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

: US Public Health PlanDefinition Alternative Expression Example - TTL Representation

Active as of 2022-07-31

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:PlanDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "us-ph-plandefinition-alt-expression-example"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2022-07-25T03:24:15.383+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#7fgE3zdPadJWZv8T" ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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 --&gt; (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>"
  ];
  fhir:PlanDefinition.url [ fhir:value "http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example"];
  fhir:PlanDefinition.version [ fhir:value "1.0.0-ballot"];
  fhir:PlanDefinition.name [ fhir:value "USPublicHealthPlanDefinitionAlternativeExpressionExample"];
  fhir:PlanDefinition.title [ fhir:value "US Public Health PlanDefinition Alternative Expression Example"];
  fhir:PlanDefinition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ];
       fhir:Coding.code [ fhir:value "workflow-definition" ];
       fhir:Coding.display [ fhir:value "Workflow Definition" ]     ]
  ];
  fhir:PlanDefinition.status [ fhir:value "active"];
  fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:PlanDefinition.date [ fhir:value "2022-07-31T12:32:29.858-05:00"^^xsd:dateTime];
  fhir:PlanDefinition.publisher [ fhir:value "HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)"];
  fhir:PlanDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 International - Public Health" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/pher" ]     ]
  ];
  fhir:PlanDefinition.description [ fhir:value "An example PlanDefinition"];
  fhir:PlanDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ];
     fhir:CodeableConcept.text [ fhir:value "United States of America" ]
  ];
  fhir:PlanDefinition.effectivePeriod [
     fhir:Period.start [ fhir:value "2020-12-01"^^xsd:date ]
  ];
  fhir:PlanDefinition.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.label [ fhir:value "RCTC Value Set Library of Trigger Codes" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://example.org/fhir/Library/library-rctc-example";
       fhir:link <http://example.org/fhir/Library/library-rctc-example>     ]
  ];
  fhir:PlanDefinition.action [
     fhir:index 0;
     fhir:Element.id [ fhir:value "start-workflow" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the start of the reporting workflow in response to the encounter-start event." ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Start the reporting workflow in response to an encounter-start event" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "initiate-reporting-workflow" ];
         fhir:Coding.display [ fhir:value "Initiate a reporting workflow" ]       ]     ];
     fhir:PlanDefinition.action.trigger [
       fhir:index 0;
       fhir:Element.id [ fhir:value "encounter-start" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension" ];
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-triggerdefinition-namedevents" ];
             fhir:Coding.code [ fhir:value "encounter-start" ];
             fhir:Coding.display [ fhir:value "Indicates the start of an encounter" ]           ]         ]       ];
       fhir:TriggerDefinition.type [ fhir:value "named-event" ];
       fhir:TriggerDefinition.name [ fhir:value "encounter-start" ]     ];
     fhir:PlanDefinition.action.input [
       fhir:index 0;
       fhir:Element.id [ fhir:value "patient" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
         fhir:Extension.valueString [ fhir:value "Patient/{{context.patientId}}" ]       ];
       fhir:DataRequirement.type [ fhir:value "Patient" ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "encounter" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
         fhir:Extension.valueString [ fhir:value "Encounter/{{context.encounterId}}" ]       ];
       fhir:DataRequirement.type [ fhir:value "Encounter" ]     ];
     fhir:PlanDefinition.action.relatedAction [
       fhir:index 0;
       fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "check-suspected-disorder" ];
       fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ];
       fhir:PlanDefinition.action.relatedAction.offsetDuration [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "h" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "check-suspected-disorder" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event." ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Check suspected disorders for immediate reportability and setup jobs for future reportability checks." ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "execute-reporting-workflow" ]       ]     ];
     fhir:PlanDefinition.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "is-encounter-suspected-disorder" ];
       fhir:PlanDefinition.action.description [ fhir:value "This action represents the check for suspected disorder reportability to create the patients eICR." ];
       fhir:PlanDefinition.action.textEquivalent [ fhir:value "Check Trigger Codes based on Suspected Reportable Value set." ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
           fhir:Coding.code [ fhir:value "check-trigger-codes" ]         ]       ];
       fhir:PlanDefinition.action.condition [
         fhir:index 0;
         fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
         fhir:PlanDefinition.action.condition.expression [
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension" ];
             fhir:Extension.valueExpression [
               fhir:Expression.language [ fhir:value "text/cql-identifier" ];
               fhir:Expression.expression [ fhir:value "Is Suspected Disorder?" ];
               fhir:Expression.reference [ fhir:value "http://example.org/fhir/Library/RuleFilters|1.0.0" ]             ]           ];
           fhir:Expression.language [ fhir:value "text/fhirpath" ];
           fhir:Expression.expression [ fhir:value "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()" ]         ]       ];
       fhir:PlanDefinition.action.input [
         fhir:index 0;
         fhir:Element.id [ fhir:value "modifiedConditions" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "Condition?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "Condition" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-sdtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-sdtc-example>           ]         ]       ], [
         fhir:index 1;
