<?xml version="1.0" encoding="UTF-8"?><PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="zika-virus-intervention"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Id: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">PlanDefinition/zika-virus-intervention</td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Identifier: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">
                  
            <b>value: </b>
                  
            <span>zika-virus-intervention</span>
               
          </td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Title: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">Example Zika Virus Intervention</td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Status: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">active</td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Description: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.</td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Topic: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">
                  
            <span>
                     
              <b>text: </b>
                     
              <span>Zika Virus Management</span>
                  
            </span>
               
          </td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <table class="grid dict">
            
        <tr>
               
          <td>
                  
            <b>Library: </b>
               
          </td>
            
        </tr>
            
        <tr>
               
          <td style="padding-left: 25px; padding-right: 25px;">
                  
            <b>reference: </b>
                  
            <span>Library/zika-virus-intervention-logic</span>
               
          </td>
            
        </tr>
         
      </table>
         
      <p/>
         
      <h2>Actions</h2>
         
      <p class="hierarchy" style="width: 100%;">
            
        <span>
               
          <b>Step: </b>
               
          <br/>
               
          <span style="padding-left: 25px;">
                  
            <b>title: </b>
                  
            <span>Zika Virus Assessment</span>
                  
            <br/>
               
          </span>
               
          <span style="padding-left: 25px;">
                  
            <b>condition: </b>
                  
            <br/>
                  
            <span style="padding-left: 50px;">
                     
              <b>type: </b>
                     
              <span>applicability</span>
                     
              <br/>
                  
            </span>
                  
            <span style="padding-left: 50px;">
                     
              <b>expression: </b>
                     
              <span>Is Patient Pregnant</span>
                     
              <br/>
                  
            </span>
               
          </span>
               
          <span style="padding-left: 25px;">
                  
            <span>
                     
              <b>Step: </b>
                     
              <br/>
                     
              <span style="padding-left: 50px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 75px;">
                           
                  <b>type: </b>
                           
                  <span>applicability</span>
                           
                  <br/>
                        
                </span>
                        
                <span style="padding-left: 75px;">
                           
                  <b>expression: </b>
                           
                  <span>Should Administer Zika Virus Exposure Assessment</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 50px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 75px;">
                           
                  <b>reference: </b>
                           
                  <br/>
                           
                  <span style="padding-left: 100px;">#administer-zika-virus-exposure-assessment</span>
                           
                  <br/>
                           
                  <span>
							 
                    <span style="padding-left: 75px;">
								
                      <b>description: </b>
								
                      <span>Administer Zika Virus Exposure Assessment</span>
								
                      <br/>
							 
                    </span>
							 
                    <span style="padding-left: 75px;">
								
                      <b>category: </b>
								
                      <span>procedure</span>
								
                      <br/>
							 
                    </span>
                           
                  </span>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 50px;"/>
                  
            </span>
                  
            <span>
                     
              <b>Step: </b>
                     
              <br/>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>type: </b>
                           
                  <span>applicability</span>
                           
                  <br/>
                        
                </span>
                        
                <span style="padding-left: 100px;">
                           
                  <b>expression: </b>
                           
                  <span>Should Order Serum + Urine rRT-PCR Test</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>reference: </b>
                           
                  <br/>
                           
                  <span style="padding-left: 125px;">ActivityDefinition/order-serum-urine-rrt-pcr-test</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 50px;"/>
                  
            </span>
                  
            <span>
                     
              <b>Step: </b>
                     
              <br/>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>type: </b>
                           
                  <span>applicability</span>
                           
                  <br/>
                        
                </span>
                        
                <span style="padding-left: 100px;">
                           
                  <b>expression: </b>
                           
                  <span>Should Order Serum Zika Virus IgM + Dengue Virus IgM</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>reference: </b>
                           
                  <br/>
                           
                  <span style="padding-left: 125px;">#order-serum-zika-dengue-virus-igm</span>
                           
                  <br/>
                           
                  <span>
                              
                    <span style="padding-left: 50px;">
                                 
                      <span style="padding-left: 50px;">
                                    
                        <b>description: </b>
                                    
                        <span>Order Serum Zika and Dengue Virus IgM</span>
                                    
                        <br/>
                                 
                      </span>
                                 
                      <span style="padding-left: 75px;">
                                    
                        <b>related:</b>
                                    
                        <br/>
                                    
                        <span style="padding-left: 100px;">
                                       
                          <b>type: </b>
                                       
                          <span>documentation</span>
                                       
                          <br/>
                                    
                        </span>
                                    
                        <span style="padding-left: 100px;">
                                       
                          <b>display: </b>
                                       
                          <span>Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.</span>
                                       
                          <br/>
                                    
                        </span>
                                 
                      </span>
                                 
                      <span style="padding-left: 100px;">
                                    
                        <b>category: </b>
                                    
                        <span>diagnostic</span>
                                    
                        <br/>
                                 
                      </span>
                              
                    </span>
                           
                  </span>
                           
                  <span/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 50px;"/>
                  
            </span>
                  
            <span>
                     
              <b>Step: </b>
                     
              <br/>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>type: </b>
                           
                  <span>applicability</span>
                           
                  <br/>
                        
                </span>
                        
                <span style="padding-left: 100px;">
                           
                  <b>expression: </b>
                           
                  <span>Should Consider IgM Antibody Testing</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>reference: </b>
                           
                  <br/>
                           
                  <span style="padding-left: 125px;">ActivityDefinition/consider-igm-antibody-testing</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 50px;"/>
                  
