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Clinical Decision Support Work GroupMaturity Level: 0 DraftCompartments: Not linked to any defined compartments

This resource has 2 operations associated with it:

$evaluateEvaluate
$data-requirementsData Requirements

For more information about operations, including how they are invoked, see Operations.

The evaluate operation requests clinical decision support guidance based on a specific decision support module

The official URL for this operation definition is

 http://hl7.org/fhir/OperationDefinition/ServiceDefinition-evaluate

Formal Definition (as a OperationDefinition).

URL: [base]/ServiceDefinition/[id]/$evaluate

This is not an idempotent operation

In Parameters:
NameCardinalityTypeBindingProfileDocumentation
requestId0..1id

An optional client-provided identifier to track the request.

evaluateAtDateTime0..1dateTime

An optional date and time specifying that the evaluation should be performed as though it was the given date and time. The most direct implication of this is that references to "Now" within the evaluation logic of the module should result in this value. In addition, wherever possible, the data accessed by the module should appear as though it was accessed at this time. The evaluateAtDateTime value may be any time in the past or future, enabling both retrospective and prospective scenarios. If no value is provided, the date and time of the request is assumed.

inputParameters0..1Parameters

The input parameters for a request, if any. These parameters are defined by the module that is the target of the evaluation, and typically supply patient-independent information to the module.

inputData0..*Any

The input data for the request. These data are defined by the data requirements of the module and typically provide patient-dependent information.

patient0..1Reference(Patient)

The patient in context, if any.

encounter0..1Reference(Encounter)

The encounter in context, if any.

initiatingOrganization0..1Reference(Organization)

The organization initiating the request.

initiatingPerson0..1Reference(Patient|Practitioner|RelatedPerson)

The person initiating the request.

userType0..1CodeableConcept

The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.).

userLanguage0..1CodeableConcept

Preferred language of the person using the system.

userTaskContext0..1CodeableConcept

The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources.

receivingOrganization0..1Reference(Organization)

The organization that will receive the response.

receivingPerson0..1Reference(Patient|Practitioner|RelatedPerson)

The person in the receiving organization that will receive the response.

recipientType0..1CodeableConcept

The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.).

recipientLanguage0..1CodeableConcept

Preferred language of the person that will consume the content.

setting0..1CodeableConcept

The current setting of the request (inpatient, outpatient, etc).

settingContext0..1CodeableConcept

Additional detail about the setting of the request, if any.

Out Parameters:
NameCardinalityTypeBindingProfileDocumentation
return1..1GuidanceResponse

The result of the request as a GuidanceResponse resource.

Note: as this the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource

Request guideline appropriate ordering assessment (Request):

POST [base]/ServiceDefinition/example/$evaluate

<?xml version="1.0" encoding="UTF-8"?>
<Parameters xmlns="http://hl7.org/fhir">
  <id value="evaluate-operation-request-example"/>
  <!--  This example demonstrates the $evaluate operation against a DecisionSupportServiceModule resource. -->
  <parameter>
    <name value="requestId"/>
    <valueString value="guidanceRequest1"/>
  </parameter>
  <parameter>
    <name value="setting"/>
    <valueCoding>
      <system value="http://hl7.org/fhir/encounter-class"/>
      <code value="inpatient"/>
    </valueCoding>
  </parameter>
  <parameter>
    <name value="patient"/>
    <resource>
      <Patient>
        <id value="example"/>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
        </div>
        </text>
        <!--  MRN assigned by ACME healthcare on 6-May 2001  -->
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="MRN"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.36.146.595.217.0.1"/>
          <value value="12345"/>
          <period>
            <start value="2001-05-06"/>
          </period>
          <assigner>
            <display value="Acme Healthcare"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <!--  Peter James Chalmers, but called "Jim"  -->
        <name>
          <use value="official"/>
          <family value="Chalmers"/>
          <given value="Peter"/>
          <given value="James"/>
        </name>
        <name>
          <use value="usual"/>
          <given value="Jim"/>
        </name>
        <telecom>
          <use value="home"/>
          <!--  home communication details aren't known  -->
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="(03) 5555 6473"/>
          <use value="work"/>
        </telecom>
        <!--  use FHIR code system for male / female  -->
        <gender value="male"/>
        <birthDate value="1974-12-25">
          <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
            <valueDateTime value="1974-12-25T14:35:45-05:00"/>
          </extension>
        </birthDate>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="534 Erewhon St"/>
          <city value="PleasantVille"/>
          <state value="Vic"/>
          <postalCode value="3999"/>
        </address>
        <contact>
          <relationship>
            <coding>
              <system value="http://hl7.org/fhir/patient-contact-relationship"/>
              <code value="partner"/>
            </coding>
          </relationship>
          <name>
            <family value="du">
              <!--  the "du" part is a family name prefix (VV in iso 21090)  -->
              <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                <valueCode value="VV"/>
              </extension>
            </family>
            <family value="Marché"/>
            <given value="Bénédicte"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="+33 (237) 998327"/>
          </telecom>
        </contact>
        <managingOrganization>
          <reference value="Organization/1"/>
        </managingOrganization>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="order"/>
    <resource>
      <Order>
        <id value="order1"/>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-order"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">

