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StructureDefinition: CDSHooksServicePlanDefinition - XML

Clinical Decision Support Work Group Maturity Level: 1Trial UseUse Context: Any

CDSHooksServicePlanDefinition

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cdshooksserviceplandefinition"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition"/> 
  <version value="4.1.0"/> 
  <name value="CDS Hooks Service PlanDefinition"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2019-07-15T17:48:40+00:00"/> 
  <publisher value="HL7"/> 
  <description value="Defines a PlanDefinition that implements the behavior for a CDS Hooks service"/> 
  <fhirVersion value="4.1.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="objimpl"/> 
    <uri value="http://hl7.org/fhir/object-implementation"/> 
    <name value="Object Implementation Information"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="PlanDefinition"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="PlanDefinition">
      <path value="PlanDefinition"/> 
      <short value="The definition of a plan for a series of actions, independent of any specific patient
       or context"/> 
      <definition value="This resource allows for the definition of various types of plans as a sharable, consumable,
       and executable artifact. The resource is general enough to support the description of
       a broad range of clinical artifacts such as clinical decision support rules, order sets
       and protocols."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.div.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="pdf-0"/> 
        <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation"/> 
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"/> 
        <source value="PlanDefinition"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.id">
      <path value="PlanDefinition.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="PlanDefinition.meta">
      <path value="PlanDefinition.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="PlanDefinition.implicitRules">
      <path value="PlanDefinition.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="PlanDefinition.language">
      <path value="PlanDefinition.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A human language."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.text">
      <path value="PlanDefinition.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.contained">
      <path value="PlanDefinition.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/> 
      <comment value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.extension">
      <path value="PlanDefinition.extension"/> 
      <slicing id="10">
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <ordered value="false"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Extension"/> 
      <definition value="An Extension"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.extension:cdsHooksEndpoint">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0"/> 
      </extension> 
      <path value="PlanDefinition.extension"/> 
      <sliceName value="cdsHooksEndpoint"/> 
      <short value="Service endpoint"/> 
      <definition value="Defines the service endpoint for the behavior implemented by the PlanDefinition."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"/> 
      </type> 
      <condition value="ele-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> 
        <source value="Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
    </element> 
    <element id="PlanDefinition.modifierExtension">
      <path value="PlanDefinition.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. To make the use of extensions safe and manageable, there is
       a strict set of governance applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension. Applications processing a resource
       are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.url">
      <path value="PlanDefinition.url"/> 
      <short value="Canonical identifier for this plan definition, represented as a URI (globally unique)"/> 
      <definition value="An absolute URI that is used to identify this plan definition when it is referenced in
       a specification, model, design or an instance; also called its canonical identifier. This
       SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
       instance of this plan definition is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the plan definition is stored
       on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the plan definition to be referenced by a single globally unique identifier."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.url"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.url"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.identifier">
      <path value="PlanDefinition.identifier"/> 
      <short value="Additional identifier for the plan definition"/> 
      <definition value="A formal identifier that is used to identify this plan definition when it is represented
       in other formats, or referenced in a specification, model, design or an instance."/> 
      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this plan definition outside of FHIR, where it is not
       possible to use the logical URI."/> 
      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.version">
      <path value="PlanDefinition.version"/> 
      <short value="Business version of the plan definition"/> 
      <definition value="The identifier that is used to identify this version of the plan definition when it is
       referenced in a specification, model, design or instance. This is an arbitrary value managed
       by the plan definition author and is not expected to be globally unique. For example,
       it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is
       also no expectation that versions can be placed in a lexicographical sequence. To provide
       a version consistent with the Decision Support Service specification, use the format Major.Minor.Rev
      ision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision
       Support Service specification. Note that a version is required for non-experimental active
       artifacts."/> 
      <comment value="There may be different plan definition instances that have the same identifier but different
       versions.  The version can be appended to the url in a reference to allow a reference
       to a particular business version of the plan definition with the format [url]|[version]."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.version"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.version"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.name">
      <path value="PlanDefinition.name"/> 
      <short value="Name for this plan definition (computer friendly)"/> 
      <definition value="A natural language name identifying the plan definition. This name should be usable as
       an identifier for the module by machine processing applications such as code generation."/> 
      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.name"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="inv-0"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="PlanDefinition.title">
      <path value="PlanDefinition.title"/> 
      <short value="Name for this plan definition (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the plan definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.title"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.title"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.subtitle">
