US Public Health Profiles Library
1.0.0 - STU1
US Public Health Profiles Library
1.0.0 - STU1
US Public Health Profiles Library, published by HL7 Public Health Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ph-library/ and changes regularly. See the Directory of published versions
| Active as of 2022-07-31 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="us-ph-plandefinition-alt-expression-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: PlanDefinition us-ph-plandefinition-alt-expression-example</b></p><a name="us-ph-plandefinition-alt-expression-example"> </a><a name="hcus-ph-plandefinition-alt-expression-example"> </a><a name="us-ph-plandefinition-alt-expression-example-en-US"> </a><p><b>url</b>: <a href="PlanDefinition-us-ph-plandefinition-alt-expression-example.html">PlanDefinition US Public Health PlanDefinition Alternative Expression Example</a></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: USPublicHealthPlanDefinitionAlternativeExpressionExample</p><p><b>title</b>: US Public Health PlanDefinition Alternative Expression Example</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type workflow-definition}">Workflow Definition</span></p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2022-07-31 12:32:29-0500</p><p><b>publisher</b>: HL7 Public Health Work Group</p><p><b>contact</b>: HL7 Public Health Work Group: <a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a>,<a href="mailto:pher@lists.HL7.org">pher@lists.HL7.org</a></p><p><b>description</b>: </p><div><p>An example PlanDefinition</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>effectivePeriod</b>: 2020-12-01 --> (ongoing)</p><h3>RelatedArtifacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Resource</b></td></tr><tr><td style="display: none">*</td><td>Depends On</td><td>RCTC Value Set Library of Trigger Codes</td><td><code>http://example.org/fhir/Library/library-rctc-example</code></td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>start-workflow</blockquote><p><b>description</b>: This action represents the start of the reporting workflow in response to the encounter-start event.</p><p><b>textEquivalent</b>: Start the reporting workflow in response to an encounter-start event</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions initiate-reporting-workflow}">Initiate a reporting workflow</span></p><blockquote><p><b>trigger</b></p><blockquote><p><b>id</b></p>encounter-start</blockquote><p><b>US Public Health Named Event Type Extension</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents encounter-start}">Indicates the start of an encounter</span></p><p><b>type</b>: Named Event</p><p><b>name</b>: encounter-start</p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>patient</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Patient/{{context.patientId}}</p><p><b>type</b>: Patient</p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounter</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Encounter/{{context.encounterId}}</p><p><b>type</b>: Encounter</p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td style="display: none">*</td><td>check-suspected-disorder</td><td>Before Start</td><td>No display for Duration (value: 1; system: http://unitsofmeasure.org; code: h)</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-suspected-disorder</blockquote><p><b>description</b>: This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.</p><p><b>textEquivalent</b>: Check suspected disorders for immediate reportability and setup jobs for future reportability checks.</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions execute-reporting-workflow}">Execute a series of actions to accomplish reporting</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-suspected-disorder</blockquote><p><b>description</b>: This action represents the check for suspected disorder reportability to create the patients eICR.</p><p><b>textEquivalent</b>: Check Trigger Codes based on Suspected Reportable Value set.</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions check-trigger-codes}">Evaluate candidate patient's data against trigger codes to determine reportability</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>FHIRPath</td><td>%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()</td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>modifiedConditions</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Condition?patient=Patient/{{context.patientId}}</p><p><b>type</b>: Condition</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-sdtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>modifiedLabResults</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Observation?patient=Patient/{{context.patientId}}</p><p><b>type</b>: Observation</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>value</td><td><code>http://example.org/fhir/ValueSet/valueset-sdtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>modifiedMedicationOrders</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: MedicationRequest?patient=Patient/{{context.patientId}}</p><p><b>type</b>: MedicationRequest</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>medication</td><td><code>http://example.org/fhir/ValueSet/valueset-sdtc-example</code></td></tr></table></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>create-eicr</td><td>Before Start</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>continue-check-reportable</blockquote><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions evaluate-condition}">Evaluate condition to determine reportability</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>FHIRPath</td><td>%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)</td></tr></table></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td style="display: none">*</td><td>check-reportable</td><td>Before Start</td><td>No display for Duration (value: 6; system: http://unitsofmeasure.org; code: h)</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-reportable</blockquote><p><b>description</b>: This action represents the check for suspected reportability of the eICR.</p><p><b>textEquivalent</b>: Check Reportability and setup jobs for future reportability checks.</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions execute-reporting-workflow}">Execute a series of actions to accomplish reporting</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-reportable</blockquote><p><b>description</b>: This action represents the check for reportability to create the patients eICR.</p><p><b>textEquivalent</b>: Check Trigger Codes based on RCTC Value sets.