         fhir:Element.id [ fhir:value "modifiedLabResults" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "Observation?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "Observation" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "value" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-sdtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-sdtc-example>           ]         ]       ], [
         fhir:index 2;
         fhir:Element.id [ fhir:value "modifiedMedicationOrders" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "MedicationRequest?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-sdtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-sdtc-example>           ]         ]       ];
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "create-eicr" ];
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "continue-check-reportable" ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
           fhir:Coding.code [ fhir:value "evaluate-condition" ]         ]       ];
       fhir:PlanDefinition.action.condition [
         fhir:index 0;
         fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
         fhir:PlanDefinition.action.condition.expression [
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension" ];
             fhir:Extension.valueExpression [
               fhir:Expression.language [ fhir:value "text/cql-identifier" ];
               fhir:Expression.expression [ fhir:value "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?" ];
               fhir:Expression.reference [ fhir:value "http://example.org/fhir/Library/RuleFilters|1.0.0" ]             ]           ];
           fhir:Expression.language [ fhir:value "text/fhirpath" ];
           fhir:Expression.expression [ fhir:value "%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)" ]         ]       ];
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "check-reportable" ];
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ];
         fhir:PlanDefinition.action.relatedAction.offsetDuration [
           fhir:Quantity.value [ fhir:value "6"^^xsd:decimal ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "h" ]         ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "check-reportable" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the check for suspected reportability of the eICR." ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Check Reportability and setup jobs for future reportability checks." ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "execute-reporting-workflow" ]       ]     ];
     fhir:PlanDefinition.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "is-encounter-reportable" ];
       fhir:PlanDefinition.action.description [ fhir:value "This action represents the check for reportability to create the patients eICR." ];
       fhir:PlanDefinition.action.textEquivalent [ fhir:value "Check Trigger Codes based on RCTC Value sets." ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
           fhir:Coding.code [ fhir:value "check-trigger-codes" ]         ]       ];
       fhir:PlanDefinition.action.condition [
         fhir:index 0;
         fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
         fhir:PlanDefinition.action.condition.expression [
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension" ];
             fhir:Extension.valueExpression [
               fhir:Expression.language [ fhir:value "text/cql-identifier" ];
               fhir:Expression.expression [ fhir:value "Is Encounter Reportable and Within Normal Reporting Duration?" ];
               fhir:Expression.reference [ fhir:value "http://example.org/fhir/Library/RuleFilters|1.0.0" ]             ]           ];
           fhir:Expression.language [ fhir:value "text/fhirpath" ];
           fhir:Expression.expression [ fhir:value "%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())" ]         ]       ];
       fhir:PlanDefinition.action.input [
         fhir:index 0;
         fhir:Element.id [ fhir:value "conditions" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "Condition?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "Condition" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-dxtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-dxtc-example>           ]         ]       ], [
         fhir:index 1;
         fhir:Element.id [ fhir:value "encounters" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
           fhir:Extension.valueString [ fhir:value "encounter" ]         ];
         fhir:DataRequirement.type [ fhir:value "Encounter" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "reasonCode" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-dxtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-dxtc-example>           ]         ]       ], [
         fhir:index 2;
         fhir:Element.id [ fhir:value "immunizations" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "Immunization?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "Immunization" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "vaccineCode" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-mrtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-mrtc-example>           ]         ]       ], [
         fhir:index 3;
         fhir:Element.id [ fhir:value "labOrders" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "ServiceRequest?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-lotc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-lotc-example>           ]         ]       ], [
         fhir:index 4;
         fhir:Element.id [ fhir:value "labTests" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "Observation?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "Observation" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-lotc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-lotc-example>           ]         ]       ], [
         fhir:index 5;
         fhir:Element.id [ fhir:value "diagnosticOrders" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "DiagnosticReport?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-lotc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-lotc-example>           ]         ]       ], [
         fhir:index 6;
         fhir:Element.id [ fhir:value "procedureOrders" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "ServiceRequest?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-pctc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-pctc-example>           ]         ]       ], [
         fhir:index 7;