        </div>
        </text>
        <contained>
          <ServiceRequest>
            <id value="ServiceRequest1"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-servicerequest"/>
            </meta>
            <subject>
              <reference value="Patient/example"/>
            </subject>
            <item>
              <code>
                <coding>
                  <!--  TODO: This will need to use the ACR Commons code  -->
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="70450"/>
                  <display value="CT, head, wo iv contrast"/>
                </coding>
              </code>
            </item>
          </ServiceRequest>
        </contained>
        <date value="2012-12-28T09:03:04+11:00"/>
        <subject>
          <reference value="Patient/example"/>
        </subject>
        <source>
          <reference value="Practitioner/example"/>
        </source>
        <reasonCodeableConcept>
          <coding>
            <!--  TODO: This will need to use the ACR Commons code  -->
            <system value="http://hl7.org/fhir/sid/icd-9"/>
            <code value="70450"/>
            <display value="Headache, Chronic, no new features"/>
          </coding>
        </reasonCodeableConcept>
        <detail>
          <reference value="#ServiceRequest1"/>
        </detail>
      </Order>
    </resource>
  </parameter>
</Parameters>

Request an InfoButton evaluate (Request):

POST [base]/ServiceDefinition/infobutton/$evaluate

<?xml version="1.0" encoding="UTF-8"?>
<Parameters xmlns="http://hl7.org/fhir">
  <id value="infobutton-evaluate-request"/>
  <!--  This example demonstrates the $evaluate operation to represent InfoButton using an appropriately defined ServiceDefinition. -->
  <parameter>
    <name value="requestId"/>
    <valueString value="InfoButtonRequest2"/>
  </parameter>
  <parameter>
    <name value="userTaskContext"/>
    <valueCoding>
      <system value="urn:oid:2.16.840.1.113883.5.4"/>
      <code value="PROBLISTREV"/>
      <display value="Problem List Review"/>
    </valueCoding>
  </parameter>
  <parameter>
    <name value="patient"/>
    <resource>
      <Patient xmlns="http://hl7.org/fhir">
        <id value="example"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <table>
              <tbody>
                <tr>
                  <td>Name</td>
                  <td>Peter James
                          <b>Chalmers</b>(&quot;Jim&quot;)</td>
                </tr>
                <tr>
                  <td>Address</td>
                  <td>534 Erewhon, Pleasantville, Vic, 3999</td>
                </tr>
                <tr>
                  <td>Contacts</td>
                  <td>Home: unknown. Work: (03) 5555 6473</td>
                </tr>
                <tr>
                  <td>Id</td>
                  <td>MRN: 12345 (Acme Healthcare)</td>
                </tr>
              </tbody>
            </table>
          </div>
        </text>
        <!--    MRN assigned by ACME healthcare on 6-May 2001    -->
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.36.146.595.217.0.1"/>
          <value value="12345"/>
          <period>
            <start value="2001-05-06"/>
          </period>
          <assigner>
            <display value="Acme Healthcare"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <!--    Peter James Chalmers, but called "Jim"    -->
        <name>
          <use value="official"/>
          <family value="Chalmers"/>
          <given value="Peter"/>
          <given value="James"/>
        </name>
        <name>
          <use value="usual"/>
          <given value="Jim"/>
        </name>
        <telecom>
          <use value="home"/>
          <!--    home communication details aren't known    -->
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="(03) 5555 6473"/>
          <use value="work"/>
        </telecom>
        <!--    use FHIR code system for male / female    -->
        <gender value="male"/>
        <birthDate value="1974-12-25">
          <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
            <valueDateTime value="1974-12-25T14:35:45-05:00"/>
          </extension>
        </birthDate>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <type value="both"/>
          <line value="534 Erewhon St"/>
          <city value="PleasantVille"/>
          <district value="Rainbow"/>
          <state value="Vic"/>