</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions check-trigger-codes}">Evaluate candidate patient's data against trigger codes to determine reportability</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>FHIRPath</td><td>%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists())</td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>conditions</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Condition?patient=Patient/{{context.patientId}}</p><p><b>type</b>: Condition</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-dxtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounters</blockquote><p><b>US Public Health Related Data Extension</b>: encounter</p><p><b>type</b>: Encounter</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>reasonCode</td><td><code>http://example.org/fhir/ValueSet/valueset-dxtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>immunizations</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Immunization?patient=Patient/{{context.patientId}}</p><p><b>type</b>: Immunization</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>vaccineCode</td><td><code>http://example.org/fhir/ValueSet/valueset-mrtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labOrders</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: ServiceRequest?patient=Patient/{{context.patientId}}</p><p><b>type</b>: ServiceRequest</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-lotc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labTests</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Observation?patient=Patient/{{context.patientId}}</p><p><b>type</b>: Observation</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-lotc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticOrders</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: DiagnosticReport?patient=Patient/{{context.patientId}}</p><p><b>type</b>: DiagnosticReport</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-lotc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>procedureOrders</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: ServiceRequest?patient=Patient/{{context.patientId}}</p><p><b>type</b>: ServiceRequest</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-pctc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>procedures</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Procedure?patient=Patient/{{context.patientId}}</p><p><b>type</b>: Procedure</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-pctc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>medicationOrders</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: MedicationRequest?patient=Patient/{{context.patientId}}</p><p><b>type</b>: MedicationRequest</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>medication</td><td><code>http://example.org/fhir/ValueSet/valueset-mrtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>medicationDispenses</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: MedicationDispense?patient=Patient/{{context.patientId}}</p><p><b>type</b>: MedicationDispense</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>medication</td><td><code>http://example.org/fhir/ValueSet/valueset-mrtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>medicationAdministrations</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: MedicationAdministration?patient=Patient/{{context.patientId}}</p><p><b>type</b>: MedicationAdministration</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>medication</td><td><code>http://example.org/fhir/ValueSet/valueset-mrtc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labResults</blockquote><p><b>US Public Health Related Data Extension</b>: labTests</p><p><b>type</b>: Observation</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>value</td><td><code>http://example.org/fhir/ValueSet/valueset-ostc-example</code></td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticResults</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticOrders</p><p><b>type</b>: DiagnosticReport</p><h3>CodeFilters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Path</b></td><td><b>ValueSet</b></td></tr><tr><td style="display: none">*</td><td>code</td><td><code>http://example.org/fhir/ValueSet/valueset-ostc-example</code></td></tr></table></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>create-eicr</td><td>Before Start</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-update-eicr</blockquote><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions evaluate-condition}">Evaluate condition to determine reportability</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>FHIRPath</td><td>((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours</td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>lasteicr</blockquote><p><b>US Public Health Related Data Extension</b>: eicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>create-eicr</td><td>Before Start</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-in-progress</blockquote><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions evaluate-condition}">Evaluate condition to determine reportability</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>FHIRPath</td><td>%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()</td></tr></table></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>inprogressencounter</blockquote><p><b>US Public Health Related Data Extension</b>: encounter</p><p><b>type</b>: Encounter</p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td style="display: none">*</td><td>check-reportable</td><td>Before Start</td><td>No display for Duration (value: 6; system: http://unitsofmeasure.org; code: h)</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>create-eicr</blockquote><p><b>description</b>: This action represents the creation of the eICR. It subsequently calls validate.