      <path value="PlanDefinition.subtitle"/> 
      <short value="Subordinate title of the plan definition"/> 
      <definition value="An explanatory or alternate title for the plan definition giving additional information
       about its content."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.subtitle"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.type">
      <path value="PlanDefinition.type"/> 
      <short value="order-set | clinical-protocol | eca-rule | workflow-definition"/> 
      <definition value="A high-level category for the plan definition that distinguishes the kinds of systems
       that would be interested in the plan definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PlanDefinitionType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The type of PlanDefinition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/plan-definition-type"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.status">
      <path value="PlanDefinition.status"/> 
      <short value="draft | active | retired | unknown"/> 
      <definition value="The status of this plan definition. Enables tracking the life-cycle of the content."/> 
      <comment value="Allows filtering of plan definitions that are appropriate for use versus not."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PublicationStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The lifecycle status of an artifact."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.status {different ValueSet}"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.experimental">
      <path value="PlanDefinition.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      <definition value="A Boolean value to indicate that this plan definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage."/> 
      <comment value="Allows filtering of plan definitions that are appropriate for use versus not."/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level plan definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.experimental"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.experimental"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.subject[x]">
      <path value="PlanDefinition.subject[x]"/> 
      <short value="Type of individual the plan definition is focused on"/> 
      <definition value="A code or group definition that describes the intended subject of the plan definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.subject[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <meaningWhenMissing value="Patient"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SubjectType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization,
         Location, etc.)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/subject-type"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.subject"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.date">
      <path value="PlanDefinition.date"/> 
      <short value="Date last changed"/> 
      <definition value="The date  (and optionally time) when the plan definition was published. The date must
       change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the plan definition changes."/> 
      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the plan definition. Additional specific dates may
       be added as extensions or be found by consulting Provenances associated with past versions
       of the resource."/> 
      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.publisher">
      <path value="PlanDefinition.publisher"/> 
      <short value="Name of the publisher (organization or individual)"/> 
      <definition value="The name of the organization or individual that published the plan definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of the plan
       definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the plan definition. This is not necessarily the same individual or organization
       that developed and initially authored the content. The publisher is the primary point
       of contact for questions or issues with the plan definition. This item SHOULD be populated
       unless the information is available from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the plan definition.  May also
       allow for contact."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.publisher"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.publisher"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.contact">
      <path value="PlanDefinition.contact"/> 
      <short value="Contact details for the publisher"/> 
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/> 
      <comment value="May be a web site, an email address, a telephone number, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.contact"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.contact"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.description">
      <path value="PlanDefinition.description"/> 
      <short value="Natural language description of the plan definition"/> 
      <definition value="A free text natural language description of the plan definition from a consumer's perspective."/> 
      <comment value="This description can be used to capture details such as why the plan definition was built,
       comments about misuse, instructions for clinical use and interpretation, literature references,
       examples from the paper world, etc. It is not a rendering of the plan definition as conveyed
       in the 'text' field of the resource itself. This item SHOULD be populated unless the information
       is available from context (e.g. the language of the plan definition is presumed to be
       the predominant language in the place the plan definition was created)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.description"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.useContext">
      <path value="PlanDefinition.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      <definition value="The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate plan definition instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.useContext"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.useContext"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.jurisdiction">
      <path value="PlanDefinition.jurisdiction"/> 
      <short value="Intended jurisdiction for plan definition (if applicable)"/> 
      <definition value="A legal or geographic region in which the plan definition is intended to be used."/> 
      <comment value="It may be possible for the plan definition to be used in jurisdictions other than those
       for which it was originally designed or intended."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.jurisdiction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Jurisdiction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Countries and regions within which this artifact is targeted for use."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.jurisdiction"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.purpose">
      <path value="PlanDefinition.purpose"/> 
      <short value="Why this plan definition is defined"/> 
      <definition value="Explanation of why this plan definition is needed and why it has been designed as it has."/> 
      <comment value="This element does not describe the usage of the plan definition. Instead, it provides
       traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.