          <postalCode value="3999"/>
          <period>
            <start value="1974-12-25"/>
          </period>
        </address>
        <contact>
          <relationship>
            <coding>
              <system value="http://hl7.org/fhir/patient-contact-relationship"/>
              <code value="partner"/>
            </coding>
          </relationship>
          <name>
            <family value="du">
              <!--    the "du" part is a family name prefix (VV in iso 21090)    -->
              <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                <valueCode value="VV"/>
              </extension>
            </family>
            <family value="Marché"/>
            <given value="Bénédicte"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="+33 (237) 998327"/>
          </telecom>
          <gender value="female"/>
          <period>
            <!--    The contact relationship started in 2012    -->
            <start value="2012"/>
          </period>
        </contact>
        <managingOrganization>
          <reference value="Organization/1"/>
        </managingOrganization>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="mainSearchCriteria"/>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/sid/icd-9"/>
        <code value="493"/>
        <display value="Asthma"/>
      </coding>
    </valueCodeableConcept>
  </parameter>
</Parameters>

Returned on successful assessment (Response):

HTTP/1.1 200 OK

<?xml version="1.0" encoding="UTF-8"?>
<GuidanceResponse xmlns="http://hl7.org/fhir">
  <!-- This example demonstrates the response to an $evaluate operation using the GuidanceResponse resource. -->
  <contained>
    <Parameters >
      <id value="outputParameters1"/>
      <parameter>
        <name value="order"/>
        <valueReference>
          <reference value="#order1"/>
        </valueReference>
      </parameter>
      <parameter>
        <name value="result"/>
        <resource>
          <!-- GAO Result, profile of Basic -->
          <Basic>
            <id value="result1"/> <!-- Could also be the Response Identifier (guidanceResponse1 in this example)? -->
            <meta>
              <!-- TODO: Profile url for GAO Result profile -->
              <!--profile value="http://hl7.org/fhir/StructureDefinition/result-gao-gao-result"/-->
            </meta>
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-score">
              <valueDecimal value="7"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-item">
              <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-item#code">
                <valueCodeableConcept>
                  <coding>
                    <!-- TODO: This will need to use the ACR Commons code -->
                    <system value="http://www.ama-assn.org/go/cpt"/>
                    <code value="70450"/>
                    <display value="CT, head, wo iv contrast"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <!-- Appropriate Use Criteria Identifier -->
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-guideline">
              <valueUri value="http://someguidelineprovider.org/radiology-appropriateness-guidelines.html"/>
            </extension>
            <!-- Certified HealthCare Information Technology Identifier -->
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-device">
              <valueReference>
                <reference value="#device1"/>
              </valueReference>
            </extension>
            <!-- Provider NPI -->
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-practitioner">
              <valueIdentifier>
                <value value="exampleNPI"/>
              </valueIdentifier>
            </extension>
            <identifier>
              <value value="result1"/>
            </identifier>
            <code>
              <coding>
                <code value="within"/>
                <display value="Order is within identified guidelines"/>
              </coding>
            </code>
            <subject>
              <reference value="#order1"/>
            </subject>
          </Basic>
        </resource>
      </parameter>
    </Parameters>
  </contained>
  <requestId value="guidanceRequest1"/>
  <module>
    <reference value="ServiceDefinition/example"/>
  </module>
  <status value="success"/>
  <outputParameters>
    <reference value="#outputParameters1"/>
  </outputParameters>
</GuidanceResponse>

