Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Clinical Decision Support icon Work Group Maturity Level: 0Trial Use Use Context: Any

Definitions for the cdshooksserviceplandefinition Profile.

PlanDefinition
Element IdPlanDefinition
Definition

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.

Short DisplayThe definition of a plan for a series of actions, independent of any specific patient or context
Cardinality1..1
Invariants
Inherited by this element
cnl-0WarningName should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
pld-3Warninggoalid should reference the id of a goal definition%context.repeat(action).where((goalId in %context.goal.id).not()).exists().not()
pld-4WarningtargetId should reference the id of an action%context.repeat(action).relatedAction.where((targetId in %context.repeat(action).id).not()).exists().not()
PlanDefinition.id
Element IdPlanDefinition.id
Definition

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

Short DisplayLogical id of this artifact
Cardinality0..1
Typeid
Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

PlanDefinition.meta
Element IdPlanDefinition.meta
Definition

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

Short DisplayMetadata about the resource
Cardinality0..1
TypeMeta
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.implicitRules
Element IdPlanDefinition.implicitRules
Definition

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

Short DisplayA set of rules under which this content was created
Cardinality0..1
Typeuri
Is Modifiertrue (Reason: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation)
Comments

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

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.language
Element IdPlanDefinition.language
Definition

The base language in which the resource is written.

Short DisplayLanguage of the resource content
Cardinality0..1
Terminology BindingIETF language tag for a human language
The codes SHALL be taken from All Languages
Typecode
Comments

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

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.text
Element IdPlanDefinition.text
Definition

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

Short DisplayText summary of the resource, for human interpretation
Cardinality0..1 This element is affected by the following invariants: dom-6
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

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

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.contained
Element IdPlanDefinition.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

Short DisplayContained, inline Resources
Cardinality0..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

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

PlanDefinition.extension
Element IdPlanDefinition.extension
Definition

An Extension

Short DisplayExtension
Cardinality0..*
TypeExtension
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
SlicingThis element introduces a set of slices. The slicing rules are:
  • unordered
  • Open
  • discriminators: value:url
PlanDefinition.extension(cdsHooksEndpoint)
Element IdPlanDefinition.extension:cdsHooksEndpoint
Definition

Defines the service endpoint for the behavior implemented by the PlanDefinition.

Short DisplayService endpoint
Cardinality1..1
TypeExtension(CdsHooksEndpoint)
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.modifierExtension
Element IdPlanDefinition.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.url
Element IdPlanDefinition.url
Definition

An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers.

Short DisplayCanonical identifier for this plan definition, represented as a URI (globally unique)
Cardinality0..1
Typeuri
Requirements

Allows the plan definition to be referenced by a single globally unique identifier.

Comments

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Invariants
Inherited by this element
cnl-1WarningURL should not contain | or # - these characters make processing canonical references problematicexists() implies matches('^[^|# ]+$')
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.identifier
Element IdPlanDefinition.identifier
Definition

A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance.

Short DisplayAdditional identifier for the plan definition
Cardinality0..*
TypeIdentifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this plan definition outside of FHIR, where it is not possible to use the logical URI.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.version
Element IdPlanDefinition.version
Definition

The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.

Short DisplayBusiness version of the plan definition
Cardinality0..1
Typestring
Comments

There may be different plan definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.versionAlgorithm[x]
Element IdPlanDefinition.versionAlgorithm[x]
Definition

Indicates the mechanism used to compare versions to determine which is more current.

Short DisplayHow to compare versions
Cardinality0..1
Terminology Bindingnull
The codes SHALL be taken from Version Algorithm; other codes may be used where these codes are not suitable
TypeChoice of: string, Coding
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Comments

If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.name
Element IdPlanDefinition.name
Definition

A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Short DisplayName for this plan definition (computer friendly)
Cardinality0..1 This element is affected by the following invariants: cnl-0
Typestring
Requirements

Support human navigation and code generation.

Comments

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.title
Element IdPlanDefinition.title
Definition

A short, descriptive, user-friendly title for the plan definition.

Short DisplayName for this plan definition (human friendly)
Cardinality0..1
Typestring
Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.subtitle
Element IdPlanDefinition.subtitle
Definition

An explanatory or alternate title for the plan definition giving additional information about its content.

