This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot - see ballot notes). 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
Clinical Decision Support Work Group | Maturity Level: 3 | Trial Use | Security Category: Business | Compartments: Not linked to any defined compartments |
This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications.
This resource is a definition resource from a FHIR workflow perspective - see Workflow, specifically Definition.
A plan definition is a pre-defined group of actions to be taken in particular circumstances, often including conditional elements, options, and other decision points. The resource is flexible enough to be used to represent a variety of workflows, as well as clinical decision support and quality improvement assets, including order sets, protocols, and decision support rules.
PlanDefinitions can contain hierarchical groups of action definitions, where each action definition describes an activity to be performed (often in terms of an ActivityDefinition resource), and each group defines additional behavior, relationships, and applicable conditions between the actions in the overall definition.
In addition to describing what should take place, each action in a plan definition can specify when and whether the action should take place. For when the action should be taken, the trigger
element specifies the action should be taken in response to some trigger occurring (such as a particular point in a workflow being reached, or as the result of a prescription being ordered). For whether the action should be taken, the condition
element can be used to provide an expression that evaluates to true or false to indicate the applicability of the action to the specific context.
The process of applying a PlanDefinition to a particular context typically produces request resources representing the actions that should be performed, typically grouped within a CarePlan and/or RequestGroup to capture relationships between the resulting request resources.
Each ActivityDefinition is used to construct a specific resource, based on the definition of the activity and combined with contextual information for the particular patient that the plan definition is being applied to.
As with the ActivityDefinition, a PlanDefinition may provide information about how to transform the activity to a specific intent resource, either by specifying a StructureMap that can be used to perform the transformation completely, or by specifying values for specific elements of the resulting resource using dynamicValue
elements in the action.
Note that these mechanisms are provided on both the ActivityDefinition and the PlanDefinition to allow both reusable transformation descriptions, as well as customization of those descriptions within specific contexts. As such, the transform descriptions specified on the PlanDefinition override transform descriptions defined on the ActivityDefinition.
Dynamic values within the definitions can be provided by specifying the expression directly, or by referencing an expression defined within a library. For more information on how to reference expressions within resources, refer to the Using Expressions topic.
As an example, the Low Suicide Risk example order set from the Clinical Decision Support Knowledge Artifact Specification can be represented using the PlanDefinition and ActivityDefinition structures: Low Suicide Risk Example Order Set.
In addition to the representation of PlanDefinitions, the $apply operation allows PlanDefinitions to be applied to a specific context such as a patient, practitioner, or institution. For Order Sets specifically, this operation is expected to place the orders defined by the order set, consistent with the service functional requirements defined by the Order Set specification .
The PlanDefinition resource is used to describe series, sequences, or groups of actions to be taken, while the ActivityDefinition resource is used to define each specific step or activity to be performed.
As the name implies, the PlanDefinition resource is strictly definitional. It does not represent the intention to take any action, nor does it represent that any actions have been taken. Rather, the resource provides a definition that can be applied in the appropriate circumstances. When the plan definition is applied, the result will in general be a set of actions that should be (or potentially even have been) performed.
Note that the PlanDefinition still has action-level information, as well as a reference to an ActivityDefinition. The action-level information defined in the PlanDefinition itself is used to describe how the actions are related to each other within the plan, where the ActivityDefinition contains only information about the activity itself. In addition, there is some overlapping information that allows the resources to be used independently, or in combination. See the Applying a PlanDefinition section for more information.
This resource is referenced by UsageContext, CarePlan, CatalogEntry, ClinicalUseIssue, Communication, ConditionDefinition, DeviceRequest, FamilyMemberHistory, Flag, MedicationAdministration, MedicationRequest, MessageDefinition, NutritionOrder, itself, Procedure, RegulatedAuthorization, ResearchStudy and ServiceRequest.
This resource implements the Definition pattern.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
PlanDefinition | TU | MetadataResource | The definition of a plan for a series of actions, independent of any specific patient or context + Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension, url, identifier, version, name, title, status, experimental, date, publisher, contact, description, useContext, jurisdiction, purpose, copyright, approvalDate, lastReviewDate, effectivePeriod, topic, author, editor, reviewer, endorser, relatedArtifact | |
url | Σ | 0..1 | uri | Canonical identifier for this plan definition, represented as a URI (globally unique) |
identifier | Σ | 0..* | Identifier | Additional identifier for the plan definition |
version | Σ | 0..1 | string | Business version of the plan definition |
name | ΣI | 0..1 | string | Name for this plan definition (computer friendly) |
title | Σ | 0..1 | string | Name for this plan definition (human friendly) |
subtitle | 0..1 | string | Subordinate title of the plan definition | |
type | Σ | 0..1 | CodeableConcept | order-set | clinical-protocol | eca-rule | workflow-definition PlanDefinitionType (Extensible) |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown PublicationStatus (Required) |
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage |
subject[x] | 0..1 | Type of individual the plan definition is focused on Subject type (Extensible) | ||
subjectCodeableConcept | CodeableConcept | |||
subjectReference | Reference(Group) | |||
subjectCanonical | canonical(MedicinalProductDefinition | SubstanceDefinition | AdministrableProductDefinition | ManufacturedItemDefinition | PackagedProductDefinition) | |||
date | Σ | 0..1 | dateTime | Date last changed |
publisher | Σ | 0..1 | string | Name of the publisher (organization or individual) |
contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
description | Σ | 0..1 | markdown | Natural language description of the plan definition |
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support |
jurisdiction | Σ | 0..* | CodeableConcept | Intended jurisdiction for plan definition (if applicable) Jurisdiction (Extensible) |
purpose | 0..1 | markdown | Why this plan definition is defined | |
usage | 0..1 | string | Describes the clinical usage of the plan | |
copyright | 0..1 | markdown | Use and/or publishing restrictions | |
approvalDate | 0..1 | date | When the plan definition was approved by publisher | |
lastReviewDate | 0..1 | date | When the plan definition was last reviewed | |
effectivePeriod | Σ | 0..1 | Period | When the plan definition is expected to be used |
topic | 0..* | CodeableConcept | E.g. Education, Treatment, Assessment DefinitionTopic (Example) | |
author | 0..* | ContactDetail | Who authored the content | |
editor | 0..* | ContactDetail | Who edited the content | |
reviewer | 0..* | ContactDetail | Who reviewed the content | |
endorser | 0..* | ContactDetail | Who endorsed the content | |
relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations | |
library | 0..* | canonical(Library) | Logic used by the plan definition | |
goal | 0..* | BackboneElement | What the plan is trying to accomplish | |
category | 0..1 | CodeableConcept | E.g. Treatment, dietary, behavioral GoalCategory (Example) | |
description | 1..1 | CodeableConcept | Code or text describing the goal SNOMED CT Clinical Findings (Example) | |
priority | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority GoalPriority (Preferred) | |
start | 0..1 | CodeableConcept | When goal pursuit begins GoalStartEvent (Example) | |
addresses | 0..* | CodeableConcept | What does the goal address Condition/Problem/Diagnosis Codes (Example) | |
documentation | 0..* | RelatedArtifact | Supporting documentation for the goal | |
target | 0..* | BackboneElement | Target outcome for the goal | |
measure | 0..1 | CodeableConcept | The parameter whose value is to be tracked LOINC Codes (Example) | |
detail[x] | 0..1 | The target value to be achieved | ||
detailQuantity | Quantity | |||
detailRange | Range | |||
detailCodeableConcept | CodeableConcept | |||
due | 0..1 | Duration | Reach goal within | |
actor | 0..* | BackboneElement | Actors within the plan | |
title | 0..1 | string | User-visible title | |
description | 0..1 | markdown | Describes the actor | |
option | 1..* | BackboneElement | Who or what can be this actor | |
type | 0..1 | code | careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson ActionParticipantType (Required) | |
typeReference | 0..1 | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who or what can participate | |
role | 0..1 | CodeableConcept | E.g. Nurse, Surgeon, Parent ActionParticipantRole (Example) | |
action | 0..* | BackboneElement | Action defined by the plan | |
prefix | 0..1 | string | User-visible prefix for the action (e.g. 1. or A.) | |
title | 0..1 | string | User-visible title | |
description | 0..1 | string | Brief description of the action | |
textEquivalent | 0..1 | string | Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system | |
priority | 0..1 | code | routine | urgent | asap | stat RequestPriority (Required) | |
code | 0..1 | CodeableConcept | Code representing the meaning of the action or sub-actions ActionCode (Example) | |
reason | 0..* | CodeableConcept | Why the action should be performed ActionReasonCode (Example) | |
documentation | 0..* | RelatedArtifact | Supporting documentation for the intended performer of the action | |
goalId | 0..* | id | What goals this action supports | |
subject[x] | 0..1 | Type of individual the action is focused on Subject type (Extensible) | ||
subjectCodeableConcept | CodeableConcept | |||
subjectReference | Reference(Group) | |||
subjectCanonical | canonical() | |||
trigger | 0..* | TriggerDefinition | When the action should be triggered | |
condition | 0..* | BackboneElement | Whether or not the action is applicable | |
kind | 1..1 | code | applicability | start | stop ActionConditionKind (Required) | |
expression | 0..1 | Expression | Boolean-valued expression | |
input | I | 0..* | BackboneElement | Input data requirements + Rule: Input data elements must have a requirement or a relatedData, but not both |
title | 0..1 | string | User-visible title | |