Returned on successful InfoButton request (Response):

HTTP/1.1 200 OK

<?xml version="1.0"?>
<GuidanceResponse xmlns="http://hl7.org/fhir">
  <id value="InfoButtonResponse3"/>
  <contained>
    <DocumentReference>
      <id value="InfoButtonResponse1"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34895-3"/>
          <display value="Education note"/>
        </coding>
      </type>
      <class>
        <coding>
          <system value="http://healthwise.org/doctype"/>
          <code value="special"/>
        </coding>
      </class>
      <author>
        <reference value="Organization/healthwise"/>
      </author>
      <custodian>
        <reference value="Organization/healthwise"/>
      </custodian>
      <created value="2016-06-30T17:08:27Z"/>
      <indexed value="2016-06-30T17:08:27Z"/>
      <status value="current"/>
      <docStatus>
        <coding>
          <system value="http://hl7.org/fhir/composition-status"/>
          <code value="final"/>
          <display value="final"/>
        </coding>
      </docStatus>
      <description value="Asthma in Teens and Adults"/>
      <content>
        <attachment>
          <contentType value="application/atom+xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/html"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348?lang=en-us&amp;hw.format=rhtml&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348.xml?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="application/pdf"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348.pdf?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
    </DocumentReference>
  </contained>
  <contained>
    <DocumentReference>
      <id value="InfoButtonResponse2"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34895-3"/>
          <display value="Education note"/>
        </coding>
      </type>
      <class>
        <coding>
          <system value="http://healthwise.org/doctype"/>
          <code value="conditioncenter"/>
        </coding>
      </class>
      <author>
        <reference value="Organization/healthwise"/>
      </author>
      <custodian>
        <reference value="Organization/healthwise"/>
      </custodian>
      <created value="2016-06-30T17:08:27Z"/>
      <indexed value="2016-06-30T17:08:27Z"/>
      <status value="current"/>
      <docStatus>
        <coding>
          <system value="http://hl7.org/fhir/composition-status"/>
          <code value="final"/>
          <display value="final"/>
        </coding>
      </docStatus>
      <description value="Asthma"/>
      <content>
        <attachment>
          <contentType value="application/atom+xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/html"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042?lang=en-us&amp;hw.format=rhtml&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042.xml?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="application/pdf"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042.pdf?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
    </DocumentReference>
  </contained>
  <contained>
    <DocumentReference>
      <id value="InfoButtonResponse3"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34895-3"/>
          <display value="Education note"/>
        </coding>
      </type>
      <class>
        <coding>
          <system value="http://healthwise.org/doctype"/>
          <code value="actionset"/>
        </coding>
      </class>
      <author>
        <reference value="Organization/healthwise"/>
      </author>
      <custodian>
        <reference value="Organization/healthwise"/>
      </custodian>
      <created value="2016-06-30T17:08:27Z"/>
      <indexed value="2016-06-30T17:08:27Z"/>
      <status value="current"/>
      <docStatus>
        <coding>
          <system value="http://hl7.org/fhir/composition-status"/>
          <code value="final"/>
          <display value="final"/>
        </coding>
      </docStatus>
      <description value="Asthma: Using an Asthma Action Plan"/>
      <content>
        <attachment>
          <contentType value="application/atom+xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/html"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560?lang=en-us&amp;hw.format=rhtml&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560.xml?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="application/pdf"/>
          <language value="en-us"/>
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    <title value="Asthma in Teens and Adults"/>
    <description value="Covers causes and symptoms of asthma in teens and adults. Includes info on avoiding triggers and treating attacks. Looks at treatment with controller medicine. Covers delivery systems that include metered-dose and dry powder inhalers and nebulizers."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse1"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma"/>
    <description value="Provides links to how-to information about asthma. Includes info on asthma in teens and adults, using an asthma action plan, and using inhalers."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse2"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: Using an Asthma Action Plan"/>
    <description value="Covers using an asthma action plan for asthma attacks. Explains green, yellow, and red zones in an action plan. Covers what medicines to take in each zone. Reviews what to do if an attack becomes an emergency."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse3"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Breathing Problems: Using a Metered-Dose Inhaler"/>
