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: US Public Health PlanDefinition - Alternative Expression - XML Representation

Active as of 2022-07-31

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="us-ph-plandefinition-alt-expression-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PlanDefinition</b><a name="us-ph-plandefinition-alt-expression-example"> </a></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 &quot;us-ph-plandefinition-alt-expression-example&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-plandefinition.html">US Public Health PlanDefinition</a></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</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/5.0.0/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 Working Group</p><p><b>contact</b>: HL7 Public Health Working Group: <a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a>,<a href="mailto:pher@lists.HL7.org">pher@lists.HL7.org</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"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><p><b>effectivePeriod</b>: 2020-12-01 --&gt; (ongoing)</p><h3>RelatedArtifacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Resource</b></td></tr><tr><td style="display: none">*</td><td>depends-on</td><td>RCTC Value Set Library of Trigger Codes</td><td><a href="http://example.org/fhir/Library/library-rctc-example">http://example.org/fhir/Library/library-rctc-example</a></td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>start-workflow</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#initiate-reporting-workflow)</span></p><blockquote><p><b>trigger</b></p><blockquote><p><b>id</b></p>encounter-start</blockquote><p><b>US Public Health Named Event Type Extension</b>: Indicates the start of an encounter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-codesystem-triggerdefinition-namedevents.html">US Public Health CodeSystem - Trigger Definition Named Events</a>#encounter-start)</span></p><p><b>type</b>: named-event</p><p><b>name</b>: encounter-start</p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>patient</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Patient/{{context.patientId}}</p><p><b>type</b>: Patient</p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounter</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Encounter/{{context.encounterId}}</p><p><b>type</b>: Encounter</p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td style="display: none">*</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><blockquote><p><b>id</b></p>check-suspected-disorder</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#execute-reporting-workflow)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-suspected-disorder</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#check-trigger-codes)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/condition.html">Condition</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-sdtc-example">http://example.org/fhir/ValueSet/valueset-sdtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>value</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-sdtc-example">http://example.org/fhir/ValueSet/valueset-sdtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-sdtc-example">http://example.org/fhir/ValueSet/valueset-sdtc-example</a></td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>continue-check-reportable</blockquote><p><b>code</b>: Evaluate condition to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#evaluate-condition)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-reportable</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#execute-reporting-workflow)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-reportable</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#check-trigger-codes)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/condition.html">Condition</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-dxtc-example">http://example.org/fhir/ValueSet/valueset-dxtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>reasonCode</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-dxtc-example">http://example.org/fhir/ValueSet/valueset-dxtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/immunization.html">Immunization</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>vaccineCode</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-mrtc-example">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-lotc-example">http://example.org/fhir/ValueSet/valueset-lotc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-lotc-example">http://example.org/fhir/ValueSet/valueset-lotc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-lotc-example">http://example.org/fhir/ValueSet/valueset-lotc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-pctc-example">http://example.org/fhir/ValueSet/valueset-pctc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-pctc-example">http://example.org/fhir/ValueSet/valueset-pctc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-mrtc-example">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/medicationdispense.html">MedicationDispense</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-mrtc-example">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/medicationadministration.html">MedicationAdministration</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-mrtc-example">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>value</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-ostc-example">http://example.org/fhir/ValueSet/valueset-ostc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a></td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href="http://example.org/fhir/ValueSet/valueset-ostc-example">http://example.org/fhir/ValueSet/valueset-ostc-example</a></td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-update-eicr</blockquote><p><b>code</b>: Evaluate condition to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#evaluate-condition)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a> (<a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a>)</td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-in-progress</blockquote><p><b>code</b>: Evaluate condition to determine reportability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#evaluate-condition)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a></td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>create-eicr</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#create-report)</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>patientdata</blockquote><p><b>US Public Health Related Data Extension</b>: patient</p><p><b>type</b>: Patient</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>conditiondata</blockquote><p><b>US Public Health Related Data Extension</b>: conditions</p><p><b>type</b>: Condition</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html">US Core Condition Encounter Diagnosis Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounterdata</blockquote><p><b>US