US Public Health Profiles Library
1.0.0-ballot - STU Ballot
US
US Public Health Profiles Library
1.0.0-ballot - STU Ballot
US
This page is part of the US Public Health Profiles Library (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
| Active as of 2022-07-31 |
{
"resourceType" : "PlanDefinition",
"id" : "us-ph-plandefinition-alt-expression-example",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2022-07-25T03:24:15.383+00:00",
"source" : "#7fgE3zdPadJWZv8T"
},
"text" : {
"status" : "generated",
"div" : "<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 \"us-ph-plandefinition-alt-expression-example\" Version \"2\" Updated \"2022-07-25 03:24:15+0000\" </p><p style=\"margin-bottom: 0px\">Information Source: #7fgE3zdPadJWZv8T!</p></div><p><b>url</b>: <code>http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example</code></p><p><b>version</b>: 1.0.0-ballot</p><p><b>name</b>: USPublicHealthPlanDefinitionAlternativeExpressionExample</p><p><b>title</b>: US Public Health PlanDefinition Alternative Expression 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>: 2022-07-31 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 PlanDefinition</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#US)</span></p><p><b>effectivePeriod</b>: 2020-12-01 --> (ongoing)</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><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>"
},
"url" : "http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example",
"version" : "1.0.0-ballot",
"name" : "USPublicHealthPlanDefinitionAlternativeExpressionExample",
"title" : "US Public Health PlanDefinition Alternative Expression Example",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "workflow-definition",
"display" : "Workflow Definition"
}
]
},
"status" : "active",
"experimental" : true,
"date" : "2022-07-31T12:32:29.858-05:00",
"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 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://example.org/fhir/Library/library-rctc-example"
}
],
"action" : [
{
"id" : "start-workflow",
"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/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "initiate-reporting-workflow",
"display" : "Initiate a reporting workflow"
}
]
}
],
"trigger" : [
{
"id" : "encounter-start",
"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-triggerdefinition-namedevents",
"code" : "encounter-start",
"display" : "Indicates the start of an encounter"
}
]
}
}
],
"type" : "named-event",
"name" : "encounter-start"
}
],
"input" : [
{
"id" : "patient",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Patient/{{context.patientId}}"
}
],
"type" : "Patient"
},
{
"id" : "encounter",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Encounter/{{context.encounterId}}"
}
],
"type" : "Encounter"
}
],
"relatedAction" : [
{
"actionId" : "check-suspected-disorder",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
},
{
"id" : "check-suspected-disorder",
"description" : "This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.",
"textEquivalent" : "Check suspected disorders for immediate reportability and setup jobs for future reportability checks.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "execute-reporting-workflow"
}
]
}
],
"action" : [
{
"id" : "is-encounter-suspected-disorder",
"description" : "This action represents the check for suspected disorder reportability to create the patients eICR.",
"textEquivalent" : "Check Trigger Codes based on Suspected Reportable Value set.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "check-trigger-codes"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Is Suspected Disorder?",
"reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()"
}
}
],
"input" : [
{
"id" : "modifiedConditions",
"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://example.org/fhir/ValueSet/valueset-sdtc-example"
}
]
},
{
"id" : "modifiedLabResults",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Observation?patient=Patient/{{context.patientId}}"
}
],
"type" : "Observation",
"codeFilter" : [
{
"path" : "value",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-sdtc-example"
}
]
},
{
"id" : "modifiedMedicationOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationRequest",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-sdtc-example"
}
]
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "continue-check-reportable",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?",
"reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)"
}
}
],
"relatedAction" : [
{
"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 6,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
}
]
},
{
"id" : "check-reportable",
"description" : "This action represents the check for suspected reportability of the eICR.",
"textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-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-plandefinition-actions",
"code" : "check-trigger-codes"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Is Encounter Reportable and Within Normal Reporting Duration?",
"reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) 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())"
}
}
],
"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://example.org/fhir/ValueSet/valueset-dxtc-example"
}
]
},
{
"id" : "encounters",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter",
"codeFilter" : [
{
"path" : "reasonCode",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-dxtc-example"
}
]
},
{
"id" : "immunizations",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Immunization?patient=Patient/{{context.patientId}}"
}
],
"type" : "Immunization",
"codeFilter" : [
{
"path" : "vaccineCode",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "labOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "ServiceRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "ServiceRequest",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "labTests",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Observation?patient=Patient/{{context.patientId}}"
}
],
"type" : "Observation",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "diagnosticOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "DiagnosticReport?patient=Patient/{{context.patientId}}"
}
],
"type" : "DiagnosticReport",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "procedureOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "ServiceRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "ServiceRequest",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-pctc-example"