    <description value="Diseases affecting the lungs—such as asthma, emphysema, chronic bronchitis, and chronic obstructive pulmonary disease (COPD)—share many of the same medicines. These medicines are often delivered through a metered-dose..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse4"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma Action Plan"/>
    <description value="Learn how following an asthma action plan can help you take control of your asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse5"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: Taking Charge of Your Asthma"/>
    <description value="Covers control of asthma with asthma action plan. Includes working with doctor on a plan and medicines for symptoms and attacks. Includes use of controller medicine and peak flow meter. Reviews avoiding triggers and keeping asthma diary."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse6"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Classification of Asthma"/>
    <description value="The National Asthma Education and Prevention Program has classified asthma as:"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse7"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Challenge Tests for Asthma"/>
    <description value="Exercise challenge and inhalation challenge tests are sometimes used to diagnose asthma and  workplace asthma (occupational asthma)."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse8"/>
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  </action>
  <action>
    <title value="Asthma Action Plan: Yellow Zone"/>
    <description value="An asthma action plan is based on zones defined by your symptoms or your peak flow, or both. It tells you what to do if you have a sudden increase in your asthma symptoms (asthma attack)."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse9"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma Triggers"/>
    <description value="An asthma trigger is a factor that can lead to sudden difficulty breathing or other symptoms of asthma (asthma attack)."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse10"/>
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  </action>
  <action>
    <title value="Asthma Action Plan: Red Zone"/>
    <description value="An asthma action plan is based on zones defined by your symptoms, your peak flow, or both. It tells you what to do if you have a sudden increase in your asthma symptoms (asthma attack)."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse11"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma and GERD"/>
    <description value="Gastroesophageal reflux disease (GERD) is the abnormal&#x9;backflow, or reflux, of stomach juices into the esophagus, the tube that leads from the throat to the stomach."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse12"/>
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    </documentation>
  </action>
  <action>
    <title value="Occupational Asthma"/>
    <description value="Occupational asthma is the most common form of work-related lung disease in many countries. When a person develops asthma as an adult,&#x9;occupational exposure is a likely cause."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse13"/>
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  </action>
  <action>
    <title value="Asthma Attack"/>
    <description value="An asthma attack (also called an acute asthma episode,&#x9;flare-up, or exacerbation) is a sudden increase in the symptoms of asthma, including:"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse14"/>
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  <action>
    <title value="Asthma: Symptoms of Difficulty Breathing"/>
    <description value="It is important to know the symptoms of difficulty&#x9;breathing in asthma. If you or your child is having trouble&#x9;breathing, follow your asthma action plan."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse15"/>
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  </action>
  <action>
    <title value="Asthma Treatment Goals"/>
    <description value="The American Academy of Allergy, Asthma, and Immunology (AAAAI) and the American College of Allergy, Asthma, and Immunology (ACAAI) have developed guidelines for getting asthma under control. They list the goals of asthma treatment as:footnote 1"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse16"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma: Overcoming Obstacles to Taking Medicines"/>
    <description value="Asthma is a long-lasting (chronic) disease that may last throughout your life—you must treat it long term. Taking medicines and following a management plan can be difficult over a long period of time."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse17"/>
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  </action>
  <action>
    <title value="Asthma: Controlling Cockroaches"/>
    <description value="Exposure to cockroaches may increase asthma symptoms. Cockroaches leave behind particles from their feces, eggs, and shells that can cause an allergic reaction. Cockroaches are a problem in many homes, especially in the southern part of the..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse18"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: Educating Yourself and Your Child"/>