         fhir:Element.id [ fhir:value "procedures" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "Procedure?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "Procedure" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-pctc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-pctc-example>           ]         ]       ], [
         fhir:index 8;
         fhir:Element.id [ fhir:value "medicationOrders" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "MedicationRequest?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-mrtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-mrtc-example>           ]         ]       ], [
         fhir:index 9;
         fhir:Element.id [ fhir:value "medicationDispenses" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "MedicationDispense?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "MedicationDispense" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-mrtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-mrtc-example>           ]         ]       ], [
         fhir:index 10;
         fhir:Element.id [ fhir:value "medicationAdministrations" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension" ];
           fhir:Extension.valueString [ fhir:value "MedicationAdministration?patient=Patient/{{context.patientId}}" ]         ];
         fhir:DataRequirement.type [ fhir:value "MedicationAdministration" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-mrtc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-mrtc-example>           ]         ]       ], [
         fhir:index 11;
         fhir:Element.id [ fhir:value "labResults" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
           fhir:Extension.valueString [ fhir:value "labTests" ]         ];
         fhir:DataRequirement.type [ fhir:value "Observation" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "value" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-ostc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-ostc-example>           ]         ]       ], [
         fhir:index 12;
         fhir:Element.id [ fhir:value "diagnosticResults" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
           fhir:Extension.valueString [ fhir:value "diagnosticOrders" ]         ];
         fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ];
         fhir:DataRequirement.codeFilter [
           fhir:index 0;
           fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
           fhir:DataRequirement.codeFilter.valueSet [
             fhir:value "http://example.org/fhir/ValueSet/valueset-ostc-example";
             fhir:link <http://example.org/fhir/ValueSet/valueset-ostc-example>           ]         ]       ];
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "create-eicr" ];
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "check-update-eicr" ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
           fhir:Coding.code [ fhir:value "evaluate-condition" ]         ]       ];
       fhir:PlanDefinition.action.condition [
         fhir:index 0;
         fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
         fhir:PlanDefinition.action.condition.expression [
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension" ];
             fhir:Extension.valueExpression [
               fhir:Expression.language [ fhir:value "text/cql-identifier" ];
               fhir:Expression.expression [ fhir:value "Most recent eICR sent over 72 hours ago?" ];
               fhir:Expression.reference [ fhir:value "http://example.org/fhir/Library/RuleFilters|1.0.0" ]             ]           ];
           fhir:Expression.language [ fhir:value "text/fhirpath" ];
           fhir:Expression.expression [ fhir:value "((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours" ]         ]       ];
       fhir:PlanDefinition.action.input [
         fhir:index 0;
         fhir:Element.id [ fhir:value "lasteicr" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
           fhir:Extension.valueString [ fhir:value "eicrreport" ]         ];
         fhir:DataRequirement.type [ fhir:value "Bundle" ];
         fhir:DataRequirement.profile [
           fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle";
           fhir:index 0;
           fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle>         ]       ];
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "create-eicr" ];
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "is-encounter-in-progress" ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
           fhir:Coding.code [ fhir:value "evaluate-condition" ]         ]       ];
       fhir:PlanDefinition.action.condition [
         fhir:index 0;
         fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
         fhir:PlanDefinition.action.condition.expression [
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension" ];
             fhir:Extension.valueExpression [
               fhir:Expression.language [ fhir:value "text/cql-identifier" ];
               fhir:Expression.expression [ fhir:value "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?" ];
               fhir:Expression.reference [ fhir:value "http://example.org/fhir/Library/RuleFilters|1.0.0" ]             ]           ];
           fhir:Expression.language [ fhir:value "text/fhirpath" ];
           fhir:Expression.expression [ fhir:value "%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()" ]         ]       ];
       fhir:PlanDefinition.action.input [
         fhir:index 0;
         fhir:Element.id [ fhir:value "inprogressencounter" ];
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
           fhir:Extension.valueString [ fhir:value "encounter" ]         ];
         fhir:DataRequirement.type [ fhir:value "Encounter" ]       ];
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "check-reportable" ];
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ];
         fhir:PlanDefinition.action.relatedAction.offsetDuration [
           fhir:Quantity.value [ fhir:value "6"^^xsd:decimal ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "h" ]         ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "create-eicr" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the creation of the eICR. It subsequently calls validate." ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Create eICR" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "create-report" ]       ]     ];
     fhir:PlanDefinition.action.input [
       fhir:index 0;
       fhir:Element.id [ fhir:value "patientdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "patient" ]       ];