        This may be used to point to source materials or specifications that drove the structure
       of this plan definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.purpose"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.purpose"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.usage">
      <path value="PlanDefinition.usage"/> 
      <short value="Describes the clinical usage of the plan"/> 
      <definition value="A detailed description of how the plan definition is used from a clinical perspective."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.usage"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.copyright">
      <path value="PlanDefinition.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the plan definition and/or its contents. Copyright statements
       are generally legal restrictions on the use and publishing of the plan definition."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the plan definition
       and/or its content."/> 
      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.copyright"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.copyright"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.approvalDate">
      <path value="PlanDefinition.approvalDate"/> 
      <short value="When the plan definition was approved by publisher"/> 
      <definition value="The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage."/> 
      <comment value="The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.approvalDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.approvalDate"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.lastReviewDate">
      <path value="PlanDefinition.lastReviewDate"/> 
      <short value="When the plan definition was last reviewed"/> 
      <definition value="The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date."/> 
      <comment value="If specified, this date follows the original approval date."/> 
      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.lastReviewDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.lastReviewDate"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.effectivePeriod">
      <path value="PlanDefinition.effectivePeriod"/> 
      <short value="When the plan definition is expected to be used"/> 
      <definition value="The period during which the plan definition content was or is planned to be in active
       use."/> 
      <comment value="The effective period for a plan definition  determines when the content is applicable
       for usage and is independent of publication and review dates. For example, a measure intended
       to be used for the year 2016 might be published in 2015."/> 
      <requirements value="Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the plan definition are or are expected to
       be used instead."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.effectivePeriod"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.effectivePeriod"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.topic">
      <path value="PlanDefinition.topic"/> 
      <short value="E.g. Education, Treatment, Assessment"/> 
      <definition value="Descriptive topics related to the content of the plan definition. Topics provide a high-level
       categorization of the definition that can be useful for filtering and searching."/> 
      <requirements value="Repositories must be able to determine how to categorize the plan definition so that it
       can be found by topical searches."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.topic"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DefinitionTopic"/> 
        </extension> 
        <strength value="example"/> 
        <description value="High-level categorization of the definition, used for searching, sorting, and filtering."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.subject[x]"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.author">
      <path value="PlanDefinition.author"/> 
      <short value="Who authored the content"/> 
      <definition value="An individiual or organization primarily involved in the creation and maintenance of the
       content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.author"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT]"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.editor">
      <path value="PlanDefinition.editor"/> 
      <short value="Who edited the content"/> 
      <definition value="An individual or organization primarily responsible for internal coherence of the content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.editor"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.reviewer">
      <path value="PlanDefinition.reviewer"/> 
      <short value="Who reviewed the content"/> 
      <definition value="An individual or organization primarily responsible for review of some aspect of the content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.reviewer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.endorser">
      <path value="PlanDefinition.endorser"/> 
      <short value="Who endorsed the content"/> 
      <definition value="An individual or organization responsible for officially endorsing the content for use
       in some setting."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.endorser"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.relatedArtifact">
      <path value="PlanDefinition.relatedArtifact"/> 
      <short value="Additional documentation, citations"/> 
      <definition value="Related artifacts such as additional documentation, justification, or bibliographic references."/> 
      <comment value="Each related artifact is either an attachment, or a reference to another resource, but
       not both."/> 
      <requirements value="Plan definitions must be able to provide enough information for consumers of the content
       (and/or interventions or results produced by the content) to be able to determine and
       understand the justification for and evidence in support of the content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.relatedArtifact"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.library">
      <path value="PlanDefinition.library"/> 
      <short value="Logic used by the plan definition"/> 
