HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.0 - STU 2
US
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.0 - STU 2
US
This page is part of the electronic Case Reporting (eCR) (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Active as of 2020-07-31 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="plandefinition-ersd-instance-simple-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PlanDefinition</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PlanDefinition "plandefinition-ersd-instance-simple-example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ersd-plandefinition.html">eRSD PlanDefinition</a></p></div><p><b>Variable</b>: <span title="text/fhirpath"><code>2 weeks</code></span>(<b>normalReportingDuration</b>)</p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-simple-example</code></p><p><b>version</b>: 2.1.0</p><p><b>name</b>: PlanDefinition_eRSD_Instance_Simple_Example</p><p><b>title</b>: eRSD PlanDefinition Instance Simple Example</p><p><b>type</b>: Workflow Definition <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-plan-definition-type.html">PlanDefinitionType</a>#workflow-definition)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2020-07-31 12:32:29-0500</p><p><b>publisher</b>: HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)</p><p><b>contact</b>: HL7 International - Public Health: <a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a></p><p><b>description</b>: An example ersd PlanDefinition</p><p><b>jurisdiction</b>: United States of America <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#US)</span></p><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the start of the reporting workflow in response to the encounter-start event.</p><p><b>textEquivalent</b>: Start the reporting workflow in response to an encounter-start event</p><p><b>code</b>: Initiate a reporting workflow <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#initiate-reporting-workflow)</span></p><h3>RelatedActions</h3><table class="grid"><tr><td>-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td>*</td><td>check-suspected-disorder</td><td>before-start</td><td>1 h<span style="background: LightGoldenRodYellow"> (Details: UCUM code h = 'h')</span></td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.</p><p><b>textEquivalent</b>: Check suspected disorders for immediate reportability and setup jobs for future reportability checks.</p><p><b>code</b>: Execute a series of actions to accomplish reporting <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#execute-reporting-workflow)</span></p><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the check for suspected disorder reportability to create the patients eICR.</p><p><b>textEquivalent</b>: Check Trigger Codes based on Suspected Reportable Value set.</p><p><b>code</b>: Evaluate candidate patient's data against trigger codes to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#check-trigger-codes)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Evaluate condition to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#evaluate-condition)</span></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the check for suspected reportability of the eICR.</p><p><b>textEquivalent</b>: Check Reportability and setup jobs for future reportability checks.</p><p><b>code</b>: Execute a series of actions to accomplish reporting <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#execute-reporting-workflow)</span></p><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the check for reportability to create the patients eICR.</p><p><b>textEquivalent</b>: Check Trigger Codes based on RCTC Value sets.</p><p><b>code</b>: Evaluate candidate patient's data against trigger codes to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#check-trigger-codes)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Evaluate condition to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#evaluate-condition)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Evaluate condition to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#evaluate-condition)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Complete reporting for the patient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#complete-reporting)</span></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the creation of the eICR. It subsequently calls validate.</p><p><b>textEquivalent</b>: Create eICR</p><p><b>code</b>: Create a Report containing Patient's data for patients who passed the check-reportability test <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#create-report)</span></p><h3>RelatedActions</h3><table class="grid"><tr><td>-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td>*</td><td>validate-eicr</td><td>before-start</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the validation of the eICR. It subsequently calls route-and-send.</p><p><b>textEquivalent</b>: Validate eICR</p><p><b>code</b>: Validate Report against specified profiles and terminologies. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#validate-report)</span></p><h3>RelatedActions</h3><table class="grid"><tr><td>-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td>*</td><td>route-and-send-eicr</td><td>before-start</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the routing and sending of the eICR.</p><p><b>textEquivalent</b>: Route and send eICR</p><p><b>code</b>: Submit the report to specified endpoint <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#submit-report)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>description</b>: This action represents the start of the reporting workflow in response to the encounter-modified event</p><p><b>textEquivalent</b>: Start the reporting workflow in response to an encounter-modified event</p><p><b>code</b>: Initiate a reporting workflow <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-plandefinition-actions.html">US Public Health PlanDefinition Action Codes</a>#initiate-reporting-workflow)</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td>-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td>*</td><td>create-eicr</td><td>before-start</td></tr></table></blockquote></div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="normalReportingDuration"/>
<language value="text/fhirpath"/>
<expression value="2 weeks"/>
</valueExpression>
</extension>