requirement | 0..1 | DataRequirement | What data is provided | |
relatedData | 0..1 | id | What data is provided | |
output | I | 0..* | BackboneElement | Output data definition + Rule: Output data element must have a requirement or a relatedData, but not both |
title | 0..1 | string | User-visible title | |
requirement | 0..1 | DataRequirement | What data is provided | |
relatedData | 0..1 | string | What data is provided | |
relatedAction | 0..* | BackboneElement | Relationship to another action | |
targetId | 1..1 | id | What action is this related to | |
relationship | 1..1 | code | before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end ActionRelationshipType (Required) | |
offset[x] | 0..1 | Time offset for the relationship | ||
offsetDuration | Duration | |||
offsetRange | Range | |||
timing[x] | 0..1 | When the action should take place | ||
timingAge | Age | |||
timingDuration | Duration | |||
timingRange | Range | |||
timingTiming | Timing | |||
location | 0..1 | CodeableReference(Location) | Where it should happen | |
participant | 0..* | BackboneElement | Who should participate in the action | |
actorId | 0..1 | string | What actor | |
type | 0..1 | code | careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson ActionParticipantType (Required) | |
typeReference | 0..1 | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who or what can participate | |
role | 0..1 | CodeableConcept | E.g. Nurse, Surgeon, Parent ActionParticipantRole (Example) | |
function | 0..1 | CodeableConcept | E.g. Author, Reviewer, Witness, etc. ActionParticipantFunction (Example) | |
type | 0..1 | CodeableConcept | create | update | remove | fire-event ActionType (Extensible) | |
groupingBehavior | 0..1 | code | visual-group | logical-group | sentence-group ActionGroupingBehavior (Required) | |
selectionBehavior | 0..1 | code | any | all | all-or-none | exactly-one | at-most-one | one-or-more ActionSelectionBehavior (Required) | |
requiredBehavior | 0..1 | code | must | could | must-unless-documented ActionRequiredBehavior (Required) | |
precheckBehavior | 0..1 | code | yes | no ActionPrecheckBehavior (Required) | |
cardinalityBehavior | 0..1 | code | single | multiple ActionCardinalityBehavior (Required) | |
definition[x] | 0..1 | Description of the activity to be performed | ||
definitionCanonical | canonical(ActivityDefinition | PlanDefinition | Questionnaire) | |||
definitionUri | uri | |||
transform | 0..1 | canonical(StructureMap) | Transform to apply the template | |
dynamicValue | 0..* | BackboneElement | Dynamic aspects of the definition | |
path | 0..1 | string | The path to the element to be set dynamically | |
expression | 0..1 | Expression | An expression that provides the dynamic value for the customization | |
action | 0..* | see action | A sub-action | |
Documentation for this format |
UML Diagram (Legend)
XML Template
<PlanDefinition xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <url value="[uri]"/><!-- 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique) --> <identifier><!-- 0..* Identifier Additional identifier for the plan definition --></identifier> <version value="[string]"/><!-- 0..1 Business version of the plan definition --> <name value="[string]"/><!-- 0..1 Name for this plan definition (computer friendly) --> <title value="[string]"/><!-- 0..1 Name for this plan definition (human friendly) --> <subtitle value="[string]"/><!-- 0..1 Subordinate title of the plan definition --> <type><!-- 0..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition --></type> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --> <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage --> <subject[x]><!-- 0..1 CodeableConcept|Reference(Group)|canonical( AdministrableProductDefinition|ManufacturedItemDefinition| MedicinalProductDefinition|PackagedProductDefinition|SubstanceDefinition) Type of individual the plan definition is focused on --></subject[x]> <date value="[dateTime]"/><!-- 0..1 Date last changed --> <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) --> <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact> <description value="[markdown]"/><!-- 0..1 Natural language description of the plan definition --> <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext> <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable) --></jurisdiction> <purpose value="[markdown]"/><!-- 0..1 Why this plan definition is defined --> <usage value="[string]"/><!-- 0..1 Describes the clinical usage of the plan --> <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions --> <approvalDate value="[date]"/><!-- 0..1 When the plan definition was approved by publisher --> <lastReviewDate value="[date]"/><!-- 0..1 When the plan definition was last reviewed --> <effectivePeriod><!-- 0..1 Period When the plan definition is expected to be used --></effectivePeriod> <topic><!-- 0..* CodeableConcept E.g. Education, Treatment, Assessment --></topic> <author><!-- 0..* ContactDetail Who authored the content --></author> <editor><!-- 0..* ContactDetail Who edited the content --></editor> <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer> <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser> <relatedArtifact><!-- 0..* RelatedArtifact Additional documentation, citations --></relatedArtifact> <library><!-- 0..* canonical(Library) Logic used by the plan definition --></library> <goal> <!-- 0..* What the plan is trying to accomplish --> <category><!-- 0..1 CodeableConcept E.g. Treatment, dietary, behavioral --></category> <description><!-- 1..1 CodeableConcept Code or text describing the goal --></description> <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority> <start><!-- 0..1 CodeableConcept When goal pursuit begins --></start> <addresses><!-- 0..* CodeableConcept What does the goal address --></addresses> <documentation><!-- 0..* RelatedArtifact Supporting documentation for the goal --></documentation> <target> <!-- 0..* Target outcome for the goal --> <measure><!-- 0..1 CodeableConcept The parameter whose value is to be tracked --></measure> <detail[x]><!-- 0..1 Quantity|Range|CodeableConcept The target value to be achieved --></detail[x]> <due><!-- 0..1 Duration Reach goal within --></due> </target> </goal> <actor> <!-- 0..* Actors within the plan --> <title value="[string]"/><!-- 0..1 User-visible title --> <description value="[markdown]"/><!-- 0..1 Describes the actor --> <option> <!-- 1..* Who or what can be this actor --> <type value="[code]"/><!-- 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson --> <typeReference><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) Who or what can participate --></typeReference> <role><!-- 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent --></role> </option> </actor> <action> <!-- 0..* Action defined by the plan --> <prefix value="[string]"/><!-- 0..1 User-visible prefix for the action (e.g. 1. or A.) --> <title value="[string]"/><!-- 0..1 User-visible title --> <description value="[string]"/><!-- 0..1 Brief description of the action --> <textEquivalent value="[string]"/><!-- 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system --> <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat --> <code><!-- 0..1 CodeableConcept Code representing the meaning of the action or sub-actions --></code> <reason><!-- 0..* CodeableConcept Why the action should be performed --></reason> <documentation><!-- 0..* RelatedArtifact Supporting documentation for the intended performer of the action --></documentation> <goalId value="[id]"/><!-- 0..* What goals this action supports --> <subject[x]><!-- 0..1 CodeableConcept|Reference(Group)|canonical Type of individual the action is focused on --></subject[x]> <trigger><!-- 0..* TriggerDefinition When the action should be triggered --></trigger> <condition> <!-- 0..* Whether or not the action is applicable --> <kind value="[code]"/><!-- 1..1 applicability | start | stop --> <expression><!-- 0..1 Expression Boolean-valued expression --></expression> </condition> <input> <!-- 0..* Input data requirements --> <title value="[string]"/><!-- 0..1 User-visible title --> <requirement><!-- 0..1 DataRequirement What data is provided --></requirement> <relatedData value="[id]"/><!-- 0..1 What data is provided --> </input> <output> <!-- 0..* Output data definition --> <title value="[string]"/><!-- 0..1 User-visible title --> <requirement><!-- 0..1 DataRequirement What data is provided --></requirement> <relatedData value="[string]"/><!-- 0..1 What data is provided --> </output> <relatedAction> <!-- 0..* Relationship to another action --> <targetId value="[id]"/><!-- 1..1 What action is this related to --> <relationship value="[code]"/><!-- 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end --> <offset[x]><!-- 0..1 Duration|Range Time offset for the relationship --></offset[x]> </relatedAction> <timing[x]><!-- 0..1 Age|Duration|Range|Timing When the action should take place --></timing[x]> <location><!-- 0..1 CodeableReference(Location) Where it should happen --></location> <participant> <!-- 0..* Who should participate in the action --> <actorId value="[string]"/><!-- 0..1 What actor --> <type value="[code]"/><!-- 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson --> <typeReference><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) Who or what can participate --></typeReference> <role><!-- 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent --></role> <function><!-- 0..1 CodeableConcept E.g. Author, Reviewer, Witness, etc. --></function> </participant> <type><!-- 0..1 CodeableConcept create | update | remove | fire-event --></type> <groupingBehavior value="[code]"/><!-- 0..1 visual-group | logical-group | sentence-group --> <selectionBehavior value="[code]"/><!-- 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more --> <requiredBehavior value="[code]"/><!-- 0..1 must | could | must-unless-documented --> <precheckBehavior value="[code]"/><!-- 0..1 yes | no --> <cardinalityBehavior value="[code]"/><!-- 0..1 single | multiple --> <definition[x]><!-- 0..1 canonical(ActivityDefinition|PlanDefinition| Questionnaire)|uri Description of the activity to be performed --></definition[x]> <transform><!-- 0..1 canonical(StructureMap) Transform to apply the template --></transform> <dynamicValue> <!-- 0..* Dynamic aspects of the definition --> <path value="[string]"/><!-- 0..1 The path to the element to be set dynamically --> <expression><!-- 0..1 Expression An expression that provides the dynamic value for the customization --></expression> </dynamicValue> <action><!-- 0..* Content as for PlanDefinition.action A sub-action --></action> </action> </PlanDefinition>
JSON Template