      <definition value="A reference to a Library resource containing any formal logic used by the plan definition."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.library"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.goal">
      <path value="PlanDefinition.goal"/> 
      <short value="What the plan is trying to accomplish"/> 
      <definition value="Goals that describe what the activities within the plan are intended to achieve. For example,
       weight loss, restoring an activity of daily living, obtaining herd immunity via immunization,
       meeting a process improvement objective, etc."/> 
      <requirements value="Goal information needs to be captured for order sets, protocols, and care plan definitions
       to better describe the objectives of the protocol activities and to guide the creation
       of specific goals within the derived care plans and orders."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.goal"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.goal.id">
      <path value="PlanDefinition.goal.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.goal.extension">
      <path value="PlanDefinition.goal.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.goal.modifierExtension">
      <path value="PlanDefinition.goal.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.goal.category">
      <path value="PlanDefinition.goal.category"/> 
      <short value="E.g. Treatment, dietary, behavioral"/> 
      <definition value="Indicates a category the goal falls within."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.category"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalCategory"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Example codes for grouping goals for filtering or presentation."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-category"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.goal.description">
      <path value="PlanDefinition.goal.description"/> 
      <short value="Code or text describing the goal"/> 
      <definition value="Human-readable and/or coded description of a specific desired objective of care, such
       as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot; or &quot;dance
       with child at wedding&quot;."/> 
      <comment value="If no code is available, use CodeableConcept.text."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.description"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalDescription"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Describes goals that can be achieved."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.goal.priority">
      <path value="PlanDefinition.goal.priority"/> 
      <short value="high-priority | medium-priority | low-priority"/> 
      <definition value="Identifies the expected level of importance associated with reaching/sustaining the defined
       goal."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.priority"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalPriority"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Indicates the level of importance associated with reaching or sustaining a goal."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.goal.start">
      <path value="PlanDefinition.goal.start"/> 
      <short value="When goal pursuit begins"/> 
      <definition value="The event after which the goal should begin being pursued."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.start"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalStartEvent"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies the types of events that might trigger the start of a goal."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-start-event"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.goal.addresses">
      <path value="PlanDefinition.goal.addresses"/> 
      <short value="What does the goal address"/> 
      <definition value="Identifies problems, conditions, issues, or concerns the goal is intended to address."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.goal.addresses"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalAddresses"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies problems, conditions, issues, or concerns that goals may address."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.goal.documentation">
      <path value="PlanDefinition.goal.documentation"/> 
      <short value="Supporting documentation for the goal"/> 
      <definition value="Didactic or other informational resources associated with the goal that provide further
       supporting information about the goal. Information resources can include inline text commentary
       and links to web resources."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.goal.documentation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.goal.target">
      <path value="PlanDefinition.goal.target"/> 
      <short value="Target outcome for the goal"/> 
      <definition value="Indicates what should be done and within what timeframe."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.goal.target"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.goal.target.id">
      <path value="PlanDefinition.goal.target.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.goal.target.extension">
      <path value="PlanDefinition.goal.target.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.goal.target.modifierExtension">
      <path value="PlanDefinition.goal.target.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.goal.target.measure">
      <path value="PlanDefinition.goal.target.measure"/> 
      <short value="The parameter whose value is to be tracked"/> 
      <definition value="The parameter whose value is to be tracked, e.g. body weight, blood pressure, or hemoglobin
       A1c level."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.target.measure"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalTargetMeasure"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies types of parameters that can be tracked to determine goal achievement."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-codes"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.goal.target.detail[x]">
      <path value="PlanDefinition.goal.target.detail[x]"/> 
      <short value="The target value to be achieved"/> 
      <definition value="The target value of the measure to be achieved to signify fulfillment of the goal, e.g.
