Clinical Practice Guidelines (CPG) on EBMonFHIR
1.0.1 - 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 1.0.1 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

Resource Profile: Recommendation - Detailed Descriptions

Draft as of 2022-10-03

Definitions for the recommendation resource profile.

Guidance on how to interpret the contents of this table can be found here

0. PlanDefinition
Invariantsselection-behavior-unique-or-no-value: If selectionBehavior is present, it must be the same for all actions in the group (action.selectionBehavior.distinct().count() <= 1)
nested-action-requires-combination-method: If a nested action is present, a combination method must be present. (action.exists() implies extension('https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method').exists())
2. PlanDefinition.meta
Control1..?
Must Supporttrue
4. PlanDefinition.meta.source
Must Supporttrue
6. PlanDefinition.meta.profile
Control1..?
Must Supporttrue
8. PlanDefinition.extension
Control3..?
10. PlanDefinition.extension:knowledgeCapability
Slice NameknowledgeCapability
Control1..1
12. PlanDefinition.extension:knowledgeCapability.extension
Control0..0
14. PlanDefinition.extension:knowledgeCapability.value[x]
Control1..?
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Pattern Valuecomputable
16. PlanDefinition.extension:knowledgeRepresentationLevel
Slice NameknowledgeRepresentationLevel
Control1..1
18. PlanDefinition.extension:knowledgeRepresentationLevel.extension
Control0..0
20. PlanDefinition.extension:knowledgeRepresentationLevel.value[x]
Control1..?
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Pattern Valuestructured
22. PlanDefinition.extension:combinationMethod
Slice NamecombinationMethod
Control1..1
TypeExtension(Action Combination Method) (Complex Extension)
Must Supporttrue
24. PlanDefinition.relatedArtifact
SlicingThis element introduces a set of slices on PlanDefinition.relatedArtifact. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ classifier
  • 26. PlanDefinition.relatedArtifact:recommendationJustification
    Slice NamerecommendationJustification
    Control0..1
    28. PlanDefinition.relatedArtifact:recommendationJustification.type
    Pattern Valuejustification
    30. PlanDefinition.relatedArtifact:recommendationJustification.classifier
    Control1..1
    Pattern Value{
      "coding" : [{
        "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
        "code" : "recommendation-rating",
        "display" : "Recommendation rating"
      }]
    }
    32. PlanDefinition.relatedArtifact:recommendationJustification.resourceReference
    Control1..?
    TypeReference(Recommendation Justification)
    Must Supporttrue
    34. PlanDefinition.relatedArtifact:recommendationCitation
    Slice NamerecommendationCitation
    Control0..1
    36. PlanDefinition.relatedArtifact:recommendationCitation.type
    Pattern Valuecitation
    38. PlanDefinition.relatedArtifact:recommendationCitation.classifier
    Control1..1
    Pattern Value{
      "coding" : [{
        "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
        "code" : "guideline-recommendation",
        "display" : "Clinical practice guideline recommendation"
      }]
    }
    40. PlanDefinition.relatedArtifact:recommendationCitation.resourceReference
    Control1..?
    TypeReference(Recommendation Citation)
    Must Supporttrue
    42. PlanDefinition.relatedArtifact:guidelineCitation
    Slice NameguidelineCitation
    Control0..1
    44. PlanDefinition.relatedArtifact:guidelineCitation.type
    Pattern Valuecitation
    46. PlanDefinition.relatedArtifact:guidelineCitation.classifier
    Control1..1
    Pattern Value{
      "coding" : [{
        "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
        "code" : "clinical-practice-guideline",
        "display" : "Clinical practice guideline"
      }]
    }
    48. PlanDefinition.relatedArtifact:guidelineCitation.resourceReference
    Control1..?
    TypeReference(Guideline Citation)
    Must Supporttrue
    50. PlanDefinition.action
    52. PlanDefinition.action.definition[x]
    Control1..?
    Typecanonical(Recommendation Plan)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

    Guidance on how to interpret the contents of this table can be found here

    0. PlanDefinition
    Definition

    This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications.

