Action Combination Method - Clinical Practice Guidelines (CPG) on EBMonFHIR v1.2.0

Clinical Practice Guidelines (CPG) on EBMonFHIR
1.2.0 - ci-build

Clinical Practice Guidelines (CPG) on EBMonFHIR, published by Universitätsmedizin Greifswald. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CEOsys/cpg-on-ebm-on-fhir/ and changes regularly. See the Directory of published versions

Extension: Action Combination Method

Official URL: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method				Version: 0.1.0
Draft as of 2022-07-06			Responsible: Netzwerk Universitätsmedizin (NUM)	Computable Name: ActionCombinationMethodExt

Extension used on PlanDefinition.action to specify a method for combining the actions.

Context of Use

This extension may be used on the following element(s):

Element ID PlanDefinition
Element ID PlanDefinition.action
Element ID ElementDefinition
Element ID BackboneElement

Guidance

Action Combination

If at least one action is defined, the combination of actions is defined using the Action Combination Method Extension.

To ease the use of the extension, the following rulesets can be used:

Type Description Treshold required RuleSet

#exactly Exactly threshold actions out of the combination must be performed Yes rs-combination-exactly(threshold)

#at-least At least threshold actions out of the combination must be performed Yes rs-combination-at-least(threshold)

#at-most At most threshold actions out of the combination must be performed Yes rs-combination-at-most(threshold)

#one-or-more At least one action must be performed (equivalent to at-least with threshold=1) No rs-combination-one-or-more

#all All actions must be performed No rs-combination-all

#any Any combination of actions (but at least one) must be performed (equivalent to at-least with threshold=1) No rs-combination-any

Type	Description	Treshold required	RuleSet
`#exactly`	Exactly `threshold` actions out of the combination must be performed	Yes	`rs-combination-exactly(threshold)`
`#at-least`	At least `threshold` actions out of the combination must be performed	Yes	`rs-combination-at-least(threshold)`
`#at-most`	At most `threshold` actions out of the combination must be performed	Yes	`rs-combination-at-most(threshold)`
`#one-or-more`	At least one action must be performed (equivalent to `at-least` with `threshold=1`)	No	`rs-combination-one-or-more`
`#all`	All actions must be performed	No	`rs-combination-all`
`#any`	Any combination of actions (but at least one) must be performed (equivalent to `at-least` with `threshold=1`)	No	`rs-combination-any`

Aliases

Alias: $combinationMethod = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method
Alias: $cs-action-combination-method = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method

Exactly

// in RecommendationPlan instance
* insert rs-combination-exactly(2)

results in

* extension[$combinationMethod].extension[method].valueCodeableConcept = $cs-action-combination-method#exactly
* extension[$combinationMethod].extension[threshold].valuePositiveInt = 2

At-Least

// in RecommendationPlan instance
* insert rs-combination-at-least(2)

results in

* extension[$combinationMethod].extension[method].valueCodeableConcept = $cs-action-combination-method#at-least
* extension[$combinationMethod].extension[threshold].valuePositiveInt = 2

At-Most

// in RecommendationPlan instance
* insert rs-combination-at-most(2)

results in

* extension[$combinationMethod].extension[method].valueCodeableConcept = $cs-action-combination-method#at-most
* extension[$combinationMethod].extension[threshold].valuePositiveInt = 2

One-Or-More

// in RecommendationPlan instance
* insert rs-combination-one-or-more

results in

* extension[$combinationMethod].extension[method].valueCodeableConcept = $cs-action-combination-method#one-or-more

All

// in RecommendationPlan instance
* insert rs-combination-all

results in

* extension[$combinationMethod].extension[method].valueCodeableConcept = $cs-action-combination-method#all

Any

// in RecommendationPlan instance
* insert rs-combination-any

results in

* extension[$combinationMethod].extension[method].valueCodeableConcept = $cs-action-combination-method#any

This profile of a FHIR Extension is derived from the Extension FHIR resource.

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Complex Extension: Extension used on PlanDefinition.action to specify a method for combining the actions.

method: CodeableConcept: An Extension
threshold: positiveInt: An Extension

This structure is derived from Extension

Name	Card.	Type	Description & Constraints
Extension	0..*	Extension	combinationMethod
extension	1..*	Extension	Extension
Slices for extension			Content/Rules for all slices
extension:method	1..1	Extension	Expresses the method for combining the actions
extension	0..0
url	1..1	uri	"method"
value[x]	0..1	CodeableConcept	Value of extension Binding: Action Combination Method (required)
extension:threshold	0..1	Extension	Expresses the threshold for the method for combining the actions
extension	0..0
url	1..1	uri	"threshold"
value[x]	0..1	positiveInt	Value of extension
url	1..1	uri	"https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
value[x]	0..0
Documentation for this format

Name	Card.	Type	Description & Constraints
Extension	0..*	Extension	combinationMethod
id	0..1	id	Unique id for inter-element referencing
Slices for extension	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:method	1..1	Extension	Expresses the method for combining the actions
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"method"
value[x]	0..1	CodeableConcept	Value of extension Binding: Action Combination Method (required)
extension:threshold	0..1	Extension	Expresses the threshold for the method for combining the actions
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"threshold"
value[x]	0..1	positiveInt	Value of extension
url	1..1	uri	"https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Extension used on PlanDefinition.action to specify a method for combining the actions.

method: CodeableConcept: An Extension
threshold: positiveInt: An Extension

Differential View

This structure is derived from Extension

Name	Card.	Type	Description & Constraints
Extension	0..*	Extension	combinationMethod
extension	1..*	Extension	Extension
Slices for extension			Content/Rules for all slices
extension:method	1..1	Extension	Expresses the method for combining the actions
extension	0..0
url	1..1	uri	"method"
value[x]	0..1	CodeableConcept	Value of extension Binding: Action Combination Method (required)
extension:threshold	0..1	Extension	Expresses the threshold for the method for combining the actions
extension	0..0
url	1..1	uri	"threshold"
value[x]	0..1	positiveInt	Value of extension
url	1..1	uri	"https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
value[x]	0..0
Documentation for this format

Snapshot View

Name	Card.	Type	Description & Constraints
Extension	0..*	Extension	combinationMethod
id	0..1	id	Unique id for inter-element referencing
Slices for extension	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:method	1..1	Extension	Expresses the method for combining the actions
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"method"
value[x]	0..1	CodeableConcept	Value of extension Binding: Action Combination Method (required)
extension:threshold	0..1	Extension	Expresses the threshold for the method for combining the actions
id	0..1	id	Unique id for inter-element referencing
extension	0..0
url	1..1	uri	"threshold"
value[x]	0..1	positiveInt	Value of extension
url	1..1	uri	"https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet	URI
Extension.extension:method.value[x]	required	ActionCombinationMethodVS (a valid code from Action Combination Method) `https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-action-combination-method` from this IG