       150 pounds or 7.0%. Either the high or low or both values of the range can be specified.
       When a low value is missing, it indicates that the goal is achieved at any value at or
       below the high value. Similarly, if the high value is missing, it indicates that the goal
       is achieved at any value at or above the low value."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.target.detail[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.goal.target.due">
      <path value="PlanDefinition.goal.target.due"/> 
      <short value="Reach goal within"/> 
      <definition value="Indicates the timeframe after the start of the goal in which the goal should be met."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.goal.target.due"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action">
      <path value="PlanDefinition.action"/> 
      <short value="Action defined by the plan"/> 
      <definition value="An action or group of actions to be taken as part of the plan."/> 
      <comment value="Note that there is overlap between many of the elements defined here and the ActivityDefinition
       resource. When an ActivityDefinition is referenced (using the definition element), the
       overlapping elements in the plan override the content of the referenced ActivityDefinition
       unless otherwise documented in the specific elements. See the PlanDefinition resource
       for more detailed information."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="{Is a contained Definition}"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.id">
      <path value="PlanDefinition.action.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.extension">
      <path value="PlanDefinition.action.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.modifierExtension">
      <path value="PlanDefinition.action.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.prefix">
      <path value="PlanDefinition.action.prefix"/> 
      <short value="User-visible prefix for the action (e.g. 1. or A.)"/> 
      <definition value="A user-visible prefix for the action."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.prefix"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.title">
      <path value="PlanDefinition.action.title"/> 
      <short value="User-visible title"/> 
      <definition value="The title of the action displayed to a user."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.title"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.title"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.description">
      <path value="PlanDefinition.action.description"/> 
      <short value="Brief description of the action"/> 
      <definition value="A brief description of the action used to provide a summary to display to the user."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.description"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.textEquivalent">
      <path value="PlanDefinition.action.textEquivalent"/> 
      <short value="Static text equivalent of the action, used if the dynamic aspects cannot be interpreted
       by the receiving system"/> 
      <definition value="A text equivalent of the action to be performed. This provides a human-interpretable description
       of the action when the definition is consumed by a system that might not be capable of
       interpreting it dynamically."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.textEquivalent"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.description"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.priority">
      <path value="PlanDefinition.action.priority"/> 
      <short value="routine | urgent | asap | stat"/> 
      <definition value="Indicates how quickly the action should be addressed with respect to other actions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.priority"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RequestPriority"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Identifies the level of importance to be assigned to actioning the request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.code">
      <path value="PlanDefinition.action.code"/> 
      <short value="Code representing the meaning of the action or sub-actions"/> 
      <definition value="A code that provides meaning for the action or action group. For example, a section may
       have a LOINC code for the section of a documentation template."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.code"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.reason">
      <path value="PlanDefinition.action.reason"/> 
      <short value="Why the action should be performed"/> 
      <definition value="A description of why this action is necessary or appropriate."/> 
      <comment value="This is different than the clinical evidence documentation, it's an actual business description
       of the reason for performing the action."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.reason"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.documentation">
      <path value="PlanDefinition.action.documentation"/> 
      <short value="Supporting documentation for the intended performer of the action"/> 
      <definition value="Didactic or other informational resources associated with the action that can be provided
       to the CDS recipient. Information resources can include inline text commentary and links
       to web resources."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.documentation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="RelatedArtifact"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.goalId">
      <path value="PlanDefinition.action.goalId"/> 
      <short value="What goals this action supports"/> 
      <definition value="Identifies goals that this action supports. The reference must be to a goal element defined
       within this plan definition."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.goalId"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.subject[x]">
      <path value="PlanDefinition.action.subject[x]"/> 
      <short value="Type of individual the action is focused on"/> 
      <definition value="A code or group definition that describes the intended subject of the action and its children,
       if any."/> 
      <comment value="The subject of an action overrides the subject at a parent action or on the root of the
       PlanDefinition if specified.