<url
value="http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-simple-example"/>
<version value="2.1.0"/>
<name value="PlanDefinition_eRSD_Instance_Simple_Example"/>
<title value="eRSD PlanDefinition Instance Simple Example"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="workflow-definition"/>
<display value="Workflow Definition"/>
</coding>
</type>
<status value="active"/>
<experimental value="true"/>
<date value="2020-07-31T12:32:29.858-05:00"/>
<publisher
value="HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)"/>
<contact>
<name value="HL7 International - Public Health"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<description value="An example ersd PlanDefinition"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
<text value="United States of America"/>
</jurisdiction>
<action id="start-workflow">
<description
value="This action represents the start of the reporting workflow in response to the encounter-start event."/>
<textEquivalent
value="Start the reporting workflow in response to an encounter-start event"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
<display value="Initiate a reporting workflow"/>
</coding>
</code>
<trigger id="encounter-start">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-triggerdefinition-namedevents"/>
<code value="encounter-start"/>
<display value="Indicates the start of an encounter"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="named-event"/>
<name value="encounter-start"/>
</trigger>
<input id="patient">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Patient/{{context.patientId}}"/>
</extension>
<type value="Patient"/>
</input>
<input id="encounter">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Encounter/{{context.encounterId}}"/>
</extension>
<type value="Encounter"/>
</input>
<relatedAction>
<actionId value="check-suspected-disorder"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
<action id="check-suspected-disorder">
<description
value="This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event."/>
<textEquivalent
value="Check suspected disorders for immediate reportability and setup jobs for future reportability checks."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<action id="is-encounter-suspected-disorder">
<description
value="This action represents the check for suspected disorder reportability to create the patients eICR."/>
<textEquivalent
value="Check Trigger Codes based on Suspected Reportable Value set."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="check-trigger-codes"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()"/>
</expression>
</condition>
<input id="modifiedConditions">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Condition?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-sdtc-example"/>
</codeFilter>
</input>
<input id="modifiedLabResults">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Observation?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="value"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="modifiedMedicationOrders">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="continue-check-reportable">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%encounter.where((status = 'in-progress' and period.start + %normalReportingDuration < now()) or status = 'finished' and period.end <= now() - 72 hours)"/>
</expression>
</condition>
<relatedAction>
<actionId value="check-reportable"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="6"/>
<comparator value="<="/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
</action>
<action id="check-reportable">
<description
value="This action represents the check for suspected reportability of the eICR."/>
<textEquivalent
value="Check Reportability and setup jobs for future reportability checks."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<action id="is-encounter-reportable">
<description
value="This action represents the check for reportability to create the patients eICR."/>
<textEquivalent value="Check Trigger Codes based on RCTC Value sets."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="check-trigger-codes"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%encounter.where(period.start + %normalReportingDuration >= now()) and (%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())"/>
</expression>
</condition>
<input id="conditions">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Condition?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"/>
</codeFilter>
</input>
<input id="encounters">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounter"/>
</extension>
<type value="Encounter"/>
<codeFilter>
<path value="reasonCode"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"/>
</codeFilter>
</input>
<input id="immunizations">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Immunization?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Immunization"/>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="labOrders">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="ServiceRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="labTests">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Observation?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="diagnosticOrders">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="DiagnosticReport?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="DiagnosticReport"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="procedureOrders">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="ServiceRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example"/>
</codeFilter>
</input>
<input id="procedures">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Procedure?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Procedure"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example"/>
</codeFilter>
</input>
<input id="medicationOrders">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="medicationDispenses">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationDispense?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationDispense"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="medicationAdministrations">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationAdministration?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationAdministration"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="labResults">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="labTests"/>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="value"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"/>
