of trigger"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cds-rule-trigger-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.eventName"/>
      <definition value="The name of the event (if this is a named-event trigger)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.eventTiming[x]"/>
      <definition value="The timing of the event (if this is a period trigger)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Schedule"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.condition"/>
      <definition value="The condition for the artifact."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action"/>
      <name value="action"/>
      <definition value="The definition of the actions that should be returned by evaluation of the artifact."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.action.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.action.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.action.actionIdentifier"/>
      <definition value="A unique identifier for the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.number"/>
      <definition value="A user-visible number for the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.supportingEvidence"/>
      <definition value="Supporting evidence for the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.documentation"/>
      <definition value="Supporting documentation for the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.participantType"/>
      <short value="patient | person | practitioner | related-person"/>
      <definition value="The type of participant in the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of participant for an action in the module"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cds-rule-participant"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.action.title"/>
      <definition value="The title of the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.description"/>
      <definition value="A short description of the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.textEquivalent"/>
      <definition value="A text equivalent of the action to be performed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.concept"/>
      <definition value="Concepts associated with the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.type"/>
      <short value="create | update | remove | fire-event"/>
      <definition value="The type of action to perform (create, update, remove)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description value="The type of action to be performed"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cds-rule-action-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.action.resource"/>
      <definition value="The resource that is the target of the action (e.g. CommunicationRequest)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization"/>
      <definition value="Customizations that should be applied to the statically defined resource."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.path"/>
      <definition value="The path to the element to be customized."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.expression"/>
      <definition value="An expression specifying the value of the customized element."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.actions"/>
      <definition value="Sub actions."/>
      <min value="0"/>
      <max value="*"/>
      <nameReference value="action"/>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="DecisionSupportRule"/>
      <short value="A decision support rule"/>
      <definition value="This resource defines a decision support rule of the form [on Event] if Condition then
       Action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.general"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.identifier"/>
      <short value="Logical identifier"/>
      <definition value="A logical identifier for the module such as the CMS or NQF identifiers for a measure artifact."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="DecisionSupportRule.version"/>
      <short value="The version of the module, if any"/>
      <definition value="The version of the module, if any. 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 modules, refer to the Decision Support Service specification."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="DecisionSupportRule.moduleMetadata"/>
      <short value="Module information for the rule"/>
      <definition value="A reference to a ModuleMetadata resource that provides metadata for the rule."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ModuleMetadata"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.library"/>
      <short value="A library containing logic used by the rule"/>
      <definition value="A reference to a Library containing the formal logic used by the rule."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Library"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger"/>
      <definition value="A description of a triggering event."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.type"/>
      <short value="named-event | periodic | data-added | data-modified | data-removed | data-accessed | data-access-end
      ed"/>
      <definition value="The type of triggering event."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of trigger"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cds-rule-trigger-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.eventName"/>
      <definition value="The name of the event (if this is a named-event trigger)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.trigger.eventTiming[x]"/>
      <definition value="The timing of the event (if this is a period trigger)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Schedule"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.condition"/>
      <definition value="The condition for the artifact."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action"/>
      <name value="action"/>
      <definition value="The definition of the actions that should be returned by evaluation of the artifact."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.actionIdentifier"/>
      <definition value="A unique identifier for the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.number"/>
      <definition value="A user-visible number for the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.supportingEvidence"/>
      <definition value="Supporting evidence for the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.documentation"/>
      <definition value="Supporting documentation for the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.participantType"/>
      <short value="patient | person | practitioner | related-person"/>
      <definition value="The type of participant in the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The type of participant for an action in the module"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cds-rule-participant"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.action.title"/>
      <definition value="The title of the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.description"/>
      <definition value="A short description of the action."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.textEquivalent"/>
      <definition value="A text equivalent of the action to be performed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.concept"/>
      <definition value="Concepts associated with the action."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.type"/>
      <short value="create | update | remove | fire-event"/>
      <definition value="The type of action to perform (create, update, remove)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description value="The type of action to be performed"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cds-rule-action-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="DecisionSupportRule.action.resource"/>
      <definition value="The resource that is the target of the action (e.g. CommunicationRequest)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization"/>
      <definition value="Customizations that should be applied to the statically defined resource."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.path"/>
      <definition value="The path to the element to be customized."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.customization.expression"/>
      <definition value="An expression specifying the value of the customized element."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="DecisionSupportRule.action.actions"/>
      <definition value="Sub actions."/>
      <min value="0"/>
      <max value="*"/>
      <nameReference value="action"/>
    </element>
  </differential>
</StructureDefinition>

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.