    ShortThe definition of a plan for a series of actions, independent of any specific patient or context
    Control10..1*
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantscnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$'))
    pld-3: goalid should reference the id of a goal definition (%context.repeat(action).where((goalId in %context.goal.id).not()).exists().not())
    pld-4: targetId should reference the id of an action (%context.repeat(action).relatedAction.where((targetId in %context.repeat(action).id).not()).exists().not())
    selection-behavior-unique-or-no-value: If selectionBehavior is present, it must be the same for all actions in the group (action.selectionBehavior.distinct().count() <= 1)
    nested-action-requires-combination-method: If a nested action is present, a combination method must be present. (action.exists() implies extension('https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method').exists())
    2. PlanDefinition.meta
    Definition

    The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

    ShortMetadata about the resource
    Control10..1
    TypeMeta
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    4. PlanDefinition.meta.source
    Definition

    A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

    ShortIdentifies where the resource comes from
    Comments

    The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference.

    This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. PlanDefinition.meta.profile
    Definition

    A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

    ShortProfiles this resource claims to conform to
    Comments

    It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

    Control10..*
    Typecanonical(StructureDefinition)
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. PlanDefinition.implicitRules
    Definition

    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

    ShortA set of rules under which this content was created
    Comments

    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. PlanDefinition.contained
    Definition

    These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

    ShortContained, inline Resources
    Comments

    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

    Control0..*
    This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
    TypeResource
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Alternate Namesinline resources, anonymous resources, contained resources
    12. PlanDefinition.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control30..*
    TypeExtension
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on PlanDefinition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 14. PlanDefinition.extension:knowledgeCapability
      Slice NameknowledgeCapability
      Definition

      Defines a knowledge capability afforded by this knowledge artifact.

      Shortshareable | computable | publishable | executable
      Control1..1
      This element is affected by the following invariants: ele-1
      TypeExtension(knowledgeCapability) (Extension Type: code)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. PlanDefinition.extension:knowledgeCapability.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on PlanDefinition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 18. PlanDefinition.extension:knowledgeCapability.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valuehttp://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
        20. PlanDefinition.extension:knowledgeCapability.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control10..1
        This element is affected by the following invariants: ext-1
        BindingThe codes SHALL be taken from For codes, see CPG Knowledge Capability
        (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-capability)

        A knowledge capability provided by a knowledge artifact

        Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Pattern Valuecomputable
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. PlanDefinition.extension:knowledgeRepresentationLevel
        Slice NameknowledgeRepresentationLevel
        Definition

        Defines a knowledge representation level provided by this knowledge artifact.

        Shortnarrative | semi-structured | structured | executable
        Control1..1
        This element is affected by the following invariants: ele-1
        TypeExtension(knowledgeRepresentationLevel) (Extension Type: code)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        24. PlanDefinition.extension:knowledgeRepresentationLevel.extension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortExtensionAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..0*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on PlanDefinition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 26. PlanDefinition.extension:knowledgeRepresentationLevel.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valuehttp://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel
          28. PlanDefinition.extension:knowledgeRepresentationLevel.value[x]
          Definition

          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

          ShortValue of extension
          Control10..1
          This element is affected by the following invariants: ext-1
          BindingThe codes SHALL be taken from For codes, see CPG Knowledge Representation Level
          (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-representation-level)

          A level of knowledge representation provided by this artifact

          Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Pattern Valuestructured
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. PlanDefinition.extension:artifactComment
          Slice NameartifactComment
          Definition

          A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user.

          ShortAdditional documentation, review, or usage guidance
          Control0..*
          TypeExtension(CQFM Artifact Comment) (Complex Extension)
          Is Modifierfalse
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          32. PlanDefinition.extension:enabled
          Slice Nameenabled
          Definition

          Determines whether the artifact on which it appears is Enabled, as opposed to just Known.

          ShortEnabled?
          Comments

          Systems that are capable of storing and retrieving knowledge artifacts SHALL use this element to distinguish between a Known and an actively Enabled artifact. Behavior described by the artifact should only be implemented if this element is present and has a value of true.

          Control0..1
          TypeExtension(enabled) (Extension Type: boolean)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          34. PlanDefinition.extension:partOf
          Slice NamepartOf
          Definition

          Specifies the canonical URL of a Pathway or Strategy that this definition is part of.

          ShortPart of pathway
          Comments

          For enrollment checking, if the computable PlanDefinition is not a Pathway or Strategy, then this extension is followed to attempt to determine a Pathway or Strategy to use for the enrollment check, recursively.