    <description value="Educating yourself and your family about asthma is essential for you and your child to have control of the disease. If you understand asthma, you will have an easier time&#x9;following the different aspects of treatment, such as avoiding..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse19"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Allergy Shots for Asthma"/>
    <description value="Allergy shots are a type of immunotherapy treatment in which small doses of substances to which you are allergic (allergens) are injected under your skin. Over time, your body may become less responsive to the allergens, which means you may..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse20"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Short-Acting Beta2-Agonists for Quick Relief of Asthma Symptoms"/>
    <description value="Looks at bronchodilator medicines for asthma. Lists generic and brand names, such as albuterol (Proventil), levalbuterol (Xopenex), and terbutaline. Info on how well beta-2 agonists work, side effects, and warning not to overuse."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse21"/>
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    </documentation>
  </action>
  <action>
    <title value="Theophylline for Long-Term Control of Asthma"/>
    <description value="Example(s): Elixophyllin,Theochron (theophylline)"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse22"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Anticholinergics for Asthma"/>
    <description value="Example(s): Atrovent (ipratropium),Combivent,DuoNeb (ipratropium and albuterol)"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse23"/>
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    </documentation>
  </action>
  <action>
    <title value="Long-Acting Beta2-Agonists for Long-Term Control of Asthma"/>
    <description value="Covers medicines used in metered-dose or dry powder inhaler to treat asthma. Lists generic and brand names like budesonide and formoterol (Symbicort) and fluticasone and salmeterol (Advair). Covers how well they work and side effects."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse24"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Leukotriene Pathway Modifiers for Long-Term Control of Asthma"/>
    <description value="Example(s): Singulair (montelukast),Accolate (zafirlukast),Zyflo (zileuton)"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse25"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Controlling Dust, Dust Mites, and Other Allergens in Your Home"/>
    <description value="Dust builds up throughout your home. The dust may contain substances that trigger asthma symptoms, such as wheezing or coughing, or another allergic reaction, such as the rash of&#x9;atopic dermatitis or stuffy nose of&#x9;allergic rhinitis. These..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse26"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Inhaled corticosteroids for asthma"/>
    <description value="What are the most important things you need to know about your medicines?"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse27"/>
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    </documentation>
  </action>
  <action>
    <title value="Inhaled quick-relief medicines for asthma"/>
    <description value="What are the most important things you need to know about your medicines?"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse28"/>
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    </documentation>
  </action>
  <action>
    <title value="Steroid Medicine for Asthma: Myths and Facts"/>
    <description value="Asthma is more than a day-to-day problem that makes your life difficult. Over time it damages your airways and lungs. That damage can lead to serious health problems.  So it's important to keep your asthma under control with medicine."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse29"/>
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  </action>
  <action>
    <title value="Nebulizer for Asthma Treatment"/>
    <description value="A nebulizer is a device used to deliver liquid medicine in the form of a fine mist (aerosol). It is sometimes used for&#x9;asthma because:"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse30"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma and Vocal Cord Problems"/>
    <description value="Vocal cord dysfunction is the uncontrolled closing of the vocal cords when you breathe in. The symptoms can seem to be the same as those of asthma and may occur alone or along with asthma. If you have asthma and vocal cord dysfunction, it may..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse31"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma Action Plan: Green Zone"/>
    <description value="An asthma action plan is based on zones defined by your symptoms, your peak flow, or both. It tells you what to do if you or your child has a sudden increase in asthma symptoms (asthma attack)."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse32"/>
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  </action>
  <action>
    <title value="Asthma: Peak Expiratory Flow and Personal Best"/>
    <description value="Peak expiratory flow (PEF) measures how much air you or your child can breathe out using the greatest effort. It is used in the monitoring and treatment of asthma to determine how well your lungs are functioning. Your peak flow drops when..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse33"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma: How to Overcome Treatment Obstacles"/>
