HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
1.1.0 - STU 2 Ballot

This page is part of the electronic Case Reporting (eCR) (v1.1.0: STU 2 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

: eRSD PlanDefinition Instance: plandefinition-ersd-instance - JSON Representation

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{
  "resourceType" : "PlanDefinition",
  "id" : "plandefinition-ersd-instance",
  "meta" : {
    "versionId" : "18",
    "lastUpdated" : "2020-12-03T07:29:41.456+00:00",
    "source" : "#1Vdult52UApiUgPS",
    "profile" : [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>\n                <b>PlanDefinition eRSD Instance</b>\n            </p>\n            <p>\n                <b>url</b>:\n\n\n\n                \n                <a href=\"PlanDefinition-plandefinition-ersd-instance.html\">http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance</a>\n            </p>\n            <p>\n                <b>version</b>: 3.0.0\n\n\n\n            \n            </p>\n            <p>\n                <b>name</b>: PlanDefinition_eRSD_Instance\n\n\n\n            \n            </p>\n            <p>\n                <b>title</b>: eRSD PlanDefinition Instance\n\n\n\n            \n            </p>\n            <p>\n                <b>type</b>:\n\n\n\n                \n                <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/plan-definition-type workflow-definition}\">Workflow\n        Definition</span>\n            </p>\n            <p>\n                <b>status</b>: active\n\n\n\n            \n            </p>\n            <p>\n                <b>experimental</b>: true\n\n\n\n            \n            </p>\n            <p>\n                <b>date</b>: Jul 31, 2020, 5:32:29 PM\n\n\n\n            \n            </p>\n            <p>\n                <b>publisher</b>: HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)\n\n\n\n            \n            </p>\n            <p>\n                <b>contact</b>: HL7 International - Public Health:\n\n\n\n                \n                <a href=\"http://www.hl7.org/Special/committees/pher\">http://www.hl7.org/Special/committees/pher</a>\n            </p>\n            <p>\n                <b>description</b>: An example ersd PlanDefinition\n\n\n\n            \n            </p>\n            <p>\n                <b>jurisdiction</b>:\n\n\n\n                \n                <span title=\"Codes: {urn:iso:std:iso:3166 US}\">United States of America</span>\n            </p>\n            <p>\n                <b>effectivePeriod</b>: 2020-12-01 --&gt; (ongoing)\n\n\n\n            \n            </p>\n        </div>"
  },
  "url" : "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance",
  "version" : "1.1.0",
  "name" : "PlanDefinition_eRSD_Instance",
  "title" : "eRSD PlanDefinition Instance",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "workflow-definition",
        "display" : "Workflow Definition"
      }
    ]
  },
  "status" : "active",
  "experimental" : true,
  "date" : "2020-07-31T12:32:29.858-05:00",
  "publisher" : "HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)",
  "contact" : [
    {
      "name" : "HL7 International - Public Health",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pher"
        }
      ]
    }
  ],
  "description" : "An example ersd PlanDefinition",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ],
      "text" : "United States of America"
    }
  ],
  "effectivePeriod" : {
    "start" : "2020-12-01"
  },
  "relatedArtifact" : [
    {
      "type" : "depends-on",
      "label" : "RCTC Value Set Library of Trigger Codes",
      "resource" : "http://hl7.org/fhir/us/ecr/Library/library-rctc"
    }
  ],
  "action" : [
    {
      "id" : "start",
      "description" : "This action represents the start of the reporting workflow in response to the encounter-start event",
      "textEquivalent" : "Start the reporting workflow in response to an encounter-start event",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/ecr/CodeSystem/executabletask-type",
              "code" : "start"
            }
          ]
        }
      ],
      "trigger" : [
        {
          "id" : "encounter",
          "type" : "named-event",
          "name" : "encounter-start"
        }
      ],
      "relatedAction" : [
        {
          "actionId" : "check-reportable",
          "relationship" : "before-start",
          "offsetDuration" : {
            "value" : 1,
            "system" : "http://unitsofmeasure.org",
            "code" : "h"
          }
        }
      ]
    },
    {
      "id" : "check-reportable",
      "description" : "This action represents the check for suspected reportability of the eICR.",
      "textEquivalent" : "Check Reportable",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/ecr/CodeSystem/executabletask-type",
              "code" : "check-reportable"
            }
          ]
        }
      ],
      "action" : [
        {
          "id" : "ckr-is-encounter-reportable",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternativeExpression",
                    "valueExpression" : {
                      "language" : "text/cql-identifier",
                      "expression" : "Is Reportable",
                      "reference" : "http://aphl.org/fhir/ecr/Library/RuleFilters|1.0.0"
                    }
                  }
                ],
                "language" : "text/fhirpath",
                "expression" : "%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or $procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists()"
              }
            }
          ],
          "input" : [
            {
              "id" : "conditions",
              "type" : "Condition",
              "codeFilter" : [
                {
                  "path" : "code",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"
                }
              ]
            },
            {
              "id" : "encounters",
              "type" : "Encounter",
              "codeFilter" : [
                {
                  "path" : "reasonCode",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"
                }
              ]
            },
            {
              "id" : "immunizations",
              "type" : "Immunization",
              "codeFilter" : [
                {
                  "path" : "vaccineCode",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
                }
              ]
            },
            {
              "id" : "labOrders",
              "type" : "ServiceRequest",
              "codeFilter" : [
                {
                  "path" : "code",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"
                }
              ]
            },
            {
              "id" : "labTests",
              "type" : "Observation",
              "codeFilter" : [
                {