Short DisplaySubordinate title of the plan definition
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.type
Element IdPlanDefinition.type
Definition

A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.

Short Displayorder-set | clinical-protocol | eca-rule | workflow-definition
Cardinality0..1
Terminology BindingThe type of PlanDefinition.
The codes SHALL be taken from Plan Definition Type; other codes may be used where these codes are not suitable
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.status
Element IdPlanDefinition.status
Definition

The status of this plan definition. Enables tracking the life-cycle of the content.

Short Displaydraft | active | retired | unknown
Cardinality1..1
Terminology BindingThe lifecycle status of an artifact.
The codes SHALL be taken from PublicationStatus
Typecode
Is Modifiertrue (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration)
Comments

Allows filtering of plan definitions that are appropriate for use versus not.

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.experimental
Element IdPlanDefinition.experimental
Definition

A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

Short DisplayFor testing purposes, not real usage
Cardinality0..1
Typeboolean
Requirements

Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.

Comments

Allows filtering of plan definitions that are appropriate for use versus not.

Meaning if MissingIf absent, this resource is treated as though it is not experimental.
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.subject[x]
Element IdPlanDefinition.subject[x]
Definition

A code, group definition, or canonical reference that describes or identifies the intended subject of the plan definition. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.

Short DisplayType of individual the plan definition is focused on
Cardinality0..1
Terminology BindingThe possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
The codes SHALL be taken from Participant Resource Types; other codes may be used where these codes are not suitable
TypeChoice of: CodeableConcept, Reference(Group), canonical(EvidenceVariable)
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Comments

Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.

Meaning if MissingPatient
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.date
Element IdPlanDefinition.date
Definition

The date (and optionally time) when the plan definition was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes.

Short DisplayDate last changed
Cardinality0..1
TypedateTime
Alternate NamesRevision Date
Comments

The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.publisher
Element IdPlanDefinition.publisher
Definition

The name of the organization or individual responsible for the release and ongoing maintenance of the plan definition.

Short DisplayName of the publisher/steward (organization or individual)
Cardinality0..1
Typestring
Requirements

Helps establish the "authority/credibility" of the plan definition. May also allow for contact.

Comments

Usually an organization but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.contact
Element IdPlanDefinition.contact
Definition

Contact details to assist a user in finding and communicating with the publisher.

Short DisplayContact details for the publisher
Cardinality0..*
TypeContactDetail
Comments

May be a web site, an email address, a telephone number, etc.

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.description
Element IdPlanDefinition.description
Definition

A free text natural language description of the plan definition from a consumer's perspective.

Short DisplayNatural language description of the plan definition
Cardinality0..1
Typemarkdown
Comments

This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the plan definition is presumed to be the predominant language in the place the plan definition was created).

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.useContext
Element IdPlanDefinition.useContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances.

Short DisplayThe context that the content is intended to support
Cardinality0..*
TypeUsageContext
Requirements

Assist in searching for appropriate content.

Comments

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.jurisdiction
Element IdPlanDefinition.jurisdiction
Definition

A legal or geographic region in which the plan definition is intended to be used.

Short DisplayIntended jurisdiction for plan definition (if applicable)
Cardinality0..*
Terminology BindingCountries and regions within which this artifact is targeted for use.
The codes SHALL be taken from Jurisdiction ValueSet; other codes may be used where these codes are not suitable
TypeCodeableConcept
Comments

It may be possible for the plan definition to be used in jurisdictions other than those for which it was originally designed or intended.

DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.purpose
Element IdPlanDefinition.purpose
Definition

Explanation of why this plan definition is needed and why it has been designed as it has.

Short DisplayWhy this plan definition is defined
Cardinality0..1
Typemarkdown
Comments

This element does not describe the usage of the plan definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this plan definition.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.usage
Element IdPlanDefinition.usage
Definition

A detailed description of how the plan definition is used from a clinical perspective.

Short DisplayDescribes the clinical usage of the plan
Cardinality0..1
Typemarkdown
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.copyright
Element IdPlanDefinition.copyright
Definition

A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition.

Short DisplayUse and/or publishing restrictions
Cardinality0..1
Typemarkdown
Requirements

Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content.

Alternate NamesLicense, Restrictions
Comments

The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.copyrightLabel
Element IdPlanDefinition.copyrightLabel
Definition

A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved').