</codeFilter>
</input>
<input id="diagnosticResults">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="diagnosticOrders"/>
</extension>
<type value="DiagnosticReport"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"/>
</codeFilter>
</input>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="check-update-eicr">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%last-eicr.last().entry.first().resource.date < now() - 72 hours"/>
</expression>
</condition>
<input id="last-eicr">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="eicr-report"/>
</extension>
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</input>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="is-encounter-in-progress">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%`inprogress-encounter`.where(status = 'in-progress' and period.start + %normalReportingDuration >= now() and period.end <= now() - 72 hours)"/>
</expression>
</condition>
<input id="inprogress-encounter">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounter"/>
</extension>
<type value="Encounter"/>
</input>
<relatedAction>
<actionId value="check-reportable"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="6"/>
<comparator value="<="/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
<action id="is-encounter-completed">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="complete-reporting"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression value="%completedEncounter.exists(status = 'finished')"/>
</expression>
</condition>
<input id="completedEncounter">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounter"/>
</extension>
<type value="Encounter"/>
</input>
</action>
</action>
<action id="create-eicr">
<description
value="This action represents the creation of the eICR. It subsequently calls validate."/>
<textEquivalent value="Create eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="create-report"/>
</coding>
</code>
<input id="patient-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="patient"/>
</extension>
<type value="Patient"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</input>
<input id="condition-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="conditions"/>
</extension>
<type value="Condition"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
</input>
<input id="encounter-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounters"/>
</extension>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</input>
<input id="mr-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="medicationOrders"/>
</extension>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</input>
<input id="immz-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="immunizations"/>
</extension>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"/>
</input>
<input id="proc-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="procedures"/>
</extension>
<type value="Procedure"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
</input>
<input id="labResult-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="labResults"/>
</extension>
<type value="Observation"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</input>
<input id="labOrder-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="labOrders"/>
</extension>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
</input>
<input id="diagnosticResult-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="diagnosticResults"/>
</extension>
<type value="DiagnosticReport"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
</input>
<input id="diagnosticOrder-data">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="diagnosticOrders"/>
</extension>
<type value="DiagnosticReport"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
</input>
<output id="eicr-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</output>
<relatedAction>
<actionId value="validate-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="validate-eicr">
<description
value="This action represents the validation of the eICR. It subsequently calls route-and-send."/>
<textEquivalent value="Validate eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="validate-report"/>
</coding>
</code>
<input id="generated-eicr-report">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="eicr-report"/>
</extension>
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</input>
<output id="valid-eicr-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</output>
<relatedAction>
<actionId value="route-and-send-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="route-and-send-eicr">
<description
value="This action represents the routing and sending of the eICR."/>
<textEquivalent value="Route and send eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="submit-report"/>
</coding>
</code>
<input id="validated-eicr-report">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension">
<valueString value="valid-eicr-report"/>
</extension>
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</input>
<output id="submitted-eicr-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"/>
</output>
</action>
<action id="encounter-modified">
<description
value="This action represents the start of the reporting workflow in response to the encounter-modified event"/>
<textEquivalent
value="Start the reporting workflow in response to an encounter-modified event"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
<display value="Initiate a reporting workflow"/>
</coding>
</code>
<trigger id="encounter-modified-trigger">
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-triggerdefinition-namedevents"/>
<code value="encounter-modified"/>
<display
value="Indicates modifications to data elements of an encounter"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="named-event"/>
<name value="encounter-modified"/>
</trigger>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%encounter.where(period.start + %normalReportingDuration < now())"/>
</expression>
</condition>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
</PlanDefinition>
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.ecr#2.1.0 based on FHIR 4.0.1. Generated 2022-08-31
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