{ "resourceType" : "PlanDefinition", // from Resource: id, meta, implicitRules, and language "url" : "<uri>", // Canonical identifier for this plan definition, represented as a URI (globally unique) "identifier" : [{ Identifier }], // Additional identifier for the plan definition "version" : "<string>", // Business version of the plan definition "name" : "<string>", // C? Name for this plan definition (computer friendly) "title" : "<string>", // Name for this plan definition (human friendly) "subtitle" : "<string>", // Subordinate title of the plan definition "type" : { CodeableConcept }, // order-set | clinical-protocol | eca-rule | workflow-definition "status" : "<code>", // R! draft | active | retired | unknown "experimental" : <boolean>, // For testing purposes, not real usage // subject[x]: Type of individual the plan definition is focused on. One of these 3: "subjectCodeableConcept" : { CodeableConcept }, "subjectReference" : { Reference(Group) }, "subjectCanonical" : { canonical(AdministrableProductDefinition| ManufacturedItemDefinition|MedicinalProductDefinition| PackagedProductDefinition|SubstanceDefinition) }, "date" : "<dateTime>", // Date last changed "publisher" : "<string>", // Name of the publisher (organization or individual) "contact" : [{ ContactDetail }], // Contact details for the publisher "description" : "<markdown>", // Natural language description of the plan definition "useContext" : [{ UsageContext }], // The context that the content is intended to support "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for plan definition (if applicable) "purpose" : "<markdown>", // Why this plan definition is defined "usage" : "<string>", // Describes the clinical usage of the plan "copyright" : "<markdown>", // Use and/or publishing restrictions "approvalDate" : "<date>", // When the plan definition was approved by publisher "lastReviewDate" : "<date>", // When the plan definition was last reviewed "effectivePeriod" : { Period }, // When the plan definition is expected to be used "topic" : [{ CodeableConcept }], // E.g. Education, Treatment, Assessment "author" : [{ ContactDetail }], // Who authored the content "editor" : [{ ContactDetail }], // Who edited the content "reviewer" : [{ ContactDetail }], // Who reviewed the content "endorser" : [{ ContactDetail }], // Who endorsed the content "relatedArtifact" : [{ RelatedArtifact }], // Additional documentation, citations "library" : [{ canonical(Library) }], // Logic used by the plan definition "goal" : [{ // What the plan is trying to accomplish "category" : { CodeableConcept }, // E.g. Treatment, dietary, behavioral "description" : { CodeableConcept }, // R! Code or text describing the goal "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority "start" : { CodeableConcept }, // When goal pursuit begins "addresses" : [{ CodeableConcept }], // What does the goal address "documentation" : [{ RelatedArtifact }], // Supporting documentation for the goal "target" : [{ // Target outcome for the goal "measure" : { CodeableConcept }, // The parameter whose value is to be tracked // detail[x]: The target value to be achieved. One of these 3: "detailQuantity" : { Quantity }, "detailRange" : { Range }, "detailCodeableConcept" : { CodeableConcept }, "due" : { Duration } // Reach goal within }] }], "actor" : [{ // Actors within the plan "title" : "<string>", // User-visible title "description" : "<markdown>", // Describes the actor "option" : [{ // R! Who or what can be this actor "type" : "<code>", // careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson "typeReference" : { Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Who or what can participate "role" : { CodeableConcept } // E.g. Nurse, Surgeon, Parent }] }], "action" : [{ // Action defined by the plan "prefix" : "<string>", // User-visible prefix for the action (e.g. 1. or A.) "title" : "<string>", // User-visible title "description" : "<string>", // Brief description of the action "textEquivalent" : "<string>", // Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system "priority" : "<code>", // routine | urgent | asap | stat "code" : { CodeableConcept }, // Code representing the meaning of the action or sub-actions "reason" : [{ CodeableConcept }], // Why the action should be performed "documentation" : [{ RelatedArtifact }], // Supporting documentation for the intended performer of the action "goalId" : ["<id>"], // What goals this action supports // subject[x]: Type of individual the action is focused on. One of these 3: "subjectCodeableConcept" : { CodeableConcept }, "subjectReference" : { Reference(Group) }, "subjectCanonical" : "<canonical>", "trigger" : [{ TriggerDefinition }], // When the action should be triggered "condition" : [{ // Whether or not the action is applicable "kind" : "<code>", // R! applicability | start | stop "expression" : { Expression } // Boolean-valued expression }], "input" : [{ // Input data requirements "title" : "<string>", // User-visible title "requirement" : { DataRequirement }, // What data is provided "relatedData" : "<id>" // What data is provided }], "output" : [{ // Output data definition "title" : "<string>", // User-visible title "requirement" : { DataRequirement }, // What data is provided "relatedData" : "<string>" // What data is provided }], "relatedAction" : [{ // Relationship to another action "targetId" : "<id>", // R! What action is this related to "relationship" : "<code>", // R! before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end // offset[x]: Time offset for the relationship. One of these 2: "offsetDuration" : { Duration } "offsetRange" : { Range } }], // timing[x]: When the action should take place. One of these 4: "timingAge" : { Age }, "timingDuration" : { Duration }, "timingRange" : { Range }, "timingTiming" : { Timing }, "location" : { CodeableReference(Location) }, // Where it should happen "participant" : [{ // Who should participate in the action "actorId" : "<string>", // What actor "type" : "<code>", // careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson "typeReference" : { Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Who or what can participate "role" : { CodeableConcept }, // E.g. Nurse, Surgeon, Parent "function" : { CodeableConcept } // E.g. Author, Reviewer, Witness, etc. }], "type" : { CodeableConcept }, // create | update | remove | fire-event "groupingBehavior" : "<code>", // visual-group | logical-group | sentence-group "selectionBehavior" : "<code>", // any | all | all-or-none | exactly-one | at-most-one | one-or-more "requiredBehavior" : "<code>", // must | could | must-unless-documented "precheckBehavior" : "<code>", // yes | no "cardinalityBehavior" : "<code>", // single | multiple // definition[x]: Description of the activity to be performed. One of these 2: "definitionCanonical" : { canonical(ActivityDefinition|PlanDefinition| Questionnaire) }, "definitionUri" : "<uri>", "transform" : { canonical(StructureMap) }, // Transform to apply the template "dynamicValue" : [{ // Dynamic aspects of the definition "path" : "<string>", // The path to the element to be set dynamically "expression" : { Expression } // An expression that provides the dynamic value for the customization }], "action" : [{ Content as for PlanDefinition.action }] // A sub-action }] }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:PlanDefinition; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language fhir:PlanDefinition.url [ uri ]; # 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique) fhir:PlanDefinition.identifier [ Identifier ], ... ; # 0..* Additional identifier for the plan definition fhir:PlanDefinition.version [ string ]; # 0..1 Business version of the plan definition fhir:PlanDefinition.name [ string ]; # 0..1 Name for this plan definition (computer friendly) fhir:PlanDefinition.title [ string ]; # 0..1 Name for this plan definition (human friendly) fhir:PlanDefinition.subtitle [ string ]; # 0..1 Subordinate title of the plan definition fhir:PlanDefinition.type [ CodeableConcept ]; # 0..1 order-set | clinical-protocol | eca-rule | workflow-definition fhir:PlanDefinition.status [ code ]; # 1..1 draft | active | retired | unknown fhir:PlanDefinition.experimental [ boolean ]; # 0..1 For testing purposes, not real usage # PlanDefinition.subject[x] : 0..1 Type of individual the plan definition is focused on. One of these 3 fhir:PlanDefinition.subjectCodeableConcept [ CodeableConcept ] fhir:PlanDefinition.subjectReference [ Reference(Group) ] fhir:PlanDefinition.subjectCanonical [ canonical(AdministrableProductDefinition|ManufacturedItemDefinition| MedicinalProductDefinition|PackagedProductDefinition|SubstanceDefinition) ] fhir:PlanDefinition.date [ dateTime ]; # 0..1 Date last changed fhir:PlanDefinition.publisher [ string ]; # 0..1 Name of the publisher (organization or individual) fhir:PlanDefinition.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher fhir:PlanDefinition.description [ markdown ]; # 0..1 Natural language description of the plan definition fhir:PlanDefinition.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support fhir:PlanDefinition.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for plan definition (if applicable) fhir:PlanDefinition.purpose [ markdown ]; # 0..1 Why this plan definition is defined fhir:PlanDefinition.usage [ string ]; # 0..1 Describes the clinical usage of the plan fhir:PlanDefinition.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions fhir:PlanDefinition.approvalDate [ date ]; # 0..1 When the plan definition was approved by publisher fhir:PlanDefinition.lastReviewDate [ date ]; # 0..1 When the plan definition was last reviewed fhir:PlanDefinition.effectivePeriod [ Period ]; # 0..1 When the plan definition is expected to be used fhir:PlanDefinition.topic [ CodeableConcept ], ... ; # 0..* E.g. Education, Treatment, Assessment fhir:PlanDefinition.author [ ContactDetail ], ... ; # 0..* Who authored the content fhir:PlanDefinition.editor [ ContactDetail ], ... ; # 0..* Who edited the content fhir:PlanDefinition.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content fhir:PlanDefinition.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content fhir:PlanDefinition.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Additional documentation, citations fhir:PlanDefinition.library [ canonical(Library) ], ... ; # 0..* Logic used by the plan definition fhir:PlanDefinition.goal [ # 0..* What the plan is trying to accomplish fhir:PlanDefinition.goal.category [ CodeableConcept ]; # 0..1 E.g. Treatment, dietary, behavioral fhir:PlanDefinition.goal.description [ CodeableConcept ]; # 1..1 Code or text describing the goal fhir:PlanDefinition.goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority fhir:PlanDefinition.goal.start [ CodeableConcept ]; # 0..1 When goal pursuit begins fhir:PlanDefinition.goal.addresses [ CodeableConcept ], ... ; # 0..* What does the goal address fhir:PlanDefinition.goal.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the goal fhir:PlanDefinition.goal.target [ # 0..* Target outcome for the goal fhir:PlanDefinition.goal.target.measure [ CodeableConcept ]; # 0..1 The parameter whose value is to be tracked # PlanDefinition.goal.target.detail[x] : 0..1 The target value to be achieved. One of these 3 fhir:PlanDefinition.goal.target.detailQuantity [ Quantity ] fhir:PlanDefinition.goal.target.detailRange [ Range ] fhir:PlanDefinition.goal.target.detailCodeableConcept [ CodeableConcept ] fhir:PlanDefinition.goal.target.due [ Duration ]; # 0..1 Reach goal within ], ...; ], ...; fhir:PlanDefinition.actor [ # 0..* Actors within the plan fhir:PlanDefinition.actor.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.actor.description [ markdown ]; # 0..1 Describes the actor fhir:PlanDefinition.actor.option [ # 1..* Who or what can be this actor fhir:PlanDefinition.actor.option.type [ code ]; # 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson fhir:PlanDefinition.actor.option.typeReference [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who or what can participate fhir:PlanDefinition.actor.option.role [ CodeableConcept ]; # 0..1 E.g. Nurse, Surgeon, Parent ], ...; ], ...; fhir:PlanDefinition.action [ # 0..* Action defined by the plan fhir:PlanDefinition.action.prefix [ string ]; # 0..1 User-visible prefix for the action (e.g. 1. or A.) fhir:PlanDefinition.action.