Short DisplayCopyright holder and year(s)
Cardinality0..1
Typestring
Requirements

Defines the content expected to be rendered in all representations of the artifact.

Comments

The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.approvalDate
Element IdPlanDefinition.approvalDate
Definition

The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

Short DisplayWhen the plan definition was approved by publisher
Cardinality0..1
Typedate
Comments

The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.lastReviewDate
Element IdPlanDefinition.lastReviewDate
Definition

The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

Short DisplayWhen the plan definition was last reviewed by the publisher
Cardinality0..1
Typedate
Requirements

Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

Comments

If specified, this date follows the original approval date.

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.effectivePeriod
Element IdPlanDefinition.effectivePeriod
Definition

The period during which the plan definition content was or is planned to be in active use.

Short DisplayWhen the plan definition is expected to be used
Cardinality0..1
TypePeriod
Requirements

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the plan definition are or are expected to be used instead.

Comments

The effective period for a plan definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a plan definition intended to be used for the year 2016 might be published in 2015.

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.topic
Element IdPlanDefinition.topic
Definition

Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching.

Short DisplayE.g. Education, Treatment, Assessment
Cardinality0..*
Terminology BindingHigh-level categorization of the definition, used for searching, sorting, and filtering.
For example codes, see Definition Topic
TypeCodeableConcept
Requirements

Repositories must be able to determine how to categorize the plan definition so that it can be found by topical searches.

Comments

DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.author
Element IdPlanDefinition.author
Definition

An individiual or organization primarily involved in the creation and maintenance of the content.

Short DisplayWho authored the content
Cardinality0..*
TypeContactDetail
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.editor
Element IdPlanDefinition.editor
Definition

An individual or organization primarily responsible for internal coherence of the content.

Short DisplayWho edited the content
Cardinality0..*
TypeContactDetail
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.reviewer
Element IdPlanDefinition.reviewer
Definition

An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content.

Short DisplayWho reviewed the content
Cardinality0..*
TypeContactDetail
Comments

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.endorser
Element IdPlanDefinition.endorser
Definition

An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting.

Short DisplayWho endorsed the content
Cardinality0..*
TypeContactDetail
Comments

See guidance around (not) making local changes to elements here.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.relatedArtifact
Element IdPlanDefinition.relatedArtifact
Definition

Related artifacts such as additional documentation, justification, or bibliographic references.

Short DisplayAdditional documentation, citations
Cardinality0..*
TypeRelatedArtifact
Requirements

Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

Comments

Each related artifact is either an attachment, or a reference to another resource, but not both.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.library
Element IdPlanDefinition.library
Definition

A reference to a Library resource containing any formal logic used by the plan definition.

Short DisplayLogic used by the plan definition
Cardinality0..*
Typecanonical(Library)
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal
Element IdPlanDefinition.goal
Definition

A goal describes an expected outcome that activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, meeting the acceptance criteria for a test as specified by a quality specification, etc.

Short DisplayWhat the plan is trying to accomplish
Cardinality0..* This element is affected by the following invariants: pld-3
TypeBackboneElement
Requirements

Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.id
Element IdPlanDefinition.goal.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.goal.extension
Element IdPlanDefinition.goal.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.goal.modifierExtension
Element IdPlanDefinition.goal.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.goal.category
Element IdPlanDefinition.goal.category
Definition

Indicates a category the goal falls within.

Short DisplayE.g. Treatment, dietary, behavioral
Cardinality0..1
Terminology BindingExample codes for grouping goals for filtering or presentation.
For example codes, see Goal Category
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.description
Element IdPlanDefinition.goal.description
Definition

Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding".

Short DisplayCode or text describing the goal
Cardinality1..1
Terminology BindingDescribes goals that can be achieved.
For example codes, see SNOMED CT Clinical Findings
TypeCodeableConcept
Comments

If no code is available, use CodeableConcept.text.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.priority
Element IdPlanDefinition.goal.priority
Definition

Identifies the expected level of importance associated with reaching/sustaining the defined goal.

Short Displayhigh-priority | medium-priority | low-priority
Cardinality0..1
Terminology BindingIndicates the level of importance associated with reaching or sustaining a goal.
The codes SHOULD be taken from Goal Priority
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.start
Element IdPlanDefinition.goal.start
Definition

The event after which the goal should begin being pursued.