Public Health Related Data Extension</b>: encounter</p><p><b>type</b>: Encounter</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>mrdata</blockquote><p><b>US Public Health Related Data Extension</b>: medicationOrders</p><p><b>type</b>: MedicationRequest</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>immzdata</blockquote><p><b>US Public Health Related Data Extension</b>: immunizations</p><p><b>type</b>: Immunization</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>procdata</blockquote><p><b>US Public Health Related Data Extension</b>: procedures</p><p><b>type</b>: Procedure</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labResultdata</blockquote><p><b>US Public Health Related Data Extension</b>: labResults</p><p><b>type</b>: Observation</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labOrderdata</blockquote><p><b>US Public Health Related Data Extension</b>: labOrders</p><p><b>type</b>: ServiceRequest</p><p><b>profile</b>: <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticResultdata</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticResults</p><p><b>type</b>: DiagnosticReport</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticOrderdata</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticOrders</p><p><b>type</b>: DiagnosticReport</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>eicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>validate-eicr</td><td>before-start</td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>anonymize-report</blockquote><p><b>US Public Health Trust Service Endpoint Extension</b>: <a href="Endpoint-us-ph-endpoint-pha.html">Endpoint/us-ph-endpoint-pha</a> &quot;PHAReceiver&quot;</p><p><b>description</b>: This action is used to anonymize a identifiable report</p><p><b>textEquivalent</b>: Anonymize the report.</p><p><b>code</b>: Anonymize the report before submitting the report <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#anonymize-report)</span></p><blockquote><p><b>input</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></td></tr></table></blockquote><blockquote><p><b>output</b></p><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a> (<a href="StructureDefinition-us-ph-reporting-bundle.html">US Public Health Reporting Bundle</a>)</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>validate-eicr</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#validate-report)</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>generatedeicrreport</blockquote><p><b>US Public Health Related Data Extension</b>: eicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>valideicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>route-and-send-eicr</td><td>before-start</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>route-and-send-eicr</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#submit-report)</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>validatedeicrreport</blockquote><p><b>US Public Health Related Data Extension</b>: valideicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>submittedeicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>encounter-modified</blockquote><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-codesystem-plandefinition-actions.html">US Public Health CodeSystem - PlanDefinition Actions</a>#initiate-reporting-workflow)</span></p><blockquote><p><b>trigger</b></p><blockquote><p><b>id</b></p>encounter-modified-trigger</blockquote><p><b>US Public Health Named Event Type Extension</b>: Indicates modifications to data elements of an encounter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-codesystem-triggerdefinition-namedevents.html">US Public Health CodeSystem - Trigger Definition Named Events</a>#encounter-modified)</span></p><p><b>type</b>: named-event</p><p><b>name</b>: encounter-modified</p></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>text/fhirpath</td><td>%encounter.where(period.start + 1 day * %normalReportingDuration &lt; now()).select(true)</td></tr></table></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>create-eicr</td><td>before-start</td></tr></table></blockquote></div>
  </text>
  <url
       value="http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example"/>
  <version value="1.0.0"/>
  <name value="USPublicHealthPlanDefinitionAlternativeExpressionExample"/>
  <title
         value="US Public Health PlanDefinition Alternative Expression 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="2022-07-31T12:32:29.858-05:00"/>
  <publisher value="HL7 Public Health Working Group"/>
  <contact>
    <name value="HL7 Public Health Working Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pher"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pher@lists.HL7.org"/>
    </telecom>
  </contact>
  <description value="An example PlanDefinition"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <effectivePeriod>
    <start value="2020-12-01"/>
  </effectivePeriod>
  <relatedArtifact>
    <type value="depends-on"/>
    <label value="RCTC Value Set Library of Trigger Codes"/>
    <resource value="http://example.org/fhir/Library/library-rctc-example"/>
  </relatedArtifact>
  <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/ph-library/CodeSystem/us-ph-codesystem-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/ph-library/StructureDefinition/us-ph-named-eventtype-extension">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-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/ph-library/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/ph-library/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/ph-library/CodeSystem/us-ph-codesystem-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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
          <code value="check-trigger-codes"/>
        </coding>
      </code>
      <condition>
        <kind value="applicability"/>
        <expression>
          <extension
                     url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
            <valueExpression>
              <language value="text/cql-identifier"/>
              <expression value="Is Suspected Disorder?"/>
              <reference
                         value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
            </valueExpression>
          </extension>
          <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/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="Condition?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="Condition"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-sdtc-example"/>
        </codeFilter>
      </input>
      <input id="modifiedLabResults">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="Observation?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="Observation"/>
        <codeFilter>
          <path value="value"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-sdtc-example"/>
        </codeFilter>
      </input>