In addition, because the subject needs to be resolved during realization, use of subjects
       in actions (or in the ActivityDefinition referenced by the action) resolves based on the
       set of subjects supplied in context and by type (i.e. the patient subject would resolve
       to a resource of type Patient)."/> 
      <requirements value="Multiple steps in a protocol often have different groups of steps that are focused on
       testing different things. The subject of an action specifies the focus of the action and
       any child actions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.subject[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <meaningWhenMissing value="Patient"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SubjectType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization,
         Location, etc.)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/subject-type"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.subject"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.trigger">
      <path value="PlanDefinition.action.trigger"/> 
      <short value="When the action should be triggered"/> 
      <definition value="A description of when the action should be triggered."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.trigger"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="TriggerDefinition"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.condition">
      <path value="PlanDefinition.action.condition"/> 
      <short value="Whether or not the action is applicable"/> 
      <definition value="An expression that describes applicability criteria or start/stop conditions for the action."/> 
      <comment value="When multiple conditions of the same kind are present, the effects are combined using
       AND semantics, so the overall condition is true only if all the conditions are true."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.condition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.condition.id">
      <path value="PlanDefinition.action.condition.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.condition.extension">
      <path value="PlanDefinition.action.condition.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.condition.modifierExtension">
      <path value="PlanDefinition.action.condition.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.condition.kind">
      <path value="PlanDefinition.action.condition.kind"/> 
      <short value="applicability | start | stop"/> 
      <definition value="The kind of condition."/> 
      <comment value="Applicability criteria are used to determine immediate applicability when a plan definition
       is applied to a given context. Start and stop criteria are carried through application
       and used to describe enter/exit criteria for an action."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.condition.kind"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionConditionKind"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines the kinds of conditions that can appear on actions."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.condition.expression">
      <path value="PlanDefinition.action.condition.expression"/> 
      <short value="Boolean-valued expression"/> 
      <definition value="An expression that returns true or false, indicating whether the condition is satisfied."/> 
      <comment value="The expression may be inlined or may be a reference to a named expression within a logic
       library referenced by the library element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.condition.expression"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.input">
      <path value="PlanDefinition.action.input"/> 
      <short value="Input data requirements"/> 
      <definition value="Defines input data requirements for the action."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.input"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="DataRequirement"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.output">
      <path value="PlanDefinition.action.output"/> 
      <short value="Output data definition"/> 
      <definition value="Defines the outputs of the action, if any."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.output"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="DataRequirement"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.relatedAction">
      <path value="PlanDefinition.action.relatedAction"/> 
      <short value="Relationship to another action"/> 
      <definition value="A relationship to another action such as &quot;before&quot; or &quot;30-60 minutes after
       start of&quot;."/> 
      <comment value="When an action depends on multiple actions, the meaning is that all actions are dependencies,
       rather than that any of the actions are a dependency."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.relatedAction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.relatedAction.id">
      <path value="PlanDefinition.action.relatedAction.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.relatedAction.extension">
      <path value="PlanDefinition.action.relatedAction.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.relatedAction.modifierExtension">
      <path value="PlanDefinition.action.relatedAction.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.relatedAction.actionId">
      <path value="PlanDefinition.action.relatedAction.actionId"/> 
      <short value="What action is this related to"/> 
      <definition value="The element id of the related action."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.relatedAction.actionId"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.relatedAction.relationship">
      <path value="PlanDefinition.action.relatedAction.relationship"/> 
      <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end
       | after-start | after | after-end"/> 
      <definition value="The relationship of this action to the related action."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.relatedAction.relationship"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionRelationshipType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines the types of relationships between actions."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.relatedAction.offset[x]">
      <path value="PlanDefinition.action.relatedAction.offset[x]"/> 
      <short value="Time offset for the relationship"/> 