Short DisplayWhen goal pursuit begins
Cardinality0..1
Terminology BindingIdentifies the types of events that might trigger the start of a goal.
For example codes, see Goal Start Event
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.addresses
Element IdPlanDefinition.goal.addresses
Definition

Identifies problems, conditions, issues, or concerns the goal is intended to address.

Short DisplayWhat does the goal address
Cardinality0..*
Terminology BindingIdentifies problems, conditions, issues, or concerns that goals may address.
For example codes, see Condition/Problem/Diagnosis Codes
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.documentation
Element IdPlanDefinition.goal.documentation
Definition

Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources.

Short DisplaySupporting documentation for the goal
Cardinality0..*
TypeRelatedArtifact
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.target
Element IdPlanDefinition.goal.target
Definition

Indicates what should be done and within what timeframe.

Short DisplayTarget outcome for the goal
Cardinality0..*
TypeBackboneElement
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.target.id
Element IdPlanDefinition.goal.target.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.goal.target.extension
Element IdPlanDefinition.goal.target.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.goal.target.modifierExtension
Element IdPlanDefinition.goal.target.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.goal.target.measure
Element IdPlanDefinition.goal.target.measure
Definition

The parameter whose value is to be tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

Short DisplayThe parameter whose value is to be tracked
Cardinality0..1
Terminology BindingIdentifies types of parameters that can be tracked to determine goal achievement.
For example codes, see LOINC Codes
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.target.detail[x]
Element IdPlanDefinition.goal.target.detail[x]
Definition

The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%, or in the case of pharmaceutical quality - NMT 0.6%, Clear solution, etc. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value.

Short DisplayThe target value to be achieved
Cardinality0..1
TypeChoice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Comments

A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the goal.target.measure defines a coded value.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.goal.target.due
Element IdPlanDefinition.goal.target.due
Definition

Indicates the timeframe after the start of the goal in which the goal should be met.

Short DisplayReach goal within
Cardinality0..1
TypeDuration
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor
Element IdPlanDefinition.actor
Definition

Actors represent the individuals or groups involved in the execution of the defined set of activities.

Short DisplayActors within the plan
Cardinality0..*
TypeBackboneElement
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.id
Element IdPlanDefinition.actor.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.actor.extension
Element IdPlanDefinition.actor.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.actor.modifierExtension
Element IdPlanDefinition.actor.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.actor.title
Element IdPlanDefinition.actor.title
Definition

A descriptive label for the actor.

Short DisplayUser-visible title
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.description
Element IdPlanDefinition.actor.description
Definition

A description of how the actor fits into the overall actions of the plan definition.

Short DisplayDescribes the actor
Cardinality0..1
Typemarkdown
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.option
Element IdPlanDefinition.actor.option
Definition

The characteristics of the candidates that could serve as the actor.

Short DisplayWho or what can be this actor
Cardinality1..*
TypeBackboneElement
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.option.id
Element IdPlanDefinition.actor.option.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.actor.option.extension
Element IdPlanDefinition.actor.option.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.actor.option.modifierExtension
Element IdPlanDefinition.actor.option.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.actor.option.type
Element IdPlanDefinition.actor.option.type
Definition

The type of participant in the action.

Short Displaycareteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson
Cardinality0..1
Terminology BindingThe type of participant in the activity.
The codes SHALL be taken from Action Participant Type
Typecode
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.option.typeCanonical
Element IdPlanDefinition.actor.option.typeCanonical
Definition

The type of participant in the action.

Short DisplayWho or what can participate
Cardinality0..1
Typecanonical(CapabilityStatement)
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.option.typeReference
Element IdPlanDefinition.actor.option.typeReference
Definition

The type of participant in the action.

Short DisplayWho or what can participate
Cardinality0..1
TypeReference(CareTeam)
Comments

When this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location).

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.actor.option.role
Element IdPlanDefinition.actor.option.role
Definition

The role the participant should play in performing the described action.

Short DisplayE.g. Nurse, Surgeon, Parent
Cardinality0..1
Terminology Bindingnull
For example codes, see Action Participant Role icon
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action
Element IdPlanDefinition.action
Definition

An action or group of actions to be taken as part of the plan. For example, in clinical care, an action would be to prescribe a particular indicated medication, or perform a particular test as appropriate. In pharmaceutical quality, an action would be the test that needs to be performed on a drug product as defined in the quality specification.

Short DisplayAction defined by the plan
Cardinality0..* This element is affected by the following invariants: pld-3, pld-4
TypeBackboneElement
Comments

Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.id
Element IdPlanDefinition.action.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.extension
Element IdPlanDefinition.action.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.modifierExtension
Element IdPlanDefinition.action.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.linkId
Element IdPlanDefinition.action.linkId
Definition

An identifier that is unique within the PlanDefinition to allow linkage within the realized CarePlan and/or RequestOrchestration.

Short DisplayUnique id for the action in the PlanDefinition
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.prefix
Element IdPlanDefinition.action.prefix
Definition

A user-visible prefix for the action. For example a section or item numbering such as 1. or A.

Short DisplayUser-visible prefix for the action (e.g. 1. or A.)
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.title
Element IdPlanDefinition.action.title
Definition

The textual description of the action displayed to a user. For example, when the action is a test to be performed, the title would be the title of the test such as Assay by HPLC.

Short DisplayUser-visible title
Cardinality0..1
Typestring
Must Supporttrue
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.description
Element IdPlanDefinition.action.description
Definition

A brief description of the action used to provide a summary to display to the user.

Short DisplayBrief description of the action
Cardinality0..1
Typemarkdown
Must Supporttrue
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.textEquivalent
Element IdPlanDefinition.action.textEquivalent
Definition

A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.

Short DisplayStatic text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
Cardinality0..1
Typemarkdown
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.priority
Element IdPlanDefinition.action.priority
Definition

Indicates how quickly the action should be addressed with respect to other actions.

Short Displayroutine | urgent | asap | stat
Cardinality0..1
Terminology BindingIdentifies the level of importance to be assigned to actioning the request.
The codes SHALL be taken from RequestPriority
Typecode
Must Supporttrue
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.code
Element IdPlanDefinition.action.code
Definition

A code that provides a meaning, grouping, or classification for the action or action group. For example, a section may have a LOINC code for the section of a documentation template. In pharmaceutical quality, an action (Test) such as pH could be classified as a physical property.

Short DisplayCode representing the meaning of the action or sub-actions
Cardinality0..1
Terminology BindingProvides examples of actions to be performed.
For example codes, see Action Code
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.reason
Element IdPlanDefinition.action.reason
Definition

A description of why this action is necessary or appropriate.

Short DisplayWhy the action should be performed
Cardinality0..*
Terminology BindingProvides examples of reasons for actions to be performed.
For example codes, see Action Reason Code
TypeCodeableConcept
Comments

This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.documentation
Element IdPlanDefinition.action.documentation
Definition

Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.

Short DisplaySupporting documentation for the intended performer of the action
Cardinality0..*
TypeRelatedArtifact
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.goalId
Element IdPlanDefinition.action.goalId
Definition

Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition. In pharmaceutical quality, a goal represents acceptance criteria (Goal) for a given action (Test), so the goalId would be the unique id of a defined goal element establishing the acceptance criteria for the action.

Short DisplayWhat goals this action supports
Cardinality0..* This element is affected by the following invariants: pld-3
Typeid
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.subject[x]
Element IdPlanDefinition.action.subject[x]
Definition

A code, group definition, or canonical reference that describes the intended subject of the action and its children, if any. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.

Short DisplayType of individual the action is focused on
Cardinality0..1
Terminology BindingThe possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
The codes SHALL be taken from Participant Resource Types; other codes may be used where these codes are not suitable
TypeChoice of: CodeableConcept, Reference(Group), canonical
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Requirements

Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.

Comments

The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified.

In addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).

Meaning if MissingPatient
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.trigger
Element IdPlanDefinition.action.trigger
Definition

A description of when the action should be triggered. When multiple triggers are specified on an action, any triggering event invokes the action.

Short DisplayWhen the action should be triggered
Cardinality0..*
TypeTriggerDefinition
Must Supporttrue
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.condition
Element IdPlanDefinition.action.condition
Definition

An expression that describes applicability criteria or start/stop conditions for the action.

Short DisplayWhether or not the action is applicable
Cardinality0..*
TypeBackboneElement
Must Supporttrue
Comments

When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.condition.id
Element IdPlanDefinition.action.condition.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.condition.extension
Element IdPlanDefinition.action.condition.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.condition.modifierExtension
Element IdPlanDefinition.action.condition.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.condition.kind
Element IdPlanDefinition.action.condition.kind
Definition

The kind of condition.