    <description value="Asthma is a long-lasting (chronic) disease that may&#xA;&#x9;&#x9;last throughout your life—you must treat it long term. But following a&#xA;&#x9;&#x9;management plan can be difficult over a long period of time."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse34"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma and Wheezing"/>
    <description value="Wheezing is a whistling noise that occurs when the&#xA;&#x9;&#x9;bronchial tubes, which carry air to the lungs, narrow&#xA;&#x9;&#x9;because of&#xA;&#x9;&#x9;inflammation or&#xA;&#x9;&#x9;mucus buildup. Wheezing is often present in&#xA;&#x9;&#x9;asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse35"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma: Measuring Peak Flow"/>
    <description value="As someone with&#xA;&#x9;&#x9;  asthma, you know how important it is to monitor your&#xA;&#x9;&#x9;  condition. Your doctor may want you to know how well your lungs are &quot;working.&quot; Is their ability&#xA;&#x9;&#x9;  to move air in and out staying the same, or is it getting better or&#xA;&#x9;&#x9;  worse?"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse36"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: Identifying Your Triggers"/>
    <description value="Asthma is a&#xA;&#x9;&#x9;  long-lasting (chronic) disease of the&#xA;&#x9;&#x9;  respiratory system. It causes&#xA;&#x9;&#x9;  inflammation in tubes that carry air to the lungs&#xA;&#x9;&#x9;  (bronchial tubes). The inflammation makes your bronchial tubes likely to&#xA;&#x9;&#x9;  overreact to certain..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse37"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: Using an Inhaler and Spacer"/>
    <description value="Learn the correct way to use a spacer with your inhaler."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse38"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Stories From People Controlling Their Asthma"/>
    <description value="Hear how others with asthma have learned to control their symptoms."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse39"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: Myths About Inhaled Steroids"/>
    <description value="Learn common myths about inhaled steroids, which are some of the best medicines for controlling asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse40"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Dealing With Asthma Triggers"/>
    <description value="Learn how to avoid common asthma triggers to better control your symptoms."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse41"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: The Importance of Controller Medicines"/>
    <description value="Learn why your controller medicines are so important."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse42"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma: What Happens in Your Lungs"/>
    <description value="Learn what's going on in the lungs that can make it hard to breathe when you have asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse43"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Using a Metered-Dose Inhaler Without a Spacer"/>
    <description value="Learn the correct way to use an inhaler that doesn't have a spacer."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse44"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Using a Dry Powder Inhaler"/>
    <description value="Learn the right way to use a dry powder inhaler to help control your asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse45"/>
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    </documentation>
  </action>
  <action>
    <title value="Checking Peak Flow"/>
    <description value="Learn how to use a peak flow meter to check how well your lungs are working."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse46"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma (Holistic)"/>
    <description value="Don’t let asthma knock the wind out of you. Asthma is a lung disorder characterized by sudden fits of wheezing, coughing, or shortness of breath. According to research or other evidence, the following self-care steps may be helpful. Try proven herbal remedies Boswellia extract (900 mg a day), ivy leaf extract (50 drops..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse47"/>
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  </action>
  <action>
    <title value="Asthma (Homeopathy)"/>
    <description value="Primary RemediesArsenicum album A person needing this remedy can feel exhausted, yet be very restless and anxious. Breathing problems tend to be worse while lying down, better when sitting up, and may begin, or be the most intense, between midnight and two a.m. Dry wheezing may progress to a cough that brings up frothy..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse48"/>
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  </action>
  <action>
    <title value="Omalizumab for Asthma"/>
    <description value="Omalizumab (Xolair) is a medicine approved by the U.S. Food&#xA;&#x9;&#x9;and Drug Administration (FDA) for use in people age 12 and older who have moderate&#xA;&#x9;&#x9;or severe persistent&#xA;&#x9;&#x9;asthma. This medicine costs a lot more than any of the standard&#xA;&#x9;&#x9;treatments..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse49"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma: Ways to Take Inhaled Medicines"/>