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.action.description [ string ]; # 0..1 Brief description of the action fhir:PlanDefinition.action.textEquivalent [ string ]; # 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system fhir:PlanDefinition.action.priority [ code ]; # 0..1 routine | urgent | asap | stat fhir:PlanDefinition.action.code [ CodeableConcept ]; # 0..1 Code representing the meaning of the action or sub-actions fhir:PlanDefinition.action.reason [ CodeableConcept ], ... ; # 0..* Why the action should be performed fhir:PlanDefinition.action.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the intended performer of the action fhir:PlanDefinition.action.goalId [ id ], ... ; # 0..* What goals this action supports # PlanDefinition.action.subject[x] : 0..1 Type of individual the action is focused on. One of these 3 fhir:PlanDefinition.action.subjectCodeableConcept [ CodeableConcept ] fhir:PlanDefinition.action.subjectReference [ Reference(Group) ] fhir:PlanDefinition.action.subjectCanonical [ canonical ] fhir:PlanDefinition.action.trigger [ TriggerDefinition ], ... ; # 0..* When the action should be triggered fhir:PlanDefinition.action.condition [ # 0..* Whether or not the action is applicable fhir:PlanDefinition.action.condition.kind [ code ]; # 1..1 applicability | start | stop fhir:PlanDefinition.action.condition.expression [ Expression ]; # 0..1 Boolean-valued expression ], ...; fhir:PlanDefinition.action.input [ # 0..* Input data requirements fhir:PlanDefinition.action.input.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.action.input.requirement [ DataRequirement ]; # 0..1 What data is provided fhir:PlanDefinition.action.input.relatedData [ id ]; # 0..1 What data is provided ], ...; fhir:PlanDefinition.action.output [ # 0..* Output data definition fhir:PlanDefinition.action.output.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.action.output.requirement [ DataRequirement ]; # 0..1 What data is provided fhir:PlanDefinition.action.output.relatedData [ string ]; # 0..1 What data is provided ], ...; fhir:PlanDefinition.action.relatedAction [ # 0..* Relationship to another action fhir:PlanDefinition.action.relatedAction.targetId [ id ]; # 1..1 What action is this related to fhir:PlanDefinition.action.relatedAction.relationship [ code ]; # 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end # PlanDefinition.action.relatedAction.offset[x] : 0..1 Time offset for the relationship. One of these 2 fhir:PlanDefinition.action.relatedAction.offsetDuration [ Duration ] fhir:PlanDefinition.action.relatedAction.offsetRange [ Range ] ], ...; # PlanDefinition.action.timing[x] : 0..1 When the action should take place. One of these 4 fhir:PlanDefinition.action.timingAge [ Age ] fhir:PlanDefinition.action.timingDuration [ Duration ] fhir:PlanDefinition.action.timingRange [ Range ] fhir:PlanDefinition.action.timingTiming [ Timing ] fhir:PlanDefinition.action.location [ CodeableReference(Location) ]; # 0..1 Where it should happen fhir:PlanDefinition.action.participant [ # 0..* Who should participate in the action fhir:PlanDefinition.action.participant.actorId [ string ]; # 0..1 What actor fhir:PlanDefinition.action.participant.type [ code ]; # 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson fhir:PlanDefinition.action.participant.typeReference [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who or what can participate fhir:PlanDefinition.action.participant.role [ CodeableConcept ]; # 0..1 E.g. Nurse, Surgeon, Parent fhir:PlanDefinition.action.participant.function [ CodeableConcept ]; # 0..1 E.g. Author, Reviewer, Witness, etc. ], ...; fhir:PlanDefinition.action.type [ CodeableConcept ]; # 0..1 create | update | remove | fire-event fhir:PlanDefinition.action.groupingBehavior [ code ]; # 0..1 visual-group | logical-group | sentence-group fhir:PlanDefinition.action.selectionBehavior [ code ]; # 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more fhir:PlanDefinition.action.requiredBehavior [ code ]; # 0..1 must | could | must-unless-documented fhir:PlanDefinition.action.precheckBehavior [ code ]; # 0..1 yes | no fhir:PlanDefinition.action.cardinalityBehavior [ code ]; # 0..1 single | multiple # PlanDefinition.action.definition[x] : 0..1 Description of the activity to be performed. One of these 2 fhir:PlanDefinition.action.definitionCanonical [ canonical(ActivityDefinition|PlanDefinition|Questionnaire) ] fhir:PlanDefinition.action.definitionUri [ uri ] fhir:PlanDefinition.action.transform [ canonical(StructureMap) ]; # 0..1 Transform to apply the template fhir:PlanDefinition.action.dynamicValue [ # 0..* Dynamic aspects of the definition fhir:PlanDefinition.action.dynamicValue.path [ string ]; # 0..1 The path to the element to be set dynamically fhir:PlanDefinition.action.dynamicValue.expression [ Expression ]; # 0..1 An expression that provides the dynamic value for the customization ], ...; fhir:PlanDefinition.action.action [ See PlanDefinition.action ], ... ; # 0..* A sub-action ], ...; ]
Changes since R3
PlanDefinition | |
PlanDefinition.status |
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PlanDefinition.subject[x] |
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PlanDefinition.actor |
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PlanDefinition.actor.title |
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PlanDefinition.actor.description |
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PlanDefinition.actor.option |
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PlanDefinition.actor.option.type |
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PlanDefinition.actor.option.typeReference |
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PlanDefinition.actor.option.role |
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PlanDefinition.action.priority |
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PlanDefinition.action.code |
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PlanDefinition.action.subject[x] |
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PlanDefinition.action.condition.kind |
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PlanDefinition.action.input |
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PlanDefinition.action.input.title |
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PlanDefinition.action.input.requirement |
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PlanDefinition.action.input.relatedData |
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PlanDefinition.action.output |
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PlanDefinition.action.output.title |
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PlanDefinition.action.output.requirement |
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PlanDefinition.action.output.relatedData |
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PlanDefinition.action.relatedAction.targetId |
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PlanDefinition.action.relatedAction.relationship |
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PlanDefinition.action.timing[x] |
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PlanDefinition.action.location |
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PlanDefinition.action.participant.actorId |
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PlanDefinition.action.participant.type |
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PlanDefinition.action.participant.typeReference |
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PlanDefinition.action.participant.function |
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PlanDefinition.action.groupingBehavior |
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PlanDefinition.action.selectionBehavior |
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PlanDefinition.action.requiredBehavior |
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PlanDefinition.action.precheckBehavior |
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PlanDefinition.action.cardinalityBehavior |
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PlanDefinition.action.relatedAction.actionId |
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See the Full Difference for further information
This analysis is available as XML or JSON.
See R3 <--> R4 Conversion Maps (status = 11 tests of which 6 fail to execute. All tests pass round-trip testing and 5 r3 resources are invalid (0 errors).)
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
PlanDefinition | TU | MetadataResource | The definition of a plan for a series of actions, independent of any specific patient or context + Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension, url, identifier, version, name, title, status, experimental, date, publisher, contact, description, useContext, jurisdiction, purpose, copyright, approvalDate, lastReviewDate, effectivePeriod, topic, author, editor, reviewer, endorser, relatedArtifact | |
url | Σ | 0..1 | uri | Canonical identifier for this plan definition, represented as a URI (globally unique) |
identifier | Σ | 0..* | Identifier | Additional identifier for the plan definition |
version | Σ | 0..1 | string | Business version of the plan definition |
name | ΣI | 0..1 | string | Name for this plan definition (computer friendly) |
title | Σ | 0..1 | string | Name for this plan definition (human friendly) |
subtitle | 0..1 | string | Subordinate title of the plan definition | |
type | Σ | 0..1 | CodeableConcept | order-set | clinical-protocol | eca-rule | workflow-definition PlanDefinitionType (Extensible) |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown PublicationStatus (Required) |
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage |
subject[x] | 0..1 | Type of individual the plan definition is focused on Subject type (Extensible) | ||
subjectCodeableConcept | CodeableConcept | |||
subjectReference | Reference(Group) | |||
subjectCanonical | canonical(MedicinalProductDefinition | SubstanceDefinition | AdministrableProductDefinition | ManufacturedItemDefinition | PackagedProductDefinition) | |||
date | Σ | 0..1 | dateTime | Date last changed |
publisher | Σ | 0..1 | string | Name of the publisher (organization or individual) |
contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
description | Σ | 0..1 | markdown | Natural language description of the plan definition |
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support |
jurisdiction | Σ | 0..* | CodeableConcept | Intended jurisdiction for plan definition (if applicable) Jurisdiction (Extensible) |
purpose | 0..1 | markdown | Why this plan definition is defined | |
usage | 0..1 | string | Describes the clinical usage of the plan | |
copyright | 0..1 | markdown | Use and/or publishing restrictions | |
approvalDate | 0..1 | date | When the plan definition was approved by publisher | |
lastReviewDate | 0..1 | date | When the plan definition was last reviewed | |
effectivePeriod | Σ | 0..1 | Period | When the plan definition is expected to be used |
topic | 0..* | CodeableConcept | E.g. Education, Treatment, Assessment DefinitionTopic (Example) | |
author | 0..* | ContactDetail | Who authored the content | |
editor | 0..* | ContactDetail | Who edited the content | |
reviewer | 0..* | ContactDetail | Who reviewed the content | |
endorser | 0..* | ContactDetail | Who endorsed the content | |
relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations | |
library | 0..* | canonical(Library) | Logic used by the plan definition | |
goal | 0..* | BackboneElement | What the plan is trying to accomplish | |