</p><p><b>textEquivalent</b>: Create eICR</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions create-report}">Create a Report containing Patient's data for patients who passed the check-reportability test</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>patientdata</blockquote><p><b>US Public Health Related Data Extension</b>: patient</p><p><b>type</b>: Patient</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>conditiondata</blockquote><p><b>US Public Health Related Data Extension</b>: conditions</p><p><b>type</b>: Condition</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html">US Core Condition Encounter Diagnosis Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounterdata</blockquote><p><b>US Public Health Related Data Extension</b>: encounter</p><p><b>type</b>: Encounter</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>mrdata</blockquote><p><b>US Public Health Related Data Extension</b>: medicationOrders</p><p><b>type</b>: MedicationRequest</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>immzdata</blockquote><p><b>US Public Health Related Data Extension</b>: immunizations</p><p><b>type</b>: Immunization</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>procdata</blockquote><p><b>US Public Health Related Data Extension</b>: procedures</p><p><b>type</b>: Procedure</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labResultdata</blockquote><p><b>US Public Health Related Data Extension</b>: labResults</p><p><b>type</b>: Observation</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labOrderdata</blockquote><p><b>US Public Health Related Data Extension</b>: labOrders</p><p><b>type</b>: ServiceRequest</p><p><b>profile</b>: <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticResultdata</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticResults</p><p><b>type</b>: DiagnosticReport</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticOrderdata</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticOrders</p><p><b>type</b>: DiagnosticReport</p><p><b>profile</b>: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>eicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>validate-eicr</td><td>Before Start</td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>anonymize-report</blockquote><p><b>US Public Health Trust Service Endpoint Extension</b>: <a href="Endpoint-us-ph-endpoint-pha.html">Endpoint PHAReceiver</a></p><p><b>description</b>: This action is used to anonymize a identifiable report</p><p><b>textEquivalent</b>: Anonymize the report.</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions anonymize-report}">Anonymize the report before submitting the report</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>report-to-be-anonymized</blockquote><p><b>US Public Health Related Data Extension</b>: output-report</p><p><b>type</b>: Bundle</p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>anonymized-report</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-reporting-bundle.html">US Public Health Reporting Bundle</a></p></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>validate-eicr</blockquote><p><b>description</b>: This action represents the validation of the eICR. It subsequently calls route-and-send.</p><p><b>textEquivalent</b>: Validate eICR</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions validate-report}">Validate Report against specified profiles and terminologies.</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>generatedeicrreport</blockquote><p><b>US Public Health Related Data Extension</b>: eicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>valideicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>route-and-send-eicr</td><td>Before Start</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>route-and-send-eicr</blockquote><p><b>description</b>: This action represents the routing and sending of the eICR.</p><p><b>textEquivalent</b>: Route and send eICR</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions submit-report}">Submit the report to specified endpoint</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>validatedeicrreport</blockquote><p><b>US Public Health Related Data Extension</b>: valideicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>submittedeicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href="StructureDefinition-us-ph-document-bundle.html">US Public Health Document Bundle</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>encounter-modified</blockquote><p><b>description</b>: This action represents the start of the reporting workflow in response to the encounter-modified event</p><p><b>textEquivalent</b>: Start the reporting workflow in response to an encounter-modified event</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions initiate-reporting-workflow}">Initiate a reporting workflow</span></p><blockquote><p><b>trigger</b></p><blockquote><p><b>id</b></p>encounter-modified-trigger</blockquote><p><b>US Public Health Named Event Type Extension</b>: <span title="Codes:{http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents encounter-modified}">Indicates modifications to data elements of an encounter</span></p><p><b>type</b>: Named Event</p><p><b>name</b>: encounter-modified</p></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td/><td>FHIRPath</td><td>%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)</td></tr></table></blockquote><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td>create-eicr</td><td>Before Start</td></tr></table></blockquote></div>
</text>
<url
value="http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example"/>
<version value="1.0.0"/>
<name value="USPublicHealthPlanDefinitionAlternativeExpressionExample"/>
<title
value="US Public Health PlanDefinition Alternative Expression Example"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="workflow-definition"/>
<display value="Workflow Definition"/>
</coding>
</type>
<status value="active"/>
<experimental value="true"/>
<date value="2022-07-31T12:32:29.858-05:00"/>
<publisher value="HL7 Public Health Work Group"/>
<contact>
<name value="HL7 Public Health Work Group"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
<telecom>
<system value="email"/>
<value value="pher@lists.HL7.org"/>
</telecom>
</contact>
<description value="An example PlanDefinition"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<effectivePeriod>
<start value="2020-12-01"/>
</effectivePeriod>
<relatedArtifact>
<type value="depends-on"/>
<label value="RCTC Value Set Library of Trigger Codes"/>
<resource value="http://example.org/fhir/Library/library-rctc-example"/>
</relatedArtifact>
<action id="start-workflow">
<description
value="This action represents the start of the reporting workflow in response to the encounter-start event."/>
<textEquivalent
value="Start the reporting workflow in response to an encounter-start event"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
<display value="Initiate a reporting workflow"/>
</coding>
</code>
<trigger id="encounter-start">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents"/>
<code value="encounter-start"/>
<display value="Indicates the start of an encounter"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="named-event"/>
<name value="encounter-start"/>
</trigger>
<input id="patient">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Patient/{{context.patientId}}"/>
</extension>
<type value="Patient"/>
</input>
<input id="encounter">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString value="Encounter/{{context.encounterId}}"/>
</extension>
<type value="Encounter"/>
</input>