                  "path" : "code",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"
                }
              ]
            },
            {
              "id" : "procedureOrders",
              "type" : "ServiceRequest",
              "codeFilter" : [
                {
                  "path" : "code",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example"
                }
              ]
            },
            {
              "id" : "procedures",
              "type" : "Procedure",
              "codeFilter" : [
                {
                  "path" : "code",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example"
                }
              ]
            },
            {
              "id" : "medicationOrders",
              "type" : "MedicationRequest",
              "codeFilter" : [
                {
                  "path" : "medication",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
                }
              ]
            },
            {
              "id" : "medicationDispenses",
              "type" : "MedicationDispense",
              "codeFilter" : [
                {
                  "path" : "medication",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
                }
              ]
            },
            {
              "id" : "medicationAdministrations",
              "type" : "MedicationAdministration",
              "codeFilter" : [
                {
                  "path" : "medication",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
                }
              ]
            },
            {
              "id" : "labResults",
              "type" : "Observation",
              "codeFilter" : [
                {
                  "path" : "value",
                  "valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"
                }
              ]
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "create-and-report-eicr",
              "relationship" : "before-start"
            }
          ]
        },
        {
          "id" : "ckr-is-encounter-in-progress",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternativeExpression",
                    "valueExpression" : {
                      "language" : "text/cql-identifier",
                      "expression" : "Is Encounter In Progress",
                      "reference" : "http://aphl.org/fhir/ecr/Library/RuleFilters|1.0.0"
                    }
                  }
                ],
                "language" : "text/fhirpath",
                "expression" : "%encounter.status = 'in-progress'"
              }
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "check-reportable",
              "relationship" : "before-start",
              "offsetDuration" : {
                "value" : 6,
                "system" : "http://unitsofmeasure.org",
                "code" : "h"
              }
            }
          ]
        }
      ]
    },
    {
      "id" : "create-and-report-eicr",
      "description" : "This action represents the creation and reporting of the eICR.",
      "textEquivalent" : "Create and Report eICR",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/ecr/CodeSystem/executabletask-type",
              "code" : "create-and-report-eicr"
            }
          ]
        }
      ],
      "action" : [
        {
          "id" : "car-report-eicr",
          "relatedAction" : [
            {
              "actionId" : "report-eicr",
              "relationship" : "before-start"
            }
          ]
        },
        {
          "id" : "car-is-encounter-complete",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternativeExpression",
                    "valueExpression" : {
                      "language" : "text/cql-identifier",
                      "expression" : "Is Encounter Complete",
                      "reference" : "http://aphl.org/fhir/ecr/Library/RuleFilters|1.0.0"
                    }
                  }
                ],
                "language" : "text/fhirpath",
                "expression" : "%encounter.status = 'finished'"
              }
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "report-eicr",
              "relationship" : "before-start",
              "offsetDuration" : {
                "value" : 24,
                "system" : "http://unitsofmeasure.org",
                "code" : "h"
              }
            }
          ]
        },
        {
          "id" : "car-is-encounter-in-progress",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternativeExpression",
                    "valueExpression" : {
                      "language" : "text/cql-identifier",
                      "expression" : "Is Encounter In Progress",
                      "reference" : "http://aphl.org/fhir/ecr/Library/RuleFilters|1.0.0"
                    }
                  }
                ],
                "language" : "text/fhirpath",
                "expression" : "%encounter.status = 'in-progress'"
              }
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "create-and-report-eicr",
              "relationship" : "before-start",
              "offsetDuration" : {
                "value" : 24,
                "system" : "http://unitsofmeasure.org",
                "code" : "h"
              }
            }
          ]
        }
      ]
    },
    {
      "id" : "report-eicr",
      "description" : "This action represents the reporting of the eICR.",
      "textEquivalent" : "Report eICR",
      "action" : [
        {
          "id" : "create-eicr",
          "description" : "This action represents the creation of the eICR.",
          "textEquivalent" : "Create eICR.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ecr/CodeSystem/executabletask-type",
                  "code" : "create-eicr"
                }
              ]
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "validate-eicr",
              "relationship" : "before-start"
            }
          ]
        },
        {
          "id" : "validate-eicr",
          "description" : "This action represents the validation of the eICR.",
          "textEquivalent" : "Validate eICR.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ecr/CodeSystem/executabletask-type",
                  "code" : "validate-eicr"
                }
              ]
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "route-and-send-eicr",
              "relationship" : "before-start"
            }
          ]
        },
        {
          "id" : "route-and-send-eicr",
          "description" : "This action represents the routing and sending of the eICR.",
          "textEquivalent" : "Route and send eICR",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ecr/CodeSystem/executabletask-type",
                  "code" : "route-and-send-eicr"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}