category | 0..1 | CodeableConcept | E.g. Treatment, dietary, behavioral GoalCategory (Example) | |
description | 1..1 | CodeableConcept | Code or text describing the goal SNOMED CT Clinical Findings (Example) | |
priority | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority GoalPriority (Preferred) | |
start | 0..1 | CodeableConcept | When goal pursuit begins GoalStartEvent (Example) | |
addresses | 0..* | CodeableConcept | What does the goal address Condition/Problem/Diagnosis Codes (Example) | |
documentation | 0..* | RelatedArtifact | Supporting documentation for the goal | |
target | 0..* | BackboneElement | Target outcome for the goal | |
measure | 0..1 | CodeableConcept | The parameter whose value is to be tracked LOINC Codes (Example) | |
detail[x] | 0..1 | The target value to be achieved | ||
detailQuantity | Quantity | |||
detailRange | Range | |||
detailCodeableConcept | CodeableConcept | |||
due | 0..1 | Duration | Reach goal within | |
actor | 0..* | BackboneElement | Actors within the plan | |
title | 0..1 | string | User-visible title | |
description | 0..1 | markdown | Describes the actor | |
option | 1..* | BackboneElement | Who or what can be this actor | |
type | 0..1 | code | careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson ActionParticipantType (Required) | |
typeReference | 0..1 | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who or what can participate | |
role | 0..1 | CodeableConcept | E.g. Nurse, Surgeon, Parent ActionParticipantRole (Example) | |
action | 0..* | BackboneElement | Action defined by the plan | |
prefix | 0..1 | string | User-visible prefix for the action (e.g. 1. or A.) | |
title | 0..1 | string | User-visible title | |
description | 0..1 | string | Brief description of the action | |
textEquivalent | 0..1 | string | Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system | |
priority | 0..1 | code | routine | urgent | asap | stat RequestPriority (Required) | |
code | 0..1 | CodeableConcept | Code representing the meaning of the action or sub-actions ActionCode (Example) | |
reason | 0..* | CodeableConcept | Why the action should be performed ActionReasonCode (Example) | |
documentation | 0..* | RelatedArtifact | Supporting documentation for the intended performer of the action | |
goalId | 0..* | id | What goals this action supports | |
subject[x] | 0..1 | Type of individual the action is focused on Subject type (Extensible) | ||
subjectCodeableConcept | CodeableConcept | |||
subjectReference | Reference(Group) | |||
subjectCanonical | canonical() | |||
trigger | 0..* | TriggerDefinition | When the action should be triggered | |
condition | 0..* | BackboneElement | Whether or not the action is applicable | |
kind | 1..1 | code | applicability | start | stop ActionConditionKind (Required) | |
expression | 0..1 | Expression | Boolean-valued expression | |
input | I | 0..* | BackboneElement | Input data requirements + Rule: Input data elements must have a requirement or a relatedData, but not both |
title | 0..1 | string | User-visible title | |
requirement | 0..1 | DataRequirement | What data is provided | |
relatedData | 0..1 | id | What data is provided | |
output | I | 0..* | BackboneElement | Output data definition + Rule: Output data element must have a requirement or a relatedData, but not both |
title | 0..1 | string | User-visible title | |
requirement | 0..1 | DataRequirement | What data is provided | |
relatedData | 0..1 | string | What data is provided | |
relatedAction | 0..* | BackboneElement | Relationship to another action | |
targetId | 1..1 | id | What action is this related to | |
relationship | 1..1 | code | before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end ActionRelationshipType (Required) | |
offset[x] | 0..1 | Time offset for the relationship | ||
offsetDuration | Duration | |||
offsetRange | Range | |||
timing[x] | 0..1 | When the action should take place | ||
timingAge | Age | |||
timingDuration | Duration | |||
timingRange | Range | |||
timingTiming | Timing | |||
location | 0..1 | CodeableReference(Location) | Where it should happen | |
participant | 0..* | BackboneElement | Who should participate in the action | |
actorId | 0..1 | string | What actor | |
type | 0..1 | code | careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson ActionParticipantType (Required) | |
typeReference | 0..1 | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | Who or what can participate | |
role | 0..1 | CodeableConcept | E.g. Nurse, Surgeon, Parent ActionParticipantRole (Example) | |
function | 0..1 | CodeableConcept | E.g. Author, Reviewer, Witness, etc. ActionParticipantFunction (Example) | |
type | 0..1 | CodeableConcept | create | update | remove | fire-event ActionType (Extensible) | |
groupingBehavior | 0..1 | code | visual-group | logical-group | sentence-group ActionGroupingBehavior (Required) | |
selectionBehavior | 0..1 | code | any | all | all-or-none | exactly-one | at-most-one | one-or-more ActionSelectionBehavior (Required) | |
requiredBehavior | 0..1 | code | must | could | must-unless-documented ActionRequiredBehavior (Required) | |
precheckBehavior | 0..1 | code | yes | no ActionPrecheckBehavior (Required) | |
cardinalityBehavior | 0..1 | code | single | multiple ActionCardinalityBehavior (Required) | |
definition[x] | 0..1 | Description of the activity to be performed | ||
definitionCanonical | canonical(ActivityDefinition | PlanDefinition | Questionnaire) | |||
definitionUri | uri | |||
transform | 0..1 | canonical(StructureMap) | Transform to apply the template | |
dynamicValue | 0..* | BackboneElement | Dynamic aspects of the definition | |
path | 0..1 | string | The path to the element to be set dynamically | |
expression | 0..1 | Expression | An expression that provides the dynamic value for the customization | |
action | 0..* | see action | A sub-action | |
Documentation for this format |
XML Template
<PlanDefinition xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <url value="[uri]"/><!-- 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique) --> <identifier><!-- 0..* Identifier Additional identifier for the plan definition --></identifier> <version value="[string]"/><!-- 0..1 Business version of the plan definition --> <name value="[string]"/><!-- 0..1 Name for this plan definition (computer friendly) --> <title value="[string]"/><!-- 0..1 Name for this plan definition (human friendly) --> <subtitle value="[string]"/><!-- 0..1 Subordinate title of the plan definition --> <type><!-- 0..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition --></type> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --> <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage --> <subject[x]><!-- 0..1 CodeableConcept|Reference(Group)|canonical( AdministrableProductDefinition|ManufacturedItemDefinition| MedicinalProductDefinition|PackagedProductDefinition|SubstanceDefinition) Type of individual the plan definition is focused on --></subject[x]> <date value="[dateTime]"/><!-- 0..1 Date last changed --> <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) --> <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact> <description value="[markdown]"/><!-- 0..1 Natural language description of the plan definition --> <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext> <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable) --></jurisdiction> <purpose value="[markdown]"/><!-- 0..1 Why this plan definition is defined --> <usage value="[string]"/><!-- 0..1 Describes the clinical usage of the plan --> <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions --> <approvalDate value="[date]"/><!-- 0..1 When the plan definition was approved by publisher --> <lastReviewDate value="[date]"/><!-- 0..1 When the plan definition was last reviewed --> <effectivePeriod><!-- 0..1 Period When the plan definition is expected to be used --></effectivePeriod> <topic><!-- 0..* CodeableConcept E.g. Education, Treatment, Assessment --></topic> <author><!-- 0..* ContactDetail Who authored the content --></author> <editor><!-- 0..* ContactDetail Who edited the content --></editor> <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer> <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser> <relatedArtifact><!-- 0..* RelatedArtifact Additional documentation, citations --></relatedArtifact> <library><!-- 0..* canonical(Library) Logic used by the plan definition --></library> <goal> <!-- 0..* What the plan is trying to accomplish --> <category><!-- 0..1 CodeableConcept E.g. Treatment, dietary, behavioral --></category> <description><!-- 1..1 CodeableConcept Code or text describing the goal --></description> <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority> <start><!-- 0..1 CodeableConcept When goal pursuit begins --></start> <addresses><!-- 0..* CodeableConcept What does the goal address --></addresses> <documentation><!-- 0..* RelatedArtifact Supporting documentation for the goal --></documentation> <target> <!-- 0..* Target outcome for the goal --> <measure><!-- 0..1 CodeableConcept The parameter whose value is to be tracked --></measure> <detail[x]><!-- 0..1 Quantity|Range|CodeableConcept The target value to be achieved --></detail[x]> <due><!-- 0..1 Duration Reach goal within --></due> </target> </goal> <actor> <!-- 0..* Actors within the plan --> <title value="[string]"/><!-- 0..1 User-visible title --> <description value="[markdown]"/><!-- 0..1 Describes the actor --> <option> <!-- 1..* Who or what can be this actor --> <type value="[code]"/><!-- 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson --> <typeReference><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) Who or what can participate --></typeReference> <role><!-- 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent --></role> </option> </actor> <action> <!-- 0..* Action defined by the plan --> <prefix value="[string]"/><!-- 0..1 User-visible prefix for the action (e.g. 1. or A.) --> <title value="[string]"/><!-- 0..1 User-visible title --> <description value="[string]"/><!-- 0..1 Brief description of the action --> <textEquivalent value="[string]"/><!-- 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system --> <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat --> <code><!-- 0..1 CodeableConcept Code representing the meaning of the action or sub-actions --></code> <reason><!-- 0..* CodeableConcept Why the action should be performed --></reason> <documentation><!-- 0..* RelatedArtifact Supporting documentation for the intended performer of the action --></documentation> <goalId value="[id]"/><!-- 0..* What goals this action supports --> <subject[x]><!-- 0..1 CodeableConcept|Reference(Group)|canonical Type of individual the action is focused on --></subject[x]> <trigger><!-- 0..* TriggerDefinition When the action should be triggered --></trigger> <condition> <!-- 0..* Whether or not the action is applicable --> <kind value="[code]"/><!-- 1..1 applicability | start | stop --> <expression><!-- 0..1 Expression Boolean-valued expression --></expression> </condition> <input> <!-- 0..* Input data requirements --> <title value="[string]"/><!-- 0..1 User-visible title --> <requirement><!-- 0..1 DataRequirement What data is provided --></requirement> <relatedData value="[id]"/><!-- 0..1 What data is provided --> </input> <output> <!-- 0..* Output data definition --> <title value="[string]"/><!-- 0..1 User-visible title --> <requirement><!-- 0..1 DataRequirement What data is provided --></requirement> <relatedData value="[string]"/><!-- 0..1 What data is provided --> </output> <relatedAction> <!-- 0..