      <input id="modifiedMedicationOrders">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="MedicationRequest?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="MedicationRequest"/>
        <codeFilter>
          <path value="medication"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-sdtc-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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
          <code value="evaluate-condition"/>
        </coding>
      </code>
      <condition>
        <kind value="applicability"/>
        <expression>
          <extension
                     url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
            <valueExpression>
              <language value="text/cql-identifier"/>
              <expression
                          value="Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?"/>
              <reference
                         value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
            </valueExpression>
          </extension>
          <language value="text/fhirpath"/>
          <expression
                      value="%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration &gt;= now()) or (status = 'finished' and period.end + 72 hours &gt;= now())).select(true)"/>
        </expression>
      </condition>
      <relatedAction>
        <actionId value="check-reportable"/>
        <relationship value="before-start"/>
        <offsetDuration>
          <value value="6"/>
          <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/ph-library/CodeSystem/us-ph-codesystem-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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
          <code value="check-trigger-codes"/>
        </coding>
      </code>
      <condition>
        <kind value="applicability"/>
        <expression>
          <extension
                     url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
            <valueExpression>
              <language value="text/cql-identifier"/>
              <expression
                          value="Is Encounter Reportable and Within Normal Reporting Duration?"/>
              <reference
                         value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
            </valueExpression>
          </extension>
          <language value="text/fhirpath"/>
          <expression
                      value="%encounter.where(period.start + 1 day * %normalReportingDuration &gt;= 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())"/>
        </expression>
      </condition>
      <input id="conditions">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="Condition?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="Condition"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-dxtc-example"/>
        </codeFilter>
      </input>
      <input id="encounters">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
          <valueString value="encounter"/>
        </extension>
        <type value="Encounter"/>
        <codeFilter>
          <path value="reasonCode"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-dxtc-example"/>
        </codeFilter>
      </input>
      <input id="immunizations">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="Immunization?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="Immunization"/>
        <codeFilter>
          <path value="vaccineCode"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
        </codeFilter>
      </input>
      <input id="labOrders">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="ServiceRequest?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="ServiceRequest"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-lotc-example"/>
        </codeFilter>
      </input>
      <input id="labTests">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="Observation?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="Observation"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-lotc-example"/>
        </codeFilter>
      </input>
      <input id="diagnosticOrders">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="DiagnosticReport?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="DiagnosticReport"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-lotc-example"/>
        </codeFilter>
      </input>
      <input id="procedureOrders">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="ServiceRequest?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="ServiceRequest"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-pctc-example"/>
        </codeFilter>
      </input>
      <input id="procedures">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="Procedure?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="Procedure"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-pctc-example"/>
        </codeFilter>
      </input>
      <input id="medicationOrders">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="MedicationRequest?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="MedicationRequest"/>
        <codeFilter>
          <path value="medication"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
        </codeFilter>
      </input>
      <input id="medicationDispenses">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="MedicationDispense?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="MedicationDispense"/>
        <codeFilter>
          <path value="medication"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
        </codeFilter>
      </input>
      <input id="medicationAdministrations">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
          <valueString
                       value="MedicationAdministration?patient=Patient/{{context.patientId}}"/>
        </extension>
        <type value="MedicationAdministration"/>
        <codeFilter>
          <path value="medication"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
        </codeFilter>
      </input>
      <input id="labResults">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
          <valueString value="labTests"/>
        </extension>
        <type value="Observation"/>
        <codeFilter>
          <path value="value"/>
          <valueSet
                    value="http://example.org/fhir/ValueSet/valueset-ostc-example"/>
        </codeFilter>
      </input>
      <input id="diagnosticResults">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
          <valueString value="diagnosticOrders"/>
        </extension>
        <type value="DiagnosticReport"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://example.org/fhir/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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
          <code value="evaluate-condition"/>
        </coding>
      </code>
      <condition>
        <kind value="applicability"/>
        <expression>
          <extension
                     url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
            <valueExpression>
              <language value="text/cql-identifier"/>