<relatedAction>
<actionId value="check-suspected-disorder"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
<action id="check-suspected-disorder">
<description
value="This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event."/>
<textEquivalent
value="Check suspected disorders for immediate reportability and setup jobs for future reportability checks."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<action id="is-encounter-suspected-disorder">
<description
value="This action represents the check for suspected disorder reportability to create the patients eICR."/>
<textEquivalent
value="Check Trigger Codes based on Suspected Reportable Value set."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="check-trigger-codes"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
<valueExpression>
<language value="text/cql-identifier"/>
<expression value="Is Suspected Disorder?"/>
<reference
value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
</valueExpression>
</extension>
<language value="text/fhirpath"/>
<expression
value="%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()"/>
</expression>
</condition>
<input id="modifiedConditions">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Condition?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-sdtc-example"/>
</codeFilter>
</input>
<input id="modifiedLabResults">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Observation?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="value"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-sdtc-example"/>
</codeFilter>
</input>
<input id="modifiedMedicationOrders">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-sdtc-example"/>
</codeFilter>
</input>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="continue-check-reportable">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
<valueExpression>
<language value="text/cql-identifier"/>
<expression
value="Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?"/>
<reference
value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
</valueExpression>
</extension>
<language value="text/fhirpath"/>
<expression
value="%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)"/>
</expression>
</condition>
<relatedAction>
<actionId value="check-reportable"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="6"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
</action>
<action id="check-reportable">
<description
value="This action represents the check for suspected reportability of the eICR."/>
<textEquivalent
value="Check Reportability and setup jobs for future reportability checks."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<action id="is-encounter-reportable">
<description
value="This action represents the check for reportability to create the patients eICR."/>
<textEquivalent value="Check Trigger Codes based on RCTC Value sets."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="check-trigger-codes"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
<valueExpression>
<language value="text/cql-identifier"/>
<expression
value="Is Encounter Reportable and Within Normal Reporting Duration?"/>
<reference
value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
</valueExpression>
</extension>
<language value="text/fhirpath"/>
<expression
value="%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists())"/>
</expression>
</condition>
<input id="conditions">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Condition?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-dxtc-example"/>
</codeFilter>
</input>
<input id="encounters">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounter"/>
</extension>
<type value="Encounter"/>
<codeFilter>
<path value="reasonCode"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-dxtc-example"/>
</codeFilter>
</input>
<input id="immunizations">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Immunization?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Immunization"/>
<codeFilter>
<path value="vaccineCode"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="labOrders">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="ServiceRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="labTests">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Observation?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="diagnosticOrders">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="DiagnosticReport?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="DiagnosticReport"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-lotc-example"/>
</codeFilter>
</input>
<input id="procedureOrders">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="ServiceRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-pctc-example"/>
</codeFilter>
</input>
<input id="procedures">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Procedure?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Procedure"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-pctc-example"/>
</codeFilter>
</input>
<input id="medicationOrders">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationRequest?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="medicationDispenses">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationDispense?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationDispense"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="medicationAdministrations">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="MedicationAdministration?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="MedicationAdministration"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-mrtc-example"/>
</codeFilter>
</input>
<input id="labResults">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="labTests"/>
</extension>
<type value="Observation"/>
<codeFilter>
<path value="value"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-ostc-example"/>
</codeFilter>
</input>
<input id="diagnosticResults">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="diagnosticOrders"/>
</extension>
<type value="DiagnosticReport"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://example.org/fhir/ValueSet/valueset-ostc-example"/>
</codeFilter>
</input>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="check-update-eicr">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
<valueExpression>
<language value="text/cql-identifier"/>
<expression value="Most recent eICR sent over 72 hours ago?"/>
<reference
value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
</valueExpression>
</extension>
<language value="text/fhirpath"/>
<expression
value="((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours"/>
</expression>
</condition>