      <definition value="A duration or range of durations to apply to the relationship. For example, 30-60 minutes
       before."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.relatedAction.offset[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.timing[x]">
      <path value="PlanDefinition.action.timing[x]"/> 
      <short value="When the action should take place"/> 
      <definition value="An optional value describing when the action should be performed."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.timing[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.participant">
      <path value="PlanDefinition.action.participant"/> 
      <short value="Who should participate in the action"/> 
      <definition value="Indicates who should participate in performing the action described."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.participant"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.participant.id">
      <path value="PlanDefinition.action.participant.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.participant.extension">
      <path value="PlanDefinition.action.participant.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.participant.modifierExtension">
      <path value="PlanDefinition.action.participant.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.participant.type">
      <path value="PlanDefinition.action.participant.type"/> 
      <short value="patient | practitioner | related-person | device"/> 
      <definition value="The type of participant in the action."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.participant.type"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionParticipantType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of participant for the action."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.participant.role">
      <path value="PlanDefinition.action.participant.role"/> 
      <short value="E.g. Nurse, Surgeon, Parent"/> 
      <definition value="The role the participant should play in performing the described action."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.participant.role"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionParticipantRole"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Defines roles played by participants for the action."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-role"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.type">
      <path value="PlanDefinition.action.type"/> 
      <short value="create | update | remove | fire-event"/> 
      <definition value="The type of action to perform (create, update, remove)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The type of action to be performed."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-type"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.groupingBehavior">
      <path value="PlanDefinition.action.groupingBehavior"/> 
      <short value="visual-group | logical-group | sentence-group"/> 
      <definition value="Defines the grouping behavior for the action and its children."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.groupingBehavior"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionGroupingBehavior"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines organization behavior of a group."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.selectionBehavior">
      <path value="PlanDefinition.action.selectionBehavior"/> 
      <short value="any | all | all-or-none | exactly-one | at-most-one | one-or-more"/> 
      <definition value="Defines the selection behavior for the action and its children."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.selectionBehavior"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionSelectionBehavior"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines selection behavior of a group."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.requiredBehavior">
      <path value="PlanDefinition.action.requiredBehavior"/> 
      <short value="must | could | must-unless-documented"/> 
      <definition value="Defines the required behavior for the action."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.requiredBehavior"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionRequiredBehavior"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines expectations around whether an action or action group is required."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.precheckBehavior">
      <path value="PlanDefinition.action.precheckBehavior"/> 
      <short value="yes | no"/> 
      <definition value="Defines whether the action should usually be preselected."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.precheckBehavior"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionPrecheckBehavior"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines selection frequency behavior for an action or group."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.cardinalityBehavior">
      <path value="PlanDefinition.action.cardinalityBehavior"/> 
      <short value="single | multiple"/> 
      <definition value="Defines whether the action can be selected multiple times."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.cardinalityBehavior"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ActionCardinalityBehavior"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"/> 
      </binding> 
    </element> 
    <element id="PlanDefinition.action.definition[x]">
      <path value="PlanDefinition.action.definition[x]"/> 
      <short value="Description of the activity to be performed"/> 
      <definition value="A reference to an ActivityDefinition that describes the action to be taken in detail,
       or a PlanDefinition that describes a series of actions to be taken."/> 
      <comment value="Note that the definition is optional, and if no definition is specified, a dynamicValue
       with a root ($this) path can be used to define the entire resource dynamically."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.definition[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/> 
      </type> 
      <type> 
        <code value="uri"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.derivedFrom"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.transform">
      <path value="PlanDefinition.action.transform"/> 
      <short value="Transform to apply the template"/> 
      <definition value="A reference to a StructureMap resource that defines a transform that can be executed to
       produce the intent resource using the ActivityDefinition instance as the input."/> 