          Control0..1
          TypeExtension(partOf) (Extension Type: canonical(PlanDefinition))
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          36. PlanDefinition.extension:combinationMethod
          Slice NamecombinationMethod
          Definition

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

          ShortcombinationMethod
          Control1..1
          TypeExtension(Action Combination Method) (Complex Extension)
          Is Modifierfalse
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          38. PlanDefinition.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Must Supportfalse
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          40. PlanDefinition.url
          Definition

          An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers.

          ShortCanonical identifier for this plan definition, represented as a URI (globally unique)
          Comments

          Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

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

          In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Allows the plan definition to be referenced by a single globally unique identifier.

          Invariantscnl-1: URL should not contain | or # - these characters make processing canonical references problematic (exists() implies matches('^[^|# ]+$'))
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. PlanDefinition.version
          Definition

          The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.

          ShortBusiness version of the plan definition
          Comments

          There may be different plan definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version.

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. PlanDefinition.versionAlgorithm[x]
          Definition

          Indicates the mechanism used to compare versions to determine which is more current.

          ShortHow to compare versions
          Comments

          If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from VersionAlgorithmhttp://hl7.org/fhir/ValueSet/version-algorithm
          (extensible to http://hl7.org/fhir/ValueSet/version-algorithm)
          TypeChoice of: string, Coding
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. PlanDefinition.name
          Definition

          A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

          ShortName for this plan definition (computer friendly)
          Comments

          The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

          Control0..1
          This element is affected by the following invariants: cnl-0
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Support human navigation and code generation.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. PlanDefinition.title
          Definition

          A short, descriptive, user-friendly title for the plan definition.

          ShortName for this plan definition (human friendly)
          Comments

          This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. PlanDefinition.type
          Definition

          A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.

          Shortorder-set | clinical-protocol | eca-rule | workflow-definition
          Control10..1
          BindingUnless not suitable, these codes SHALL be taken from PlanDefinitionTypehttp://hl7.org/fhir/ValueSet/plan-definition-type
          (extensible to http://hl7.org/fhir/ValueSet/plan-definition-type)

          The type of PlanDefinition.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
              "code" : "workflow-definition"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. PlanDefinition.status
          Definition

          The status of this plan definition. Enables tracking the life-cycle of the content.

          Shortdraft | active | retired | unknown
          Comments

          Allows filtering of plan definitions that are appropriate for use versus not.

          See guidance around (not) making local changes to elements here.

          Control1..1
          BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|5.0.0
          (required to http://hl7.org/fhir/ValueSet/publication-status|5.0.0)

          The lifecycle status of an artifact.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. PlanDefinition.experimental
          Definition

          A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

          ShortFor testing purposes, not real usage
          Comments

          Allows filtering of plan definitions that are appropriate for use versus not.

          Control0..1
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.

          Meaning if MissingIf absent, this resource is treated as though it is not experimental.
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. PlanDefinition.subject[x]
          Definition

          A code, group definition, or canonical reference that describes or identifies the intended subject of the plan definition. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.

          ShortType of individual the plan definition is focused on
          Comments

          Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.

          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from ParticipantResourceTypeshttp://hl7.org/fhir/ValueSet/participant-resource-types
          (extensible to http://hl7.org/fhir/ValueSet/participant-resource-types)

          The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

          TypeChoice of: CodeableConcept, Reference(Group, MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, PackagedProductDefinition), canonical(EvidenceVariable)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summaryfalse
          Meaning if MissingPatient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. PlanDefinition.publisher
          Definition

          The name of the organization or individual responsible for the release and ongoing maintenance of the plan definition.

          ShortName of the publisher/steward (organization or individual)
          Comments

          Usually an organization but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Helps establish the "authority/credibility" of the plan definition. May also allow for contact.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. PlanDefinition.description
          Definition

          A free text natural language description of the plan definition from a consumer's perspective.

          ShortNatural language description of the plan definition
          Comments

          This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the plan definition is presumed to be the predominant language in the place the plan definition was created).

          Control10..1
          Typemarkdown
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. PlanDefinition.relatedArtifact
          Definition

          Related artifacts such as additional documentation, justification, or bibliographic references.