* Relationship to another action --> <targetId value="[id]"/><!-- 1..1 What action is this related to --> <relationship value="[code]"/><!-- 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end --> <offset[x]><!-- 0..1 Duration|Range Time offset for the relationship --></offset[x]> </relatedAction> <timing[x]><!-- 0..1 Age|Duration|Range|Timing When the action should take place --></timing[x]> <location><!-- 0..1 CodeableReference(Location) Where it should happen --></location> <participant> <!-- 0..* Who should participate in the action --> <actorId value="[string]"/><!-- 0..1 What actor --> <type value="[code]"/><!-- 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson --> <typeReference><!-- 0..1 Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) Who or what can participate --></typeReference> <role><!-- 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent --></role> <function><!-- 0..1 CodeableConcept E.g. Author, Reviewer, Witness, etc. --></function> </participant> <type><!-- 0..1 CodeableConcept create | update | remove | fire-event --></type> <groupingBehavior value="[code]"/><!-- 0..1 visual-group | logical-group | sentence-group --> <selectionBehavior value="[code]"/><!-- 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more --> <requiredBehavior value="[code]"/><!-- 0..1 must | could | must-unless-documented --> <precheckBehavior value="[code]"/><!-- 0..1 yes | no --> <cardinalityBehavior value="[code]"/><!-- 0..1 single | multiple --> <definition[x]><!-- 0..1 canonical(ActivityDefinition|PlanDefinition| Questionnaire)|uri Description of the activity to be performed --></definition[x]> <transform><!-- 0..1 canonical(StructureMap) Transform to apply the template --></transform> <dynamicValue> <!-- 0..* Dynamic aspects of the definition --> <path value="[string]"/><!-- 0..1 The path to the element to be set dynamically --> <expression><!-- 0..1 Expression An expression that provides the dynamic value for the customization --></expression> </dynamicValue> <action><!-- 0..* Content as for PlanDefinition.action A sub-action --></action> </action> </PlanDefinition>
JSON Template
{ "resourceType" : "PlanDefinition", // from Resource: id, meta, implicitRules, and language "url" : "<uri>", // Canonical identifier for this plan definition, represented as a URI (globally unique) "identifier" : [{ Identifier }], // Additional identifier for the plan definition "version" : "<string>", // Business version of the plan definition "name" : "<string>", // C? Name for this plan definition (computer friendly) "title" : "<string>", // Name for this plan definition (human friendly) "subtitle" : "<string>", // Subordinate title of the plan definition "type" : { CodeableConcept }, // order-set | clinical-protocol | eca-rule | workflow-definition "status" : "<code>", // R! draft | active | retired | unknown "experimental" : <boolean>, // For testing purposes, not real usage // subject[x]: Type of individual the plan definition is focused on. One of these 3: "subjectCodeableConcept" : { CodeableConcept }, "subjectReference" : { Reference(Group) }, "subjectCanonical" : { canonical(AdministrableProductDefinition| ManufacturedItemDefinition|MedicinalProductDefinition| PackagedProductDefinition|SubstanceDefinition) }, "date" : "<dateTime>", // Date last changed "publisher" : "<string>", // Name of the publisher (organization or individual) "contact" : [{ ContactDetail }], // Contact details for the publisher "description" : "<markdown>", // Natural language description of the plan definition "useContext" : [{ UsageContext }], // The context that the content is intended to support "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for plan definition (if applicable) "purpose" : "<markdown>", // Why this plan definition is defined "usage" : "<string>", // Describes the clinical usage of the plan "copyright" : "<markdown>", // Use and/or publishing restrictions "approvalDate" : "<date>", // When the plan definition was approved by publisher "lastReviewDate" : "<date>", // When the plan definition was last reviewed "effectivePeriod" : { Period }, // When the plan definition is expected to be used "topic" : [{ CodeableConcept }], // E.g. Education, Treatment, Assessment "author" : [{ ContactDetail }], // Who authored the content "editor" : [{ ContactDetail }], // Who edited the content "reviewer" : [{ ContactDetail }], // Who reviewed the content "endorser" : [{ ContactDetail }], // Who endorsed the content "relatedArtifact" : [{ RelatedArtifact }], // Additional documentation, citations "library" : [{ canonical(Library) }], // Logic used by the plan definition "goal" : [{ // What the plan is trying to accomplish "category" : { CodeableConcept }, // E.g. Treatment, dietary, behavioral "description" : { CodeableConcept }, // R! Code or text describing the goal "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority "start" : { CodeableConcept }, // When goal pursuit begins "addresses" : [{ CodeableConcept }], // What does the goal address "documentation" : [{ RelatedArtifact }], // Supporting documentation for the goal "target" : [{ // Target outcome for the goal "measure" : { CodeableConcept }, // The parameter whose value is to be tracked // detail[x]: The target value to be achieved. One of these 3: "detailQuantity" : { Quantity }, "detailRange" : { Range }, "detailCodeableConcept" : { CodeableConcept }, "due" : { Duration } // Reach goal within }] }], "actor" : [{ // Actors within the plan "title" : "<string>", // User-visible title "description" : "<markdown>", // Describes the actor "option" : [{ // R! Who or what can be this actor "type" : "<code>", // careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson "typeReference" : { Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Who or what can participate "role" : { CodeableConcept } // E.g. Nurse, Surgeon, Parent }] }], "action" : [{ // Action defined by the plan "prefix" : "<string>", // User-visible prefix for the action (e.g. 1. or A.) "title" : "<string>", // User-visible title "description" : "<string>", // Brief description of the action "textEquivalent" : "<string>", // Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system "priority" : "<code>", // routine | urgent | asap | stat "code" : { CodeableConcept }, // Code representing the meaning of the action or sub-actions "reason" : [{ CodeableConcept }], // Why the action should be performed "documentation" : [{ RelatedArtifact }], // Supporting documentation for the intended performer of the action "goalId" : ["<id>"], // What goals this action supports // subject[x]: Type of individual the action is focused on. One of these 3: "subjectCodeableConcept" : { CodeableConcept }, "subjectReference" : { Reference(Group) }, "subjectCanonical" : "<canonical>", "trigger" : [{ TriggerDefinition }], // When the action should be triggered "condition" : [{ // Whether or not the action is applicable "kind" : "<code>", // R! applicability | start | stop "expression" : { Expression } // Boolean-valued expression }], "input" : [{ // Input data requirements "title" : "<string>", // User-visible title "requirement" : { DataRequirement }, // What data is provided "relatedData" : "<id>" // What data is provided }], "output" : [{ // Output data definition "title" : "<string>", // User-visible title "requirement" : { DataRequirement }, // What data is provided "relatedData" : "<string>" // What data is provided }], "relatedAction" : [{ // Relationship to another action "targetId" : "<id>", // R! What action is this related to "relationship" : "<code>", // R! before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end // offset[x]: Time offset for the relationship. One of these 2: "offsetDuration" : { Duration } "offsetRange" : { Range } }], // timing[x]: When the action should take place. One of these 4: "timingAge" : { Age }, "timingDuration" : { Duration }, "timingRange" : { Range }, "timingTiming" : { Timing }, "location" : { CodeableReference(Location) }, // Where it should happen "participant" : [{ // Who should participate in the action "actorId" : "<string>", // What actor "type" : "<code>", // careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson "typeReference" : { Reference(CareTeam|Device|Group|HealthcareService| Location|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Who or what can participate "role" : { CodeableConcept }, // E.g. Nurse, Surgeon, Parent "function" : { CodeableConcept } // E.g. Author, Reviewer, Witness, etc. }], "type" : { CodeableConcept }, // create | update | remove | fire-event "groupingBehavior" : "<code>", // visual-group | logical-group | sentence-group "selectionBehavior" : "<code>", // any | all | all-or-none | exactly-one | at-most-one | one-or-more "requiredBehavior" : "<code>", // must | could | must-unless-documented "precheckBehavior" : "<code>", // yes | no "cardinalityBehavior" : "<code>", // single | multiple // definition[x]: Description of the activity to be performed. One of these 2: "definitionCanonical" : { canonical(ActivityDefinition|PlanDefinition| Questionnaire) }, "definitionUri" : "<uri>", "transform" : { canonical(StructureMap) }, // Transform to apply the template "dynamicValue" : [{ // Dynamic aspects of the definition "path" : "<string>", // The path to the element to be set dynamically "expression" : { Expression } // An expression that provides the dynamic value for the customization }], "action" : [{ Content as for PlanDefinition.action }] // A sub-action }] }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:PlanDefinition; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language fhir:PlanDefinition.url [ uri ]; # 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique) fhir:PlanDefinition.identifier [ Identifier ], ... ; # 0..* Additional identifier for the plan definition fhir:PlanDefinition.version [ string ]; # 0..1 Business version of the plan definition fhir:PlanDefinition.name [ string ]; # 0..1 Name for this plan definition (computer friendly) fhir:PlanDefinition.title [ string ]; # 0..1 Name for this plan definition (human friendly) fhir:PlanDefinition.subtitle [ string ]; # 0..1 Subordinate title of the plan definition fhir:PlanDefinition.type [ CodeableConcept ]; # 0..1 order-set | clinical-protocol | eca-rule | workflow-definition fhir:PlanDefinition.status [ code ]; # 1..1 draft | active | retired | unknown fhir:PlanDefinition.experimental [ boolean ]; # 0..1 For testing purposes, not real usage # PlanDefinition.subject[x] : 0..1 Type of individual the plan definition is focused on. One of these 3 fhir:PlanDefinition.subjectCodeableConcept [ CodeableConcept ] fhir:PlanDefinition.subjectReference [ Reference(Group) ] fhir:PlanDefinition.subjectCanonical [ canonical(AdministrableProductDefinition|ManufacturedItemDefinition| MedicinalProductDefinition|PackagedProductDefinition|SubstanceDefinition) ] fhir:PlanDefinition.date [ dateTime ]; # 0..1 Date last changed fhir:PlanDefinition.publisher [ string ]; # 0..1 Name of the publisher (organization or individual) fhir:PlanDefinition.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher fhir:PlanDefinition.description [ markdown ]; # 0..1 Natural language description of the plan definition fhir:PlanDefinition.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support fhir:PlanDefinition.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for plan definition (if applicable) fhir:PlanDefinition.purpose [ markdown ]; # 0..1 Why this plan definition is defined fhir:PlanDefinition.usage [ string ]; # 0..1 Describes the clinical usage of the plan fhir:PlanDefinition.