       fhir:DataRequirement.type [ fhir:value "Patient" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "conditiondata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "conditions" ]       ];
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "encounterdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "encounter" ]       ];
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "mrdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "medicationOrders" ]       ];
       fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "immzdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "immunizations" ]       ];
       fhir:DataRequirement.type [ fhir:value "Immunization" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization>       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "procdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "procedures" ]       ];
       fhir:DataRequirement.type [ fhir:value "Procedure" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure>       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "labResultdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "labResults" ]       ];
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab>       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "labOrderdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "labOrders" ]       ];
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "diagnosticResultdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "diagnosticResults" ]       ];
       fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab>       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "diagnosticOrderdata" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "diagnosticOrders" ]       ];
       fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab>       ]     ];
     fhir:PlanDefinition.action.output [
       fhir:index 0;
       fhir:Element.id [ fhir:value "eicrreport" ];
       fhir:DataRequirement.type [ fhir:value "Bundle" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle>       ]     ];
     fhir:PlanDefinition.action.relatedAction [
       fhir:index 0;
       fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "validate-eicr" ];
       fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]     ]
  ], [
     fhir:index 4;
     fhir:Element.id [ fhir:value "validate-eicr" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the validation of the eICR. It subsequently calls route-and-send." ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Validate eICR" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "validate-report" ]       ]     ];
     fhir:PlanDefinition.action.input [
       fhir:index 0;
       fhir:Element.id [ fhir:value "generatedeicrreport" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "eicrreport" ]       ];
       fhir:DataRequirement.type [ fhir:value "Bundle" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle>       ]     ];
     fhir:PlanDefinition.action.output [
       fhir:index 0;
       fhir:Element.id [ fhir:value "valideicrreport" ];
       fhir:DataRequirement.type [ fhir:value "Bundle" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle>       ]     ];
     fhir:PlanDefinition.action.relatedAction [
       fhir:index 0;
       fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "route-and-send-eicr" ];
       fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]     ]
  ], [
     fhir:index 5;
     fhir:Element.id [ fhir:value "route-and-send-eicr" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the routing and sending of the eICR." ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Route and send eICR" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "submit-report" ]       ]     ];
     fhir:PlanDefinition.action.input [
       fhir:index 0;
       fhir:Element.id [ fhir:value "validatedeicrreport" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension" ];
         fhir:Extension.valueString [ fhir:value "valideicrreport" ]       ];
       fhir:DataRequirement.type [ fhir:value "Bundle" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle>       ]     ];
     fhir:PlanDefinition.action.output [
       fhir:index 0;
       fhir:Element.id [ fhir:value "submittedeicrreport" ];
       fhir:DataRequirement.type [ fhir:value "Bundle" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle>       ]     ]
  ], [
     fhir:index 6;
     fhir:Element.id [ fhir:value "encounter-modified" ];
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the start of the reporting workflow in response to the encounter-modified event" ];
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Start the reporting workflow in response to an encounter-modified event" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-plandefinition-actions" ];
         fhir:Coding.code [ fhir:value "initiate-reporting-workflow" ];
         fhir:Coding.display [ fhir:value "Initiate a reporting workflow" ]       ]     ];
     fhir:PlanDefinition.action.trigger [
       fhir:index 0;
       fhir:Element.id [ fhir:value "encounter-modified-trigger" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension" ];
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-triggerdefinition-namedevents" ];
             fhir:Coding.code [ fhir:value "encounter-modified" ];
             fhir:Coding.display [ fhir:value "Indicates modifications to data elements of an encounter" ]           ]         ]       ];
       fhir:TriggerDefinition.type [ fhir:value "named-event" ];
       fhir:TriggerDefinition.name [ fhir:value "encounter-modified" ]     ];
     fhir:PlanDefinition.action.condition [
       fhir:index 0;
       fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
       fhir:PlanDefinition.action.condition.expression [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension" ];
           fhir:Extension.valueExpression [
             fhir:Expression.language [ fhir:value "text/cql-identifier" ];
             fhir:Expression.expression [ fhir:value "Is Encounter Longer Than Normal Reporting Duration?" ];
             fhir:Expression.reference [ fhir:value "http://example.org/fhir/Library/RuleFilters|1.0.0" ]           ]         ];
         fhir:Expression.language [ fhir:value "text/fhirpath" ];
         fhir:Expression.expression [ fhir:value "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)" ]       ]     ];
     fhir:PlanDefinition.action.relatedAction [
       fhir:index 0;
       fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "create-eicr" ];
       fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.