          ShortAdditional documentation, citations
          Comments

          Each related artifact is either an attachment, or a reference to another resource, but not both.

          Control0..*
          TypeRelatedArtifact
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Requirements

          Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on PlanDefinition.relatedArtifact. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ classifier
          • 64. PlanDefinition.relatedArtifact:recommendationJustification
            Slice NamerecommendationJustification
            Definition

            Related artifacts such as additional documentation, justification, or bibliographic references.

            ShortAdditional documentation, citations
            Comments

            Each related artifact is either an attachment, or a reference to another resource, but not both.

            Control0..1*
            TypeRelatedArtifact
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            66. PlanDefinition.relatedArtifact:recommendationJustification.type
            Definition

            The type of relationship to the related artifact.

            Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
            Comments

            The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

            Control1..1
            BindingThe codes SHALL be taken from RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0
            (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

            The type of relationship to the related artifact.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Pattern Valuejustification
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            68. PlanDefinition.relatedArtifact:recommendationJustification.classifier
            Definition

            Provides additional classifiers of the related artifact.

            ShortAdditional classifiers
            Control10..1*
            BindingFor example codes, see CitationArtifactClassifierhttp://hl7.org/fhir/ValueSet/citation-artifact-classifier
            (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier)

            Additional classifiers for the related artifact.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Pattern Value{
              "coding" : [{
                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
                "code" : "recommendation-rating",
                "display" : "Recommendation rating"
              }]
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            70. PlanDefinition.relatedArtifact:recommendationJustification.resourceReference
            Definition

            The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

            ShortWhat artifact, if not a conformance resource
            Comments

            If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

            Control10..1
            TypeReference(Recommendation Justification, Resource)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            72. PlanDefinition.relatedArtifact:recommendationCitation
            Slice NamerecommendationCitation
            Definition

            Related artifacts such as additional documentation, justification, or bibliographic references.

            ShortAdditional documentation, citations
            Comments

            Each related artifact is either an attachment, or a reference to another resource, but not both.

            Control0..1*
            TypeRelatedArtifact
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            74. PlanDefinition.relatedArtifact:recommendationCitation.type
            Definition

            The type of relationship to the related artifact.

            Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
            Comments

            The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

            Control1..1
            BindingThe codes SHALL be taken from RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0
            (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

            The type of relationship to the related artifact.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Pattern Valuecitation
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            76. PlanDefinition.relatedArtifact:recommendationCitation.classifier
            Definition

            Provides additional classifiers of the related artifact.

            ShortAdditional classifiers
            Control10..1*
            BindingFor example codes, see CitationArtifactClassifierhttp://hl7.org/fhir/ValueSet/citation-artifact-classifier
            (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier)

            Additional classifiers for the related artifact.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Pattern Value{
              "coding" : [{
                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
                "code" : "guideline-recommendation",
                "display" : "Clinical practice guideline recommendation"
              }]
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            78. PlanDefinition.relatedArtifact:recommendationCitation.resourceReference
            Definition

            The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

            ShortWhat artifact, if not a conformance resource
            Comments

            If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

            Control10..1
            TypeReference(Recommendation Citation, Resource)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            80. PlanDefinition.relatedArtifact:guidelineCitation
            Slice NameguidelineCitation
            Definition

            Related artifacts such as additional documentation, justification, or bibliographic references.

            ShortAdditional documentation, citations
            Comments

            Each related artifact is either an attachment, or a reference to another resource, but not both.

            Control0..1*
            TypeRelatedArtifact
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Requirements

            Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. PlanDefinition.relatedArtifact:guidelineCitation.type
            Definition

            The type of relationship to the related artifact.

            Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
            Comments

            The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

            Control1..1
            BindingThe codes SHALL be taken from RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0
            (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

            The type of relationship to the related artifact.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Pattern Valuecitation
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            84. PlanDefinition.relatedArtifact:guidelineCitation.classifier
            Definition

            Provides additional classifiers of the related artifact.