              <expression value="Most recent eICR sent over 72 hours ago?"/>
              <reference
                         value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
            </valueExpression>
          </extension>
          <language value="text/fhirpath"/>
          <expression
                      value="((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date &lt; now() - 72 hours"/>
        </expression>
      </condition>
      <input id="lasteicr">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
          <valueString value="eicrreport"/>
        </extension>
        <type value="Bundle"/>
        <profile
                 value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
          <code value="evaluate-condition"/>
        </coding>
      </code>
      <condition>
        <kind value="applicability"/>
        <expression>
          <extension
                     url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
            <valueExpression>
              <language value="text/cql-identifier"/>
              <expression
                          value="Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?"/>
              <reference
                         value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
            </valueExpression>
          </extension>
          <language value="text/fhirpath"/>
          <expression
                      value="%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration &gt;= now() or (status = 'finished' and period.end + 72 hours &gt;= now())).exists()"/>
        </expression>
      </condition>
      <input id="inprogressencounter">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/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"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="h"/>
        </offsetDuration>
      </relatedAction>
    </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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
        <code value="create-report"/>
      </coding>
    </code>
    <input id="patientdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="conditiondata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
        <valueString value="conditions"/>
      </extension>
      <type value="Condition"/>
      <profile
               value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"/>
    </input>
    <input id="encounterdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
        <valueString value="encounter"/>
      </extension>
      <type value="Encounter"/>
      <profile
               value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
    </input>
    <input id="mrdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="immzdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="procdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="labResultdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="labOrderdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
        <valueString value="labOrders"/>
      </extension>
      <type value="ServiceRequest"/>
      <profile
               value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
    </input>
    <input id="diagnosticResultdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="diagnosticOrderdata">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/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="eicrreport">
      <type value="Bundle"/>
      <profile
               value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
    </output>
    <relatedAction>
      <actionId value="validate-eicr"/>
      <relationship value="before-start"/>
    </relatedAction>
    <action id="anonymize-report">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-trust-service-endpoint-extension">
        <valueReference>
          <reference value="Endpoint/us-ph-endpoint-pha"/>
        </valueReference>
      </extension>
      <description
                   value="This action is used to anonymize a identifiable report"/>
      <textEquivalent value="Anonymize the report."/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
          <code value="anonymize-report"/>
        </coding>
      </code>
      <input id="report-to-be-anonymized">
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
          <valueString value="output-report"/>
        </extension>
        <type value="Bundle"/>
      </input>
      <output id="anonymized-report">
        <type value="Bundle"/>
        <profile
                 value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"/>
      </output>
    </action>
  </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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
        <code value="validate-report"/>
      </coding>
    </code>
    <input id="generatedeicrreport">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
        <valueString value="eicrreport"/>
      </extension>
      <type value="Bundle"/>
      <profile
               value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
    </input>
    <output id="valideicrreport">
      <type value="Bundle"/>
      <profile
               value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-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/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
        <code value="submit-report"/>
      </coding>
    </code>
    <input id="validatedeicrreport">
      <extension
                 url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
        <valueString value="valideicrreport"/>
      </extension>
      <type value="Bundle"/>
      <profile
               value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
    </input>
    <output id="submittedeicrreport">
      <type value="Bundle"/>
      <profile
               value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-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/ph-library/CodeSystem/us-ph-codesystem-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/ph-library/StructureDefinition/us-ph-named-eventtype-extension">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-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>
        <extension
                   url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
          <valueExpression>
            <language value="text/cql-identifier"/>
            <expression
                        value="Is Encounter Longer Than Normal Reporting Duration?"/>
            <reference
                       value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
          </valueExpression>
        </extension>
        <language value="text/fhirpath"/>
        <expression
                    value="%encounter.where(period.start + 1 day * %normalReportingDuration &lt; now()).select(true)"/>
      </expression>
    </condition>
    <relatedAction>
      <actionId value="create-eicr"/>
      <relationship value="before-start"/>
    </relatedAction>
  </action>
</PlanDefinition>