Short Displayapplicability | start | stop
Cardinality1..1
Terminology BindingDefines the kinds of conditions that can appear on actions.
The codes SHALL be taken from Action Condition Kind
Typecode
Comments

Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.condition.expression
Element IdPlanDefinition.action.condition.expression
Definition

An expression that returns true or false, indicating whether the condition is satisfied.

Short DisplayBoolean-valued expression
Cardinality0..1
TypeExpression
Comments

The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.input
Element IdPlanDefinition.action.input
Definition

Defines input data requirements for the action.

Short DisplayInput data requirements
Cardinality0..*
TypeBackboneElement
Invariants
Inherited by this element
pld-0RuleInput data elements must have a requirement or a relatedData, but not bothrequirement.exists() xor relatedData.exists()
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.input.id
Element IdPlanDefinition.action.input.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.input.extension
Element IdPlanDefinition.action.input.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.input.modifierExtension
Element IdPlanDefinition.action.input.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.input.title
Element IdPlanDefinition.action.input.title
Definition

A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers.

Short DisplayUser-visible title
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.input.requirement
Element IdPlanDefinition.action.input.requirement
Definition

Defines the data that is to be provided as input to the action.

Short DisplayWhat data is provided
Cardinality0..1 This element is affected by the following invariants: pld-0
TypeDataRequirement
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.input.relatedData
Element IdPlanDefinition.action.input.relatedData
Definition

Points to an existing input or output element that provides data to this input.

Short DisplayWhat data is provided
Cardinality0..1 This element is affected by the following invariants: pld-0
Typeid
Comments

The relatedData element allows indicating that an input to a parent action is an input to specific child actions. It also allows the output of one action to be identified as the input to a different action

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.output
Element IdPlanDefinition.action.output
Definition

Defines the outputs of the action, if any.

Short DisplayOutput data definition
Cardinality0..*
TypeBackboneElement
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
pld-1RuleOutput data element must have a requirement or a relatedData, but not bothrequirement.exists() xor relatedData.exists()
PlanDefinition.action.output.id
Element IdPlanDefinition.action.output.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.output.extension
Element IdPlanDefinition.action.output.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.output.modifierExtension
Element IdPlanDefinition.action.output.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.output.title
Element IdPlanDefinition.action.output.title
Definition

A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers.

Short DisplayUser-visible title
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.output.requirement
Element IdPlanDefinition.action.output.requirement
Definition

Defines the data that results as output from the action.

Short DisplayWhat data is provided
Cardinality0..1 This element is affected by the following invariants: pld-1
TypeDataRequirement
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.output.relatedData
Element IdPlanDefinition.action.output.relatedData
Definition

Points to an existing input or output element that is results as output from the action.

Short DisplayWhat data is provided
Cardinality0..1 This element is affected by the following invariants: pld-1
Typestring
Comments

The relatedData element allows indicating that the output of child action is also the output of a parent action. It also allows the input of one action to be identified as the output of a different action

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.relatedAction
Element IdPlanDefinition.action.relatedAction
Definition

A relationship to another action such as "before" or "30-60 minutes after start of".

Short DisplayRelationship to another action
Cardinality0..* This element is affected by the following invariants: pld-4
TypeBackboneElement
Comments

When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.relatedAction.id
Element IdPlanDefinition.action.relatedAction.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.relatedAction.extension
Element IdPlanDefinition.action.relatedAction.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.relatedAction.modifierExtension
Element IdPlanDefinition.action.relatedAction.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.relatedAction.targetId
Element IdPlanDefinition.action.relatedAction.targetId
Definition

The element id of the target related action.

Short DisplayWhat action is this related to
Cardinality1..1 This element is affected by the following invariants: pld-4
Typeid
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.relatedAction.relationship
Element IdPlanDefinition.action.relatedAction.relationship
Definition

The relationship of the start of this action to the related action.

Short Displaybefore | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end
Cardinality1..1
Terminology BindingDefines the types of relationships between actions.
The codes SHALL be taken from Action Relationship Type
Typecode
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.relatedAction.endRelationship
Element IdPlanDefinition.action.relatedAction.endRelationship
Definition

The relationship of the end of this action to the related action.