            ShortAdditional classifiers
            Control10..1*
            BindingFor example codes, see CitationArtifactClassifierhttp://hl7.org/fhir/ValueSet/citation-artifact-classifier
            (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier)

            Additional classifiers for the related artifact.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Pattern Value{
              "coding" : [{
                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
                "code" : "clinical-practice-guideline",
                "display" : "Clinical practice guideline"
              }]
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            86. PlanDefinition.relatedArtifact:guidelineCitation.resourceReference
            Definition

            The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

            ShortWhat artifact, if not a conformance resource
            Comments

            If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

            Control10..1
            TypeReference(Guideline Citation, Resource)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            88. PlanDefinition.library
            Definition

            A reference to a Library resource containing any formal logic used by the plan definition.

            ShortLogic used by the plan definition
            Control0..1*
            Typecanonical(Library)
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            90. PlanDefinition.action
            Definition

            An action or group of actions to be taken as part of the plan. For example, in clinical care, an action would be to prescribe a particular indicated medication, or perform a particular test as appropriate. In pharmaceutical quality, an action would be the test that needs to be performed on a drug product as defined in the quality specification.

            ShortAction defined by the plan
            Comments

            Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.

            Control10..*
            This element is affected by the following invariants: pld-3, pld-4
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            92. PlanDefinition.action.extension:strengthOfRecommendation
            Slice NamestrengthOfRecommendation
            Definition

            The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation.

            ShortThe strength of the recommendation
            Control0..1
            TypeExtension(strengthOfRecommendation) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            94. PlanDefinition.action.extension:directionOfRecommendation
            Slice NamedirectionOfRecommendation
            Definition

            Specifies whether the recommendation is "for" or "against" a particular activity. For example, the recommendation to prescribe a particular medication, versus the recommendation not to perform a particular procedure.

            ShortRecommendation for or against?
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(directionOfRecommendation) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            96. PlanDefinition.action.extension:qualityOfEvidence
            Slice NamequalityOfEvidence
            Definition

            The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence.

            ShortThe quality of the evidence
            Control0..1
            TypeExtension(qualityOfEvidence) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            98. PlanDefinition.action.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            100. PlanDefinition.action.prefix
            Definition

            A user-visible prefix for the action. For example a section or item numbering such as 1. or A.

            ShortUser-visible prefix for the action (e.g. 1. or A.)
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            102. PlanDefinition.action.title
            Definition

            The textual description of the action displayed to a user. For example, when the action is a test to be performed, the title would be the title of the test such as Assay by HPLC.

            ShortUser-visible title
            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            104. PlanDefinition.action.description
            Definition

            A brief description of the action used to provide a summary to display to the user.

            ShortBrief description of the action
            Control10..1
            Typemarkdown
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            106. PlanDefinition.action.code
            Definition

            A code that provides a meaning, grouping, or classification for the action or action group. For example, a section may have a LOINC code for the section of a documentation template. In pharmaceutical quality, an action (Test) such as pH could be classified as a physical property.

            ShortCode representing the meaning of the action or sub-actions
            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from For example codes, see CPG Common Processhttp://hl7.org/fhir/ValueSet/action-code
            (extensible to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process)

            High-level processes identified in guideline-based care


            Provides examples of actions to be performed.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            108. PlanDefinition.action.reason
            Definition

            A description of why this action is necessary or appropriate.

            ShortWhy the action should be performed
            Comments

            This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.

            Control0..*
            BindingFor example codes, see ActionReasonCodehttp://hl7.org/fhir/ValueSet/action-reason-code
            (example to http://hl7.org/fhir/ValueSet/action-reason-code)

            Provides examples of reasons for actions to be performed.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            110. PlanDefinition.action.documentation
            Definition

            Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.

            ShortSupporting documentation for the intended performer of the action
            Control0..*
            TypeRelatedArtifact
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            112. PlanDefinition.action.trigger
            Definition

            A description of when the action should be triggered. When multiple triggers are specified on an action, any triggering event invokes the action.

            ShortWhen the action should be triggered
            Control0..*
            TypeTriggerDefinition
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            114. PlanDefinition.action.condition
            Definition

            An expression that describes applicability criteria or start/stop conditions for the action.

            ShortWhether or not the action is applicable
            Comments

            When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.

            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            116. PlanDefinition.action.condition.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            118. PlanDefinition.action.condition.kind
            Definition

            The kind of condition.

            Shortapplicability | start | stop
            Comments

            Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.