    <description value="When you use inhaled&#xA;&#x9;&#x9;asthma medicine, you usually use a device that&#xA;&#x9;&#x9;delivers the medicine directly to your lungs. Different types of delivery&#xA;&#x9;&#x9;systems are available. And one type may be more suitable for certain people,&#xA;&#x9;&#x9;age groups, or..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse50"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma: Overuse of Quick-Relief Medicines"/>
    <description value="Medicines for quick relief of the narrowed&#xA;&#x9;&#x9;bronchial tubes caused by&#xA;&#x9;&#x9;asthma include short-acting beta2-agonists. These&#xA;&#x9;&#x9;medicines relieve sudden increases of symptoms (asthma attacks)&#xA;&#x9;&#x9;quickly. But overuse may be harmful."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse51"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Asthma Diary"/>
    <description value="An asthma diary helps you keep track of how well you are managing&#xA;&#x9;&#x9;your&#xA;&#x9;&#x9;asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse52"/>
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    </documentation>
  </action>
  <action>
    <title value="Inhaled Corticosteroids for Long-Term Control of Asthma"/>
    <description value="Covers medicines used in metered-dose or dry powder inhaler to treat asthma. Lists generic and brand names such as budesonide (Pulmicort) and fluticasone and salmeterol (Advair). Covers how well they work and side effects."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse53"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma Action Plan"/>
    <description value="An&#xA;&#x9;&#x9;  asthma action plan is a written plan that tells you&#xA;&#x9;&#x9;  how to treat your asthma on a daily basis. The plan also helps you deal with&#xA;&#x9;&#x9;  sudden increases in your or your child&apos;s asthma symptoms (asthma attacks). You need to treat the&#xA;&#x9;&#x9; ..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse54"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Assessing Your Asthma Knowledge"/>
    <description value="Understanding&#xA;&#x9;&#x9;asthma can help you control your symptoms and reduce&#xA;&#x9;&#x9;your risk of&#xA;&#x9;&#x9;asthma attacks."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse55"/>
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    </documentation>
  </action>
  <action>
    <title value="Monitoring Asthma Treatment"/>
    <description value="The severity of&#xA;&#x9;&#x9;asthma can vary, and asthma often requires changes in&#xA;&#x9;&#x9;your treatment to control it. To ensure that you are getting the proper&#xA;&#x9;&#x9;treatment, you have to continuously monitor and evaluate the disease and&#xA;&#x9;&#x9;communicate with your doctor."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse56"/>
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    </documentation>
  </action>
  <action>
    <title value="Breathing Problems: Using a Dry Powder Inhaler"/>
    <description value="Covers using an inhaler to get needed medicine into lungs quickly. Describes dry powder inhalers, how they work, and why to use them. Includes pictures on how to use a dry powder inhaler."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse57"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Complications of Allergic Rhinitis"/>
    <description value="Long-term (chronic)&#xA;&#x9;&#x9;allergic rhinitis may cause a number of health&#xA;&#x9;&#x9;problems, including:"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse58"/>
      </resource>
    </documentation>
  </action>
	</RequestGroup>
  </contained>
  <requestId value="InfoButtonRequest2"/>
  <module>
    <reference value="ServiceDefinition/infobutton"/>
  </module>
  <status value="success"/>
</GuidanceResponse>

 

The data-requirements operation aggregates and returns the parameters and data requirements for the service module and all its dependencies as a single module definition library.

The official URL for this operation definition is

 http://hl7.org/fhir/OperationDefinition/ServiceDefinition-data-requirements

Formal Definition (as a OperationDefinition).

URL: [base]/ServiceDefinition/[id]/$data-requirements

This is not an idempotent operation

In Parameters:
NameCardinalityTypeBindingProfileDocumentation
evaluateAtDateTime0..1dateTime

An optional date and time specifying that the evaluation should be performed as though it was the given date and time. Data requirements returned will use this as the "Now" point for the purposes of determining the data requirements.

Out Parameters:
NameCardinalityTypeBindingProfileDocumentation
return1..1Library

The result of the requirements gathering is a module-definition Library that describes the aggregate parameters, data requirements, and dependencies of the service.

Note: as this the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource

The effect of invoking this operation is to determine the aggregate set of data requirements and dependencies for the service module. The result is a Library resource with a type of module-definition that contains all the parameter definitions and data requirements of the service module and any libraries referenced by it. Implementations SHOULD aggregate data requirements intelligently (i.e. by collapsing overlapping data requirements).