<input id="lasteicr">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="eicrreport"/>
</extension>
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
</input>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="is-encounter-in-progress">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
<valueExpression>
<language value="text/cql-identifier"/>
<expression
value="Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?"/>
<reference
value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
</valueExpression>
</extension>
<language value="text/fhirpath"/>
<expression
value="%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()"/>
</expression>
</condition>
<input id="inprogressencounter">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounter"/>
</extension>
<type value="Encounter"/>
</input>
<relatedAction>
<actionId value="check-reportable"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="6"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
</action>
<action id="create-eicr">
<description
value="This action represents the creation of the eICR. It subsequently calls validate."/>
<textEquivalent value="Create eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="create-report"/>
</coding>
</code>
<input id="patientdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="patient"/>
</extension>
<type value="Patient"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</input>
<input id="conditiondata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="conditions"/>
</extension>
<type value="Condition"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"/>
</input>
<input id="encounterdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="encounter"/>
</extension>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</input>
<input id="mrdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="medicationOrders"/>
</extension>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</input>
<input id="immzdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="immunizations"/>
</extension>
<type value="Immunization"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"/>
</input>
<input id="procdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="procedures"/>
</extension>
<type value="Procedure"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
</input>
<input id="labResultdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="labResults"/>
</extension>
<type value="Observation"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</input>
<input id="labOrderdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="labOrders"/>
</extension>
<type value="ServiceRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
</input>
<input id="diagnosticResultdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="diagnosticResults"/>
</extension>
<type value="DiagnosticReport"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
</input>
<input id="diagnosticOrderdata">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="diagnosticOrders"/>
</extension>
<type value="DiagnosticReport"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
</input>
<output id="eicrreport">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
</output>
<relatedAction>
<actionId value="validate-eicr"/>
<relationship value="before-start"/>
</relatedAction>
<action id="anonymize-report">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-trust-service-endpoint-extension">
<valueReference>🔗
<reference value="Endpoint/us-ph-endpoint-pha"/>
</valueReference>
</extension>
<description
value="This action is used to anonymize a identifiable report"/>
<textEquivalent value="Anonymize the report."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="anonymize-report"/>
</coding>
</code>
<input id="report-to-be-anonymized">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="output-report"/>
</extension>
<type value="Bundle"/>
</input>
<output id="anonymized-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"/>
</output>
</action>
</action>
<action id="validate-eicr">
<description
value="This action represents the validation of the eICR. It subsequently calls route-and-send."/>
<textEquivalent value="Validate eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="validate-report"/>
</coding>
</code>
<input id="generatedeicrreport">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="eicrreport"/>
</extension>
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
</input>
<output id="valideicrreport">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
</output>
<relatedAction>
<actionId value="route-and-send-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="route-and-send-eicr">
<description
value="This action represents the routing and sending of the eICR."/>
<textEquivalent value="Route and send eICR"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="submit-report"/>
</coding>
</code>
<input id="validatedeicrreport">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension">
<valueString value="valideicrreport"/>
</extension>
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
</input>
<output id="submittedeicrreport">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"/>
</output>
</action>
<action id="encounter-modified">
<description
value="This action represents the start of the reporting workflow in response to the encounter-modified event"/>
<textEquivalent
value="Start the reporting workflow in response to an encounter-modified event"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
<display value="Initiate a reporting workflow"/>
</coding>
</code>
<trigger id="encounter-modified-trigger">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents"/>
<code value="encounter-modified"/>
<display
value="Indicates modifications to data elements of an encounter"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="named-event"/>
<name value="encounter-modified"/>
</trigger>
<condition>
<kind value="applicability"/>
<expression>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension">
<valueExpression>
<language value="text/cql-identifier"/>
<expression
value="Is Encounter Longer Than Normal Reporting Duration?"/>
<reference
value="http://example.org/fhir/Library/RuleFilters|1.0.0"/>
</valueExpression>
</extension>
<language value="text/fhirpath"/>
<expression
value="%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)"/>
</expression>
</condition>
<relatedAction>
<actionId value="create-eicr"/>
<relationship value="before-start"/>
</relatedAction>
</action>
</PlanDefinition>
IG © 2023+ HL7 Public Health Work Group. Package hl7.fhir.us.ph-library#1.0.0 based on FHIR 4.0.1. Generated 2024-11-18
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