            Control1..1
            BindingThe codes SHALL be taken from ActionConditionKindhttp://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0)

            Defines the kinds of conditions that can appear on actions.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            120. PlanDefinition.action.input
            Definition

            Defines input data requirements for the action.

            ShortInput data requirements
            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            pld-0: Input data elements must have a requirement or a relatedData, but not both (requirement.exists() xor relatedData.exists())
            122. PlanDefinition.action.input.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            124. PlanDefinition.action.output
            Definition

            Defines the outputs of the action, if any.

            ShortOutput data definition
            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            pld-1: Output data element must have a requirement or a relatedData, but not both (requirement.exists() xor relatedData.exists())
            126. PlanDefinition.action.output.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            128. PlanDefinition.action.relatedAction
            Definition

            A relationship to another action such as "before" or "30-60 minutes after start of".

            ShortRelationship to another action
            Comments

            When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.

            Control0..*
            This element is affected by the following invariants: pld-4
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            130. PlanDefinition.action.relatedAction.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            132. PlanDefinition.action.relatedAction.targetId
            Definition

            The element id of the target related action.

            ShortWhat action is this related to
            Control1..1
            This element is affected by the following invariants: pld-4
            Typeid
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            134. PlanDefinition.action.relatedAction.relationship
            Definition

            The relationship of the start of this action to the related action.

            Shortbefore | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end
            Control1..1
            BindingThe codes SHALL be taken from ActionRelationshipTypehttp://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0)

            Defines the types of relationships between actions.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            136. PlanDefinition.action.timing[x]
            Definition

            An optional value describing when the action should be performed.

            ShortWhen the action should take place
            Comments

            The intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity.

            Control0..1
            TypeChoice of: Age, Duration, Range, Timing
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            Summaryfalse
            Requirements

            Allows prompting for activities and detection of missed planned activities.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            138. PlanDefinition.action.participant
            Definition

            Indicates who should participate in performing the action described.

            ShortWho should participate in the action
            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            140. PlanDefinition.action.participant.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            142. PlanDefinition.action.participant.role
            Definition

            The role the participant should play in performing the described action.

            ShortE.g. Nurse, Surgeon, Parent
            Control0..1
            BindingThe codes SHOULD be taken from For example codes, see CPG Common Personahttp://terminology.hl7.org/ValueSet/action-participant-role
            (preferred to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-persona)

            Personas used in identifying participants and their roles in computable content


            Defines roles played by participants for the action.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            144. PlanDefinition.action.type
            Definition

            The type of action to perform (create, update, remove).

            Shortcreate | update | remove | fire-event
            Control0..01
            BindingUnless not suitable, these codes SHALL be taken from ActionTypehttp://hl7.org/fhir/ValueSet/action-type
            (extensible to http://hl7.org/fhir/ValueSet/action-type)

            The type of action to be performed.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            146. PlanDefinition.action.groupingBehavior
            Definition

            Defines the grouping behavior for the action and its children.

            Shortvisual-group | logical-group | sentence-group
            Control0..01
            BindingThe codes SHALL be taken from ActionGroupingBehaviorhttp://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0)

            Defines organization behavior of a group.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Meaning if MissingIf no grouping behavior is specified but the action has children (i.e. is a group), the grouping behavior is assumed to be `logical-group`.
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            148. PlanDefinition.action.selectionBehavior
            Definition

            Defines the selection behavior for the action and its children.

            Shortany | all | all-or-none | exactly-one | at-most-one | one-or-more
            Control0..1
            BindingThe codes SHALL be taken from ActionSelectionBehaviorhttp://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0)

            Defines selection behavior of a group.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Meaning if MissingIf no selection behavior is specified but the action has children (i.e. is a group), the selection behavior is assumed to be `all`.
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            150. PlanDefinition.action.requiredBehavior
            Definition

            Defines the required behavior for the action.

            Shortmust | could | must-unless-documented
            Control0..01
            BindingThe codes SHALL be taken from ActionRequiredBehaviorhttp://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0)

            Defines expectations around whether an action or action group is required.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Meaning if MissingIf no required behavior is specified but the action has children (i.e. is a group), the required behavior is assumed to be `could`.
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            152. PlanDefinition.action.precheckBehavior
            Definition

            Defines whether the action should usually be preselected.