Short Displaybefore | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end
Cardinality0..1
Terminology BindingDefines the types of relationships between actions.
The codes SHALL be taken from Action Relationship Type
Typecode
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.relatedAction.offset[x]
Element IdPlanDefinition.action.relatedAction.offset[x]
Definition

A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.

Short DisplayTime offset for the relationship
Cardinality0..1
TypeChoice of: Duration, Range
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.timing[x]
Element IdPlanDefinition.action.timing[x]
Definition

An optional value describing when the action should be performed.

Short DisplayWhen the action should take place
Cardinality0..1
TypeChoice of: Age, Duration, Range, Timing
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Must Supporttrue
Requirements

Allows prompting for activities and detection of missed planned activities.

Comments

The intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.location
Element IdPlanDefinition.action.location
Definition

Identifies the facility where the action will occur; e.g. home, hospital, specific clinic, etc.

Short DisplayWhere it should happen
Cardinality0..1
TypeCodeableReference(Location)
Requirements

Helps in planning of activity.

Alternate Namesfacility
Comments

May reference a specific clinical location or may just identify a type of location.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant
Element IdPlanDefinition.action.participant
Definition

Indicates who should participate in performing the action described.

Short DisplayWho should participate in the action
Cardinality0..*
TypeBackboneElement
Must Supporttrue
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant.id
Element IdPlanDefinition.action.participant.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.participant.extension
Element IdPlanDefinition.action.participant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.participant.modifierExtension
Element IdPlanDefinition.action.participant.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.participant.actorId
Element IdPlanDefinition.action.participant.actorId
Definition

A reference to the id element of the actor who will participate in this action.

Short DisplayWhat actor
Cardinality0..1
Typestring
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant.type
Element IdPlanDefinition.action.participant.type
Definition

The type of participant in the action.

Short Displaycareteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson
Cardinality0..1
Terminology BindingThe type of participant in the activity.
The codes SHALL be taken from Action Participant Type
Typecode
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant.typeCanonical
Element IdPlanDefinition.action.participant.typeCanonical
Definition

The type of participant in the action.

Short DisplayWho or what can participate
Cardinality0..1
Typecanonical(CapabilityStatement)
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant.typeReference
Element IdPlanDefinition.action.participant.typeReference
Definition

The type of participant in the action.

Short DisplayWho or what can participate
Cardinality0..1
TypeReference(CareTeam)
Comments

When this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location).

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant.role
Element IdPlanDefinition.action.participant.role
Definition

The role the participant should play in performing the described action.

Short DisplayE.g. Nurse, Surgeon, Parent
Cardinality0..1
Terminology BindingDefines roles played by participants for the action.
For example codes, see Action Participant Role icon
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.participant.function
Element IdPlanDefinition.action.participant.function
Definition

Indicates how the actor will be involved in the action - author, reviewer, witness, etc.

Short DisplayE.g. Author, Reviewer, Witness, etc
Cardinality0..1
Terminology Bindingnull
For example codes, see Action Participant Function
TypeCodeableConcept
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.type
Element IdPlanDefinition.action.type
Definition

The type of action to perform (create, update, remove).

Short Displaycreate | update | remove | fire-event
Cardinality0..1
Terminology BindingThe type of action to be performed.
The codes SHALL be taken from Action Type; other codes may be used where these codes are not suitable
TypeCodeableConcept
Must Supporttrue
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.groupingBehavior
Element IdPlanDefinition.action.groupingBehavior
Definition

Defines the grouping behavior for the action and its children.

Short Displayvisual-group | logical-group | sentence-group
Cardinality0..1
Terminology BindingDefines organization behavior of a group.
The codes SHALL be taken from Action Grouping Behavior
Typecode
Meaning if MissingIf no grouping behavior is specified but the action has children (i.e. is a group), the grouping behavior is assumed to be `logical-group`.
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.selectionBehavior
Element IdPlanDefinition.action.selectionBehavior
Definition

Defines the selection behavior for the action and its children.

Short Displayany | all | all-or-none | exactly-one | at-most-one | one-or-more
Cardinality0..1
Terminology BindingDefines selection behavior of a group.
The codes SHALL be taken from Action Selection Behavior
Typecode
Must Supporttrue
Meaning if MissingIf no selection behavior is specified but the action has children (i.e. is a group), the selection behavior is assumed to be `all`.
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.requiredBehavior
Element IdPlanDefinition.action.requiredBehavior
Definition

Defines the required behavior for the action.