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions fhir:PlanDefinition.approvalDate [ date ]; # 0..1 When the plan definition was approved by publisher fhir:PlanDefinition.lastReviewDate [ date ]; # 0..1 When the plan definition was last reviewed fhir:PlanDefinition.effectivePeriod [ Period ]; # 0..1 When the plan definition is expected to be used fhir:PlanDefinition.topic [ CodeableConcept ], ... ; # 0..* E.g. Education, Treatment, Assessment fhir:PlanDefinition.author [ ContactDetail ], ... ; # 0..* Who authored the content fhir:PlanDefinition.editor [ ContactDetail ], ... ; # 0..* Who edited the content fhir:PlanDefinition.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content fhir:PlanDefinition.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content fhir:PlanDefinition.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Additional documentation, citations fhir:PlanDefinition.library [ canonical(Library) ], ... ; # 0..* Logic used by the plan definition fhir:PlanDefinition.goal [ # 0..* What the plan is trying to accomplish fhir:PlanDefinition.goal.category [ CodeableConcept ]; # 0..1 E.g. Treatment, dietary, behavioral fhir:PlanDefinition.goal.description [ CodeableConcept ]; # 1..1 Code or text describing the goal fhir:PlanDefinition.goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority fhir:PlanDefinition.goal.start [ CodeableConcept ]; # 0..1 When goal pursuit begins fhir:PlanDefinition.goal.addresses [ CodeableConcept ], ... ; # 0..* What does the goal address fhir:PlanDefinition.goal.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the goal fhir:PlanDefinition.goal.target [ # 0..* Target outcome for the goal fhir:PlanDefinition.goal.target.measure [ CodeableConcept ]; # 0..1 The parameter whose value is to be tracked # PlanDefinition.goal.target.detail[x] : 0..1 The target value to be achieved. One of these 3 fhir:PlanDefinition.goal.target.detailQuantity [ Quantity ] fhir:PlanDefinition.goal.target.detailRange [ Range ] fhir:PlanDefinition.goal.target.detailCodeableConcept [ CodeableConcept ] fhir:PlanDefinition.goal.target.due [ Duration ]; # 0..1 Reach goal within ], ...; ], ...; fhir:PlanDefinition.actor [ # 0..* Actors within the plan fhir:PlanDefinition.actor.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.actor.description [ markdown ]; # 0..1 Describes the actor fhir:PlanDefinition.actor.option [ # 1..* Who or what can be this actor fhir:PlanDefinition.actor.option.type [ code ]; # 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson fhir:PlanDefinition.actor.option.typeReference [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who or what can participate fhir:PlanDefinition.actor.option.role [ CodeableConcept ]; # 0..1 E.g. Nurse, Surgeon, Parent ], ...; ], ...; fhir:PlanDefinition.action [ # 0..* Action defined by the plan fhir:PlanDefinition.action.prefix [ string ]; # 0..1 User-visible prefix for the action (e.g. 1. or A.) fhir:PlanDefinition.action.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.action.description [ string ]; # 0..1 Brief description of the action fhir:PlanDefinition.action.textEquivalent [ string ]; # 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system fhir:PlanDefinition.action.priority [ code ]; # 0..1 routine | urgent | asap | stat fhir:PlanDefinition.action.code [ CodeableConcept ]; # 0..1 Code representing the meaning of the action or sub-actions fhir:PlanDefinition.action.reason [ CodeableConcept ], ... ; # 0..* Why the action should be performed fhir:PlanDefinition.action.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the intended performer of the action fhir:PlanDefinition.action.goalId [ id ], ... ; # 0..* What goals this action supports # PlanDefinition.action.subject[x] : 0..1 Type of individual the action is focused on. One of these 3 fhir:PlanDefinition.action.subjectCodeableConcept [ CodeableConcept ] fhir:PlanDefinition.action.subjectReference [ Reference(Group) ] fhir:PlanDefinition.action.subjectCanonical [ canonical ] fhir:PlanDefinition.action.trigger [ TriggerDefinition ], ... ; # 0..* When the action should be triggered fhir:PlanDefinition.action.condition [ # 0..* Whether or not the action is applicable fhir:PlanDefinition.action.condition.kind [ code ]; # 1..1 applicability | start | stop fhir:PlanDefinition.action.condition.expression [ Expression ]; # 0..1 Boolean-valued expression ], ...; fhir:PlanDefinition.action.input [ # 0..* Input data requirements fhir:PlanDefinition.action.input.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.action.input.requirement [ DataRequirement ]; # 0..1 What data is provided fhir:PlanDefinition.action.input.relatedData [ id ]; # 0..1 What data is provided ], ...; fhir:PlanDefinition.action.output [ # 0..* Output data definition fhir:PlanDefinition.action.output.title [ string ]; # 0..1 User-visible title fhir:PlanDefinition.action.output.requirement [ DataRequirement ]; # 0..1 What data is provided fhir:PlanDefinition.action.output.relatedData [ string ]; # 0..1 What data is provided ], ...; fhir:PlanDefinition.action.relatedAction [ # 0..* Relationship to another action fhir:PlanDefinition.action.relatedAction.targetId [ id ]; # 1..1 What action is this related to fhir:PlanDefinition.action.relatedAction.relationship [ code ]; # 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end # PlanDefinition.action.relatedAction.offset[x] : 0..1 Time offset for the relationship. One of these 2 fhir:PlanDefinition.action.relatedAction.offsetDuration [ Duration ] fhir:PlanDefinition.action.relatedAction.offsetRange [ Range ] ], ...; # PlanDefinition.action.timing[x] : 0..1 When the action should take place. One of these 4 fhir:PlanDefinition.action.timingAge [ Age ] fhir:PlanDefinition.action.timingDuration [ Duration ] fhir:PlanDefinition.action.timingRange [ Range ] fhir:PlanDefinition.action.timingTiming [ Timing ] fhir:PlanDefinition.action.location [ CodeableReference(Location) ]; # 0..1 Where it should happen fhir:PlanDefinition.action.participant [ # 0..* Who should participate in the action fhir:PlanDefinition.action.participant.actorId [ string ]; # 0..1 What actor fhir:PlanDefinition.action.participant.type [ code ]; # 0..1 careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson fhir:PlanDefinition.action.participant.typeReference [ Reference(CareTeam|Device|Group|HealthcareService|Location|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who or what can participate fhir:PlanDefinition.action.participant.role [ CodeableConcept ]; # 0..1 E.g. Nurse, Surgeon, Parent fhir:PlanDefinition.action.participant.function [ CodeableConcept ]; # 0..1 E.g. Author, Reviewer, Witness, etc. ], ...; fhir:PlanDefinition.action.type [ CodeableConcept ]; # 0..1 create | update | remove | fire-event fhir:PlanDefinition.action.groupingBehavior [ code ]; # 0..1 visual-group | logical-group | sentence-group fhir:PlanDefinition.action.selectionBehavior [ code ]; # 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more fhir:PlanDefinition.action.requiredBehavior [ code ]; # 0..1 must | could | must-unless-documented fhir:PlanDefinition.action.precheckBehavior [ code ]; # 0..1 yes | no fhir:PlanDefinition.action.cardinalityBehavior [ code ]; # 0..1 single | multiple # PlanDefinition.action.definition[x] : 0..1 Description of the activity to be performed. One of these 2 fhir:PlanDefinition.action.definitionCanonical [ canonical(ActivityDefinition|PlanDefinition|Questionnaire) ] fhir:PlanDefinition.action.definitionUri [ uri ] fhir:PlanDefinition.action.transform [ canonical(StructureMap) ]; # 0..1 Transform to apply the template fhir:PlanDefinition.action.dynamicValue [ # 0..* Dynamic aspects of the definition fhir:PlanDefinition.action.dynamicValue.path [ string ]; # 0..1 The path to the element to be set dynamically fhir:PlanDefinition.action.dynamicValue.expression [ Expression ]; # 0..1 An expression that provides the dynamic value for the customization ], ...; fhir:PlanDefinition.action.action [ See PlanDefinition.action ], ... ; # 0..* A sub-action ], ...; ]
Changes since Release 3
PlanDefinition | |
PlanDefinition.status |
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PlanDefinition.subject[x] |
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PlanDefinition.actor |
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PlanDefinition.actor.title |
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PlanDefinition.actor.description |
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PlanDefinition.actor.option |
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PlanDefinition.actor.option.type |
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PlanDefinition.actor.option.typeReference |
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PlanDefinition.actor.option.role |
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PlanDefinition.action.priority |
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PlanDefinition.action.code |
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PlanDefinition.action.subject[x] |
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PlanDefinition.action.condition.kind |
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PlanDefinition.action.input |
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PlanDefinition.action.input.title |
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PlanDefinition.action.input.requirement |
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PlanDefinition.action.input.relatedData |
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PlanDefinition.action.output |
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PlanDefinition.action.output.title |
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PlanDefinition.action.output.requirement |
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PlanDefinition.action.output.relatedData |
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PlanDefinition.action.relatedAction.targetId |
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PlanDefinition.action.relatedAction.relationship |
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PlanDefinition.action.timing[x] |
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PlanDefinition.action.location |
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PlanDefinition.action.participant.actorId |
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PlanDefinition.action.participant.type |
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PlanDefinition.action.participant.typeReference |
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PlanDefinition.action.participant.function |
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PlanDefinition.action.groupingBehavior |
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PlanDefinition.action.selectionBehavior |
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PlanDefinition.action.requiredBehavior |
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PlanDefinition.action.precheckBehavior |
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PlanDefinition.action.cardinalityBehavior |
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PlanDefinition.action.relatedAction.actionId |
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See the Full Difference for further information
This analysis is available as XML or JSON.
See R3 <--> R4 Conversion Maps (status = 11 tests of which 6 fail to execute. All tests pass round-trip testing and 5 r3 resources are invalid (0 errors).)
See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) , the spreadsheet version & the dependency analysis a
Path | Definition | Type | Reference |
---|---|---|---|
PlanDefinition.type | Extensible | PlanDefinitionType | |
PlanDefinition.status | Required | PublicationStatus | |
PlanDefinition.subject[x] | Extensible | SubjectType | |
PlanDefinition.jurisdiction | Extensible | Jurisdiction ValueSet | |
PlanDefinition.topic | Example | DefinitionTopic | |
PlanDefinition.goal.category | Example | GoalCategory | |
PlanDefinition.goal.description | Example | SNOMEDCTClinicalFindings | |
PlanDefinition.goal.priority | Preferred | GoalPriority | |
PlanDefinition.goal.start | Example | GoalStartEvent | |
PlanDefinition.goal.addresses | Example | Condition/Problem/DiagnosisCodes | |
PlanDefinition.goal.target.measure | Example | LOINCCodes | |
PlanDefinition.actor.option.type | Required | ActionParticipantType | |
PlanDefinition.actor.option.role | Example | ActionParticipantRole | |
PlanDefinition.action.priority | Required | RequestPriority | |
PlanDefinition.action.code | Example | ActionCode | |
PlanDefinition.action.reason | Example | ActionReasonCode | |
PlanDefinition.action.subject[x] | Extensible | SubjectType | |
PlanDefinition.action.condition.kind | Required | ActionConditionKind | |
PlanDefinition.action.relatedAction.relationship | Required | ActionRelationshipType | |
PlanDefinition.action.participant.type | Required | ActionParticipantType | |
PlanDefinition.action.participant.role | Example | ActionParticipantRole | |
PlanDefinition.action.participant.function | Example | ActionParticipantFunction | |
PlanDefinition.action.type | Extensible | ActionType | |
PlanDefinition.action.groupingBehavior | Required | ActionGroupingBehavior | |
PlanDefinition.action.selectionBehavior | Required | ActionSelectionBehavior | |
PlanDefinition.action.requiredBehavior | Required | ActionRequiredBehavior | |
PlanDefinition.action.precheckBehavior | Required | ActionPrecheckBehavior | |
PlanDefinition.action.cardinalityBehavior | Required | ActionCardinalityBehavior |
id | Level | Location | Description | Expression |
cnl-0 | Warning | (base) | Name should be usable as an identifier for the module by machine processing applications such as code generation | name.matches('[A-Z]([A-Za-z0-9_]){0,254}') |
pld-0 | Rule | PlanDefinition.action.input | Input data elements must have a requirement or a relatedData, but not both | requirement.exists() xor relatedData.exists() |
pld-1 | Rule | PlanDefinition.action.output | Output data element must have a requirement or a relatedData, but not both | requirement.exists() xor relatedData.exists() |
The following diagram illustrates the relationship between the PlanDefinition and ActivityDefinition resources, as well as a typical application to CarePlan, RequestGroup, and Request resources. The resources depicted on the left side of the arrow are definition resources, while the ones on the right side of the arrow are request resources, with the arrow representing the $apply
operation:
The PlanDefinition and ActivityDefinition resources support the representation of a broad range of use cases including order sets, flow sheets, event-condition-action rules, clinical protocols, and research trials. To support this range of use cases, as well as the variability in capabilities of systems that use these types of artifacts, this specification is not prescriptive about exactly how these definitions are applied to produce request and event resources. However, the approach depicted above provides a general framework for the process, and the following steps provide more detail on the potential approach:
instantiates
elementgoal
elements in the CarePlan based on the goal
definitions in the planinstantiatesCanonical
elementactivity
in the CarePlan to reference
the RequestGroupaction
element of the PlanDefinitionProcessing for each action proceeds according to the following steps:
action
element in the RequestGroup with the same id
as the action being processedaction
to the corresponding elements of the newly created action
in the RequestGroup such as title
, description
, textEquivalent
, timing
, and so ondefinition
element:
resource
element of the action. Note that the target resource can be set as a contained
resource in the RequestGroup, or it can be persisted independently, as appropriate for the environmentstatus
of the target resource to option so that it is clearly indicated as part of a RequestGroup. Note that the ActivityDefinition/$apply operation will not necessarily produce resource with this status, so this is an important step.action
(see the section on Overlap below for details)resource
element of the action. Note that the resulting CarePlan can be set as a contained
resource in the RequestGroup, but doing so would require expanding any potentially contained resources.status
of the CarePlan to option so that it is clearly indicated as part of a RequestGroup.action
such as title
, description
, and dynamicValue
.resource
element of the action to the Questionnaire, indicating that the activity to be performed is filling out the given questionnaire.The parameters to the $apply operation are available within dynamicValue CQL and FHIRPath expressions as context variables, accessible by the name of the parameter prefixed with a percent (%) symbol. For example, to access the subject given to the apply, use the expression %subject
. The value of the %subject context variable in a dynamicValue expression is determined using the current subject, as specified by the subject
element on the PlanDefinition, current PlanDefinition.action, or ActivityDefinition.
In addition to the $apply operation parameters, the context variable %action can be used within the path element of a dynamicValue to specify the current action target. For example, to specify the path to the description element of the current action, use %action.description
.
As noted in the Boundaries section, there is some overlap between the content that can be represented within the action
element of a PlanDefinition, and the elements of the ActivityDefinition resource. This overlap allows for both resources to be used independently, as well as in combination. For example, a PlanDefinition may be used without any supporting ActivityDefinitions to describe a particular workflow, where it is sufficient to describe the actions simply as textual descriptions of what needs to take place. On the other hand, the PlanDefinition may be used together with ActivityDefinition to provide a detailed structural representation of the activities to be performed.
In general, where there is overlap, the elements from the PlanDefinition provide overriding behavior. Specifically, the following elements of action
overlap with ActivityDefinition:
Element | Behavior |
---|---|
title | The title element in ActivityDefinition is the title of the activity "as defined", where the title element in PlanDefinition reflects the title in the scope of the plan. |
description | The description element in ActivityDefinition is the description of the activity "as defined", where the description element in PlanDefinition reflects the description in the scope of the plan. |
code | The code element in ActivityDefinition represents the meaning of the activity "as defined", where the code element in PlanDefinition represents the meaning in the scope of the plan. |
documentation | The documentation element in PlanDefinition represents additional documentation for the action specific to the scope of the plan, where the relatedArtifact element in ActivityDefinition provides documentation specific to the activity itself. |
timing | The timing element in ActivityDefinition represents timings associated within the activity itself, where the timing element in PlanDefinition represents the timing of the activity with respect to the plan and its other actions. When a timing is provided on both, the timing defined in the plan generally takes precedence. |
participant | The participant element in ActivityDefinition represents what type of actor is expected to perform the activity generally, where the participant element in PlanDefinition represents the type of actor that is expected to perform the activity in the context of the plan. |
transform | The transform element in ActivityDefinition describes the transformation of the definition to a request or event resource in general, where the transform element in PlanDefinition describes the transformation within the scope of the plan. When a transform is present in both, the transform in the plan takes precedence. |
dynamicValue | The dynamicValue element in ActivityDefinition defines values for elements of the target request or event resource in general, where the dynamicValue element in PlanDefinition defines values within the scope of the plan. When dynamic values are present in both, the dynamic values from the ActivityDefinition are applied first (in the order in which they appear on the ActivityDefinition), followed by the dynamic values from the PlanDefinition (in the order in which they appear on the PlanDefinition). |
Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
Name | Type | Description | Expression | In Common |
composed-of | reference | What resource is being referenced | PlanDefinition.relatedArtifact.where(type='composed-of').resource (Any) | |
context | token | A use context assigned to the plan definition | (PlanDefinition.useContext.value as CodeableConcept) | |
context-quantity | quantity | A quantity- or range-valued use context assigned to the plan definition | (PlanDefinition.useContext.value as Quantity) | (PlanDefinition.useContext.value as Range) | |
context-type | token | A type of use context assigned to the plan definition | PlanDefinition.useContext.code | |
context-type-quantity | composite | A use context type and quantity- or range-based value assigned to the plan definition | On PlanDefinition.useContext: context-type: code context-quantity: value.as(Quantity) | value.as(Range) | |
context-type-value | composite | A use context type and value assigned to the plan definition | On PlanDefinition.useContext: context-type: code context: value.as(CodeableConcept) | |
date N | date | The plan definition publication date | PlanDefinition.date | |
definition | reference | Activity or plan definitions used by plan definition | PlanDefinition.action.definition (Questionnaire, PlanDefinition, ActivityDefinition) | |
depends-on | reference | What resource is being referenced | PlanDefinition.relatedArtifact.where(type='depends-on').resource | PlanDefinition.library (Library, Any) | |
derived-from | reference | What resource is being referenced | PlanDefinition.relatedArtifact.where(type='derived-from').resource (Any) | |
description N | string | The description of the plan definition | PlanDefinition.description | |
effective | date | The time during which the plan definition is intended to be in use | PlanDefinition.effectivePeriod | |
identifier | token | External identifier for the plan definition | PlanDefinition.identifier | |
jurisdiction | token | Intended jurisdiction for the plan definition | PlanDefinition.jurisdiction | |
name N | string | Computationally friendly name of the plan definition | PlanDefinition.name | |
predecessor | reference | What resource is being referenced | PlanDefinition.relatedArtifact.where(type='predecessor').resource (Any) | |
publisher N | string | Name of the publisher of the plan definition | PlanDefinition.publisher | |
status N | token | The current status of the plan definition | PlanDefinition.status | |
successor | reference | What resource is being referenced | PlanDefinition.relatedArtifact.where(type='successor').resource (Any) | |
title N | string | The human-friendly name of the plan definition | PlanDefinition.title | |
topic | token | Topics associated with the module | PlanDefinition.topic | |
type | token | The type of artifact the plan (e.g. order-set, eca-rule, protocol) | PlanDefinition.type | |
url N | uri | The uri that identifies the plan definition | PlanDefinition.url | |
version N | token | The business version of the plan definition | PlanDefinition.version |