{
  "resourceType" : "PlanDefinition",
  "id" : "plandefinition-central-cancer-registry-reporting-example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2020-11-29T02:03:28.045+00:00",
    "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-plandefinition"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>CCRR PlanDefinition Example</b></p></div>"
  },
  "url" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/plandefinition-central-cancer-registry-reporting-example",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.40.34.1"
  }],
  "version" : "2.0.0-ballot",
  "name" : "CentralCancerRegistryReportingExample",
  "title" : "PlanDefinition Central Cancer Registry Reporting Example",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
      "code" : "workflow-definition",
      "display" : "Workflow Definition"
    }]
  },
  "status" : "draft",
  "experimental" : true,
  "date" : "2020-11-04T12:32:29.858-05:00",
  "publisher" : "HL7 International / Public Health",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/pher"
    }]
  }],
  "description" : "This is the Healthcare Survey Reporting Knowledge Artifact",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "effectivePeriod" : {
    "start" : "2021-11-01"
  },
  "relatedArtifact" : [{
    "type" : "depends-on",
    "label" : "Central Cancer Registry Trigger Codes",
    "resource" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"
  }],
  "action" : [{
    "id" : "start-workflow",
    "description" : "This action represents the start of the reporting workflow in response to the encounter-close event",
    "textEquivalent" : "Start the reporting workflow in response to an encounter-close event",
    "code" : [{
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
        "code" : "initiate-reporting-workflow"
      }]
    }],
    "trigger" : [{
      "id" : "encounter-close",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents",
            "code" : "encounter-close",
            "display" : "Indicates the close of an encounter"
          }]
        }
      }],
      "type" : "named-event",
      "name" : "encounter-close"
    }],
    "relatedAction" : [{
      "actionId" : "check-reportable",
      "relationship" : "before-start",
      "offsetDuration" : {
        "value" : 72,
        "system" : "http://unitsofmeasure.org",
        "code" : "h"
      }
    }]
  },
  {
    "id" : "check-reportable",
    "description" : "This action represents the check for suspected reportability of the cancer data.",
    "textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
    "code" : [{
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
        "code" : "execute-reporting-workflow"
      }]
    }],
    "action" : [{
      "id" : "is-encounter-reportable",
      "description" : "This action represents the check for reportability to create the patients eICR.",
      "textEquivalent" : "Check Trigger Codes based on RCTC Value sets.",
      "code" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
          "code" : "check-trigger-codes"
        }]
      }],
      "condition" : [{
        "kind" : "applicability",
        "expression" : {
          "language" : "text/fhirpath",
          "expression" : "%conditions.exists()"
        }
      }],
      "input" : [{
        "id" : "conditions",
        "extension" : [{
          "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString" : "Condition?patient=Patient/{{context.patientId}}"
        }],
        "type" : "Condition",
        "codeFilter" : [{
          "path" : "code",
          "valueSet" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"
        }]
      }],
      "relatedAction" : [{
        "actionId" : "report-cancer-data",
        "relationship" : "before-start"
      }]
    },
    {
      "id" : "should-continue-reporting",
      "code" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
          "code" : "evaluate-condition"
        }]
      }],
      "condition" : [{
        "kind" : "applicability",
        "expression" : {
          "language" : "text/fhirpath",
          "expression" : "%patient.deceased[x] == null && (currentTime - previousReportSubmissionTime) < 7776000"
        }
      }],
      "relatedAction" : [{
        "actionId" : "check-reportable",
        "relationship" : "before-start",
        "offsetDuration" : {
          "value" : 6,
          "system" : "http://unitsofmeasure.org",
          "code" : "mo"
        }
      }]
    }]
  },
  {
    "id" : "report-cancer-data",
    "description" : "This action represents the creation, validation and submission of the cancer report.",
    "textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
    "code" : [{
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
        "code" : "execute-reporting-workflow"
      }]
    }],
    "action" : [{
      "id" : "create-cancer-report",
      "description" : "This action represents the creation of the cancer report.",
      "textEquivalent" : "Central Cancer Registry Report",
      "code" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
          "code" : "create-report"
        }]
      }],
      "input" : [{
        "id" : "patient",
        "type" : "Patient",
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"]
      },
      {
        "id" : "condition",
        "type" : "Condition",
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"]
      },
      {
        "id" : "encounter",
        "type" : "Encounter",
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"]
      },
      {
        "id" : "mr",
        "type" : "MedicationRequest",
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"]
      },
      {
        "id" : "vitals",
        "type" : "Observation",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      },
      {
        "id" : "labs",
        "type" : "Observation",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0"]
      }],
      "output" : [{
        "id" : "cancer-report",
        "type" : "Bundle",
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"]
      }],
      "relatedAction" : [{
        "actionId" : "validate-report",
        "relationship" : "before-start"
      }]
    },
    {
      "id" : "validate-cancer-report",
      "description" : "This action represents the validation of the cancer report.",
      "textEquivalent" : "Validate Report",
      "code" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
          "code" : "validate-report"
        }]
      }],
      "input" : [{
        "id" : "created-cancer-report",
        "type" : "Bundle",
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"]
      }],
      "output" : [{
        "id" : "validated-cancer-report",
        "type" : "Bundle",
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"]
      }],
      "relatedAction" : [{
        "actionId" : "submit-report",
        "relationship" : "before-start"
      }]
    },
    {
      "id" : "route-and-send-cancer-report",
      "description" : "This action represents the routing and sending of the cancer report.",
      "textEquivalent" : "Route and send cancer report",
      "code" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
          "code" : "submit-report"
        }]
      }],
      "input" : [{
        "id" : "val-cancer-report",
        "type" : "Bundle",
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"]
      }]
    }]
  }]
}