Short Displaymust | could | must-unless-documented
Cardinality0..1
Terminology BindingDefines expectations around whether an action or action group is required.
The codes SHALL be taken from Action Required Behavior
Typecode
Meaning if MissingIf no required behavior is specified but the action has children (i.e. is a group), the required behavior is assumed to be `could`.
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.precheckBehavior
Element IdPlanDefinition.action.precheckBehavior
Definition

Defines whether the action should usually be preselected.

Short Displayyes | no
Cardinality0..1
Terminology BindingDefines selection frequency behavior for an action or group.
The codes SHALL be taken from Action Precheck Behavior
Typecode
Meaning if MissingIf no precheck behavior is specified but the action has children (i.e. is a group), the precheck behavior is assumed to be `no`.
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.cardinalityBehavior
Element IdPlanDefinition.action.cardinalityBehavior
Definition

Defines whether the action can be selected multiple times.

Short Displaysingle | multiple
Cardinality0..1
Terminology BindingDefines behavior for an action or a group for how many times that item may be repeated.
The codes SHALL be taken from Action Cardinality Behavior
Typecode
Meaning if MissingIf no cardinality behavior is specified but the action has children (i.e. is a group), the cardinality behavior is assumed to be `single`.
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.definition[x]
Element IdPlanDefinition.action.definition[x]
Definition

A reference to an ActivityDefinition that describes the action to be taken in detail, a MessageDefinition describing a message to be snet, a PlanDefinition that describes a series of actions to be taken, a Questionnaire that should be filled out, a SpecimenDefinition describing a specimen to be collected, or an ObservationDefinition that specifies what observation should be captured.

Short DisplayDescription of the activity to be performed
Cardinality0..1
TypeChoice of: canonical(ActivityDefinition), uri
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Must Supporttrue
Comments

Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.transform
Element IdPlanDefinition.action.transform
Definition

A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.

Short DisplayTransform to apply the template
Cardinality0..1
Typecanonical(StructureMap)
Comments

Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.dynamicValue
Element IdPlanDefinition.action.dynamicValue
Definition

Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.

Short DisplayDynamic aspects of the definition
Cardinality0..*
TypeBackboneElement
Comments

Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.dynamicValue.id
Element IdPlanDefinition.action.dynamicValue.id
Definition

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

Short DisplayUnique id for inter-element referencing
Cardinality0..1 This element is affected by the following invariants: ele-1
Typestring
PlanDefinition.action.dynamicValue.extension
Element IdPlanDefinition.action.dynamicValue.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short DisplayAdditional content defined by implementations
Cardinality0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.dynamicValue.modifierExtension
Element IdPlanDefinition.action.dynamicValue.modifierExtension
Definition

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

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

Short DisplayExtensions that cannot be ignored even if unrecognized
Cardinality0..*
TypeExtension
Is Modifiertrue (Reason: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
ext-1RuleMust have either extensions or value[x], not bothextension.exists() != value.exists()
PlanDefinition.action.dynamicValue.path
Element IdPlanDefinition.action.dynamicValue.path
Definition

The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details).

Short DisplayThe path to the element to be set dynamically
Cardinality0..1
Typestring
Comments

To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.dynamicValue.expression
Element IdPlanDefinition.action.dynamicValue.expression
Definition

An expression specifying the value of the customized element.

Short DisplayAn expression that provides the dynamic value for the customization
Cardinality0..1
TypeExpression
Comments

The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.

Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.action.action
Element IdPlanDefinition.action.action
Definition

Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.

Short DisplayA sub-action
Cardinality0..*
TypeSee ttp://hl7.org/fhir/StructureDefinition/PlanDefinition#PlanDefinition.action
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())
PlanDefinition.asNeeded[x]
Element IdPlanDefinition.asNeeded[x]
Definition

If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.

Short DisplayPreconditions for service
Cardinality0..1
Terminology BindingA coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
For example codes, see SNOMED CT Medication As Needed Reason Codes
TypeChoice of: boolean, CodeableConcept
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Invariants
Inherited by this element
ele-1RuleAll FHIR elements must have a @value or childrenhasValue() or (children().count() > id.count())