      <comment value="Note that when a referenced ActivityDefinition also defines a transform, the transform
       specified here generally takes precedence. In addition, if both a transform and dynamic
       values are specific, the dynamic values are applied to the result of the transform."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.transform"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureMap"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.dynamicValue">
      <path value="PlanDefinition.action.dynamicValue"/> 
      <short value="Dynamic aspects of the definition"/> 
      <definition value="Customizations that should be applied to the statically defined resource. For example,
       if the dosage of a medication must be computed based on the patient's weight, a customization
       would be used to specify an expression that calculated the weight, and the path on the
       resource that would contain the result."/> 
      <comment value="Dynamic values are applied in the order in which they are defined in the PlanDefinition
       resource. Note that when dynamic values are also specified by a referenced ActivityDefinition,
       the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues
       specified here. In addition, if both a transform and dynamic values are specific, the
       dynamic values are applied to the result of the transform."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.dynamicValue"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.dynamicValue.id">
      <path value="PlanDefinition.action.dynamicValue.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.dynamicValue.extension">
      <path value="PlanDefinition.action.dynamicValue.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.dynamicValue.modifierExtension">
      <path value="PlanDefinition.action.dynamicValue.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="PlanDefinition.action.dynamicValue.path">
      <path value="PlanDefinition.action.dynamicValue.path"/> 
      <short value="The path to the element to be set dynamically"/> 
      <definition value="The path to the element to be customized. This is the path on the resource that will hold
       the result of the calculation defined by the expression. The specified path SHALL be a
       FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL
       consist only of identifiers, constant indexers, and a restricted subset of functions.
       The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers
       ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html
      #simple) for full details)."/> 
      <comment value="To specify the path to the current action being realized, the %action environment variable
       is available in this path. For example, to specify the description element of the target
       action, the path would be %action.description. The path attribute contains a [Simple FHIRPath
       Subset](fhirpath.html#simple) that allows path traversal, but not calculation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.dynamicValue.path"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.dynamicValue.expression">
      <path value="PlanDefinition.action.dynamicValue.expression"/> 
      <short value="An expression that provides the dynamic value for the customization"/> 
      <definition value="An expression specifying the value of the customized element."/> 
      <comment value="The expression may be inlined or may be a reference to a named expression within a logic
       library referenced by the library element."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="PlanDefinition.action.dynamicValue.expression"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Expression"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="PlanDefinition.action.action">
      <path value="PlanDefinition.action.action"/> 
      <short value="A sub-action"/> 
      <definition value="Sub actions that are contained within the action. The behavior of this action determines
       the functionality of the sub-actions. For example, a selection behavior of at-most-one
       indicates that of the sub-actions, at most one may be chosen as part of realizing the
       action definition."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="PlanDefinition.action.action"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="#PlanDefinition.action"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="{InverseRelationship of Definition.partOf}"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="PlanDefinition">
      <path value="PlanDefinition"/> 
      <min value="1"/> 
      <max value="1"/> 
    </element> 
    <element id="PlanDefinition.extension:cdsHooksEndpoint">
      <path value="PlanDefinition.extension"/> 
      <sliceName value="cdsHooksEndpoint"/> 
      <short value="Service endpoint"/> 
      <definition value="Defines the service endpoint for the behavior implemented by the PlanDefinition."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Extension"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"/> 
      </type> 
    </element> 
    <element id="PlanDefinition.action">
      <path value="PlanDefinition.action"/> 
    </element> 
    <element id="PlanDefinition.action.title">
      <path value="PlanDefinition.action.title"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.description">
      <path value="PlanDefinition.action.description"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.priority">
      <path value="PlanDefinition.action.priority"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.trigger">
      <path value="PlanDefinition.action.trigger"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.condition">
      <path value="PlanDefinition.action.condition"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.timing[x]">
      <path value="PlanDefinition.action.timing[x]"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.participant">
      <path value="PlanDefinition.action.participant"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.type">
      <path value="PlanDefinition.action.type"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.selectionBehavior">
      <path value="PlanDefinition.action.selectionBehavior"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="PlanDefinition.action.definition[x]">
      <path value="PlanDefinition.action.definition[x]"/> 
      <mustSupport value="true"/> 
    </element> 
  </differential> 
</StructureDefinition>