            </span>
                  
            <span>
                     
              <b>Step: </b>
                     
              <br/>
                     
              <span style="padding-left: 75px;">
                        
                <b>condition: </b>
                        
                <br/>
                        
                <span style="padding-left: 100px;">
                           
                  <b>type: </b>
                           
                  <span>applicability</span>
                           
                  <br/>
                        
                </span>
                        
                <span style="padding-left: 100px;">
                           
                  <b>expression: </b>
                           
                  <span>Should Provide Mosquito Prevention and Contraception Advice</span>
                           
                  <br/>
                        
                </span>
                     
              </span>
                     
              <span style="padding-left: 50px;">
                        
                <span>
                           
                  <b>Step: </b>
                           
                  <br/>
                           
                  <span style="padding-left: 75px;">
                              
                    <b>condition: </b>
                              
                    <br/>
                              
                    <span style="padding-left: 100px;">
                                 
                      <b>reference: </b>
                                 
                      <br/>
                                 
                      <span style="padding-left: 125px;">#provide-mosquito-prevention-advice</span>
                                 
                      <span>
                                    
                        <span style="padding-left: 75px;">
                                       
                          <br/>
                                       
                          <span style="padding-left: 100px;">
                                          
                            <b>description: </b>
                                          
                            <span>Provide mosquito prevention advice</span>
                                          
                            <br/>
                                       
                          </span>
                                       
                          <span style="padding-left: 75px;">
                                          
                            <b>related:</b>
                                          
                            <br/>
                                          
                            <span style="padding-left: 100px;">
                                             
                              <b>type: </b>
                                             
                              <span>documentation</span>
                                             
                              <br/>
                                          
                            </span>
                                          
                            <span style="padding-left: 100px;">
                                             
                              <b>display: </b>
                                             
                              <span>Advice for patients about how to avoid Mosquito bites.</span>
                                             
                              <br/>
                                          
                            </span>
                                       
                          </span>
                                       
                          <span style="padding-left: 75px;">
                                          
                            <b>related:</b>
                                          
                            <br/>
                                          
                            <span style="padding-left: 100px;">
                                             
                              <b>type: </b>
                                             
                              <span>documentation</span>
                                             
                              <br/>
                                          
                            </span>
                                          
                            <span style="padding-left: 100px;">
                                             
                              <b>display: </b>
                                             
                              <span>Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]</span>
                                             
                              <br/>
                                          
                            </span>
                                       
                          </span>
                                       
                          <span style="padding-left: 100px;">
                                          
                            <b>category: </b>
                                          
                            <span>communication</span>
                                          
                            <br/>
                                       
                          </span>
                                    
                        </span>
                                 
                      </span>
                              
                    </span>
                           
                  </span>
                           
                  <span style="padding-left: 75px;"/>
                        
                </span>
                        
                <span>
                           
                  <b>Step: </b>
                           
                  <br/>
                           
                  <span style="padding-left: 75px;">
                              
                    <b>condition: </b>
                              
                    <br/>
                              
                    <span style="padding-left: 100px;">
                                 
                      <b>reference: </b>
                                 
                      <br/>
                                 
                      <span style="padding-left: 125px;">ActivityDefinition/provide-contraception-advice</span>
                                 
                      <br/>
                              
                    </span>
                           
                  </span>
                        
                </span>
                     
              </span>
                  
            </span>
               
          </span>
            
        </span>
         
      </p>
      
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/>
  </extension>
  <url value="http://example.org/PlanDefinition/zika-virus-intervention"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.11.5"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <value value="zika-virus-intervention"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="ExampleZikaVirusIntervention"/>
  <title value="Example Zika Virus Intervention"/>
  <status value="active"/>
  <date value="2017-01-12"/>
  <publisher value="HL7 International / Clinical Decision Support"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description value="Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management."/>
  <useContext>
    <code>
      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="age"/>
    </code>
    <valueRange>
      <low>
        <value value="12"/>
        <unit value="a"/>
      </low>
    </valueRange>
  </useContext>
  <useContext>
    <code>
      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="user"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="309343006"/>
        <display value="Physician"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <topic>
    <text value="Zika Virus Management"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <document>
      <url value="https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid=mm6539e1_w"/>
    </document>
  </relatedArtifact>
  <relatedArtifact>
    <type value="predecessor"/>
    <resource value="http://example.org/fhir/PlanDefinition/zika-virus-intervention-initial"/>
  </relatedArtifact>
  <library value="http://example.org/fhir/Library/zika-virus-intervention-logic"/>
  <action>
    <title value="Zika Virus Assessment"/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <language value="text/cql-identifier"/>
        <expression value="Is Patient Pregnant"/>
      </expression>
    </condition>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Administer Zika Virus Exposure Assessment"/>
        </expression>
      </condition>
      <definitionCanonical value="http://example.org/fhir/ActivityDefinition/administer-zika-virus-exposure-assessment"/>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Order Serum + Urine rRT-PCR Test"/>
        </expression>
      </condition>
      <definitionCanonical value="http://example.org/fhir/ActivityDefinition/order-serum-urine-rrt-pcr-test"/>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Order Serum Zika Virus IgM + Dengue Virus IgM"/>
        </expression>
      </condition>
      <definitionCanonical value="http://example.org/fhir/ActivityDefinition/order-serum-zika-dengue-virus-igm"/>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Consider IgM Antibody Testing"/>
        </expression>
      </condition>
      <definitionCanonical value="http://example.org/fhir/ActivityDefinition/consider-igm-antibody-testing"/>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Provide Mosquito Prevention and Contraception Advice"/>
        </expression>
      </condition>
      <action>
        <definitionCanonical value="http://example.org/fhir/ActivityDefinition/provide-mosquito-prevention-advice"/>
      </action>
      <action>
        <definitionCanonical value="http://example.org/fhir/ActivityDefinition/provide-contraception-advice"/>
      </action>
    </action>
  </action>
</PlanDefinition>