}
]
},
{
"id" : "procedures",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Procedure?patient=Patient/{{context.patientId}}"
}
],
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-pctc-example"
}
]
},
{
"id" : "medicationOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationRequest",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "medicationDispenses",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationDispense?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationDispense",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "medicationAdministrations",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationAdministration?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationAdministration",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "labResults",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "labTests"
}
],
"type" : "Observation",
"codeFilter" : [
{
"path" : "value",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-ostc-example"
}
]
},
{
"id" : "diagnosticResults",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "diagnosticOrders"
}
],
"type" : "DiagnosticReport",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://example.org/fhir/ValueSet/valueset-ostc-example"
}
]
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "check-update-eicr",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Most recent eICR sent over 72 hours ago?",
"reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours"
}
}
],
"input" : [
{
"id" : "lasteicr",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "eicrreport"
}
],
"type" : "Bundle",
"profile" : [
"http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "is-encounter-in-progress",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?",
"reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()"
}
}
],
"input" : [
{
"id" : "inprogressencounter",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter"
}
],
"relatedAction" : [
{
"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 6,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
}
]
},
{
"id" : "create-eicr",
"description" : "This action represents the creation of the eICR. It subsequently calls validate.",
"textEquivalent" : "Create eICR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "create-report"
}
]
}
],
"input" : [
{
"id" : "patientdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "patient"
}
],
"type" : "Patient",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
{
"id" : "conditiondata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "conditions"
}
],
"type" : "Condition",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
{
"id" : "encounterdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
{
"id" : "mrdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "medicationOrders"
}
],
"type" : "MedicationRequest",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
{
"id" : "immzdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "immunizations"
}
],
"type" : "Immunization",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
]
},
{
"id" : "procdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "procedures"
}
],
"type" : "Procedure",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
]
},
{
"id" : "labResultdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "labResults"
}
],
"type" : "Observation",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
{
"id" : "labOrderdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "labOrders"
}
],
"type" : "ServiceRequest",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
},
{
"id" : "diagnosticResultdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "diagnosticResults"
}
],
"type" : "DiagnosticReport",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
},
{
"id" : "diagnosticOrderdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "diagnosticOrders"
}
],
"type" : "DiagnosticReport",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
}
],
"output" : [
{
"id" : "eicrreport",
"type" : "Bundle",
"profile" : [
"http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "validate-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "validate-eicr",
"description" : "This action represents the validation of the eICR. It subsequently calls route-and-send.",
"textEquivalent" : "Validate eICR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "validate-report"
}
]
}
],
"input" : [
{
"id" : "generatedeicrreport",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "eicrreport"
}
],
"type" : "Bundle",
"profile" : [
"http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
]
}
],
"output" : [
{
"id" : "valideicrreport",
"type" : "Bundle",
"profile" : [
"http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
]
}
],
"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/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "submit-report"
}
]
}
],
"input" : [
{
"id" : "validatedeicrreport",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "valideicrreport"
}
],
"type" : "Bundle",
"profile" : [
"http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
]
}
],
"output" : [
{
"id" : "submittedeicrreport",
"type" : "Bundle",
"profile" : [
"http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
]
}
]
},
{
"id" : "encounter-modified",
"description" : "This action represents the start of the reporting workflow in response to the encounter-modified event",
"textEquivalent" : "Start the reporting workflow in response to an encounter-modified event",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions",
"code" : "initiate-reporting-workflow",
"display" : "Initiate a reporting workflow"
}
]
}
],
"trigger" : [
{
"id" : "encounter-modified-trigger",
"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-triggerdefinition-namedevents",
"code" : "encounter-modified",
"display" : "Indicates modifications to data elements of an encounter"
}
]
}
}
],
"type" : "named-event",
"name" : "encounter-modified"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Is Encounter Longer Than Normal Reporting Duration?",
"reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)"
}
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
}
]
}
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.ph-library#1.0.0-ballot based on FHIR 4.0.1. Generated 2022-08-05
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