            Shortyes | no
            Control0..01
            BindingThe codes SHALL be taken from ActionPrecheckBehaviorhttp://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0)

            Defines selection frequency behavior for an action or group.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Meaning if MissingIf no precheck behavior is specified but the action has children (i.e. is a group), the precheck behavior is assumed to be `no`.
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            154. PlanDefinition.action.cardinalityBehavior
            Definition

            Defines whether the action can be selected multiple times.

            Shortsingle | multiple
            Control0..01
            BindingThe codes SHALL be taken from ActionCardinalityBehaviorhttp://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0
            (required to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0)

            Defines behavior for an action or a group for how many times that item may be repeated.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Meaning if MissingIf no cardinality behavior is specified but the action has children (i.e. is a group), the cardinality behavior is assumed to be `single`.
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            156. PlanDefinition.action.definition[x]
            Definition

            A reference to an ActivityDefinition that describes the action to be taken in detail, a MessageDefinition describing a message to be snet, a PlanDefinition that describes a series of actions to be taken, a Questionnaire that should be filled out, a SpecimenDefinition describing a specimen to be collected, or an ObservationDefinition that specifies what observation should be captured.

            ShortDescription of the activity to be performed
            Comments

            Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.

            Control10..1
            Typecanonical(Recommendation Plan, ActivityDefinition, MessageDefinition, ObservationDefinition, PlanDefinition, Questionnaire, SpecimenDefinition), uri
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            158. PlanDefinition.action.transform
            Definition

            A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.

            ShortTransform to apply the template
            Comments

            Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.

            Control0..01
            Typecanonical(StructureMap)
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            160. PlanDefinition.action.dynamicValue
            Definition

            Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.

            ShortDynamic aspects of the definition
            Comments

            Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.

            Control0..0*
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            165. PlanDefinition.action.action
            Definition

            Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.

            ShortA sub-action
            Control0..*
            TypeSeettp://hl7.org/fhir/StructureDefinition/PlanDefinition#PlanDefinition.action
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

            Guidance on how to interpret the contents of this table can be found here

            0. PlanDefinition
            Definition

            This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications.

            ShortThe definition of a plan for a series of actions, independent of any specific patient or context
            Control1..1
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantscnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$'))
            pld-3: goalid should reference the id of a goal definition (%context.repeat(action).where((goalId in %context.goal.id).not()).exists().not())
            pld-4: targetId should reference the id of an action (%context.repeat(action).relatedAction.where((targetId in %context.repeat(action).id).not()).exists().not())
            selection-behavior-unique-or-no-value: If selectionBehavior is present, it must be the same for all actions in the group (action.selectionBehavior.distinct().count() <= 1)
            nested-action-requires-combination-method: If a nested action is present, a combination method must be present. (action.exists() implies extension('https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method').exists())
            2. PlanDefinition.id
            Definition

            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

            ShortLogical id of this artifact
            Comments

            Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

            Control0..1
            Typeid
            Is Modifierfalse
            Must Supportfalse
            Summarytrue
            4. PlanDefinition.meta
            Definition

            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

            ShortMetadata about the resource
            Control1..1
            TypeMeta
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            6. PlanDefinition.meta.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            This element is affected by the following invariants: ele-1
            Typeid
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            8. PlanDefinition.meta.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on PlanDefinition.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 10. PlanDefinition.meta.versionId
              Definition

              The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

              ShortVersion specific identifier
              Comments

              The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

              Control0..1
              Typeid
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. PlanDefinition.meta.lastUpdated
              Definition

              When the resource last changed - e.g. when the version changed.

              ShortWhen the resource version last changed
              Comments

              This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

              Control0..1
              Typeinstant
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              14. PlanDefinition.meta.source
              Definition

              A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

              ShortIdentifies where the resource comes from
              Comments

              The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference.

              This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

              Control0..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              16. PlanDefinition.meta.profile
              Definition

              A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

              ShortProfiles this resource claims to conform to
              Comments

              It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

              Control1..*
              Typecanonical(StructureDefinition)
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              18. PlanDefinition.meta.security
              Definition

              Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

              ShortSecurity Labels applied to this resource
              Comments

              The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from AllSecurityLabels
              (extensible to http://hl7.org/fhir/ValueSet/security-labels)

              Security Labels from the Healthcare Privacy and Security Classification System.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. PlanDefinition.meta.tag
              Definition

              Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

              ShortTags applied to this resource
              Comments

              The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

              Control0..*
              BindingFor example codes, see CommonTags
              (example to http://hl7.org/fhir/ValueSet/common-tags)

              Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. PlanDefinition.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

              Control0..1
              Typeuri
              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. PlanDefinition.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingThe codes SHALL be taken from AllLanguages
              (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

              IETF language tag for a human language

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              26. PlanDefinition.text
              Definition

              A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

              Control0..1
              This element is affected by the following invariants: dom-6
              TypeNarrative
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              28. PlanDefinition.contained
              Definition

              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

              Control0..*
              This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
              TypeResource
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              30. PlanDefinition.extension
              Definition

              An Extension

              ShortExtension
              Control3..*
              TypeExtension
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on PlanDefinition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 32. PlanDefinition.extension:knowledgeCapability
                Slice NameknowledgeCapability
                Definition

                Defines a knowledge capability afforded by this knowledge artifact.

                Shortshareable | computable | publishable | executable
                Control1..1
                This element is affected by the following invariants: ele-1
                TypeExtension(knowledgeCapability) (Extension Type: code)
                Is Modifierfalse
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                34. PlanDefinition.extension:knowledgeCapability.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                36. PlanDefinition.extension:knowledgeCapability.extension
                Definition

                An Extension

                ShortExtension
                Control0..0
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on PlanDefinition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 38. PlanDefinition.extension:knowledgeCapability.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuehttp://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
                  40. PlanDefinition.extension:knowledgeCapability.value[x]
                  Definition

                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                  ShortValue of extension
                  Control1..1
                  BindingThe codes SHALL be taken from CPG Knowledge Capability
                  (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-capability)

                  A knowledge capability provided by a knowledge artifact

                  Typecode
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Pattern Valuecomputable
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  42. PlanDefinition.extension:knowledgeRepresentationLevel
                  Slice NameknowledgeRepresentationLevel
                  Definition

                  Defines a knowledge representation level provided by this knowledge artifact.

                  Shortnarrative | semi-structured | structured | executable
                  Control1..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(knowledgeRepresentationLevel) (Extension Type: code)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  44. PlanDefinition.extension:knowledgeRepresentationLevel.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  46. PlanDefinition.extension:knowledgeRepresentationLevel.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..0
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on PlanDefinition.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 48. PlanDefinition.extension:knowledgeRepresentationLevel.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valuehttp://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel
                    50. PlanDefinition.extension:knowledgeRepresentationLevel.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control1..1
                    BindingThe codes SHALL be taken from CPG Knowledge Representation Level
                    (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-representation-level)

                    A level of knowledge representation provided by this artifact

                    Typecode
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Pattern Valuestructured
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    52. PlanDefinition.extension:artifactComment
                    Slice NameartifactComment
                    Definition

                    A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user.

                    ShortAdditional documentation, review, or usage guidance
                    Control0..*
                    TypeExtension(CQFM Artifact Comment) (Complex Extension)
                    Is Modifierfalse
                    Must Supporttrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    54. PlanDefinition.extension:enabled
                    Slice Nameenabled
                    Definition

                    Determines whether the artifact on which it appears is Enabled, as opposed to just Known.

                    ShortEnabled?
                    Comments

                    Systems that are capable of storing and retrieving knowledge artifacts SHALL use this element to distinguish between a Known and an actively Enabled artifact. Behavior described by the artifact should only be implemented if this element is present and has a value of true.

                    Control0..1
                    TypeExtension(enabled) (Extension Type: boolean)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    56. PlanDefinition.extension:partOf
                    Slice NamepartOf
                    Definition

                    Specifies the canonical URL of a Pathway or Strategy that this definition is part of.

                    ShortPart of pathway
                    Comments

                    For enrollment checking, if the computable PlanDefinition is not a Pathway or Strategy, then this extension is followed to attempt to determine a Pathway or Strategy to use for the enrollment check, recursively.

                    Control0..1
                    TypeExtension(partOf) (Extension Type: canonical(PlanDefinition))
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    58. PlanDefinition.extension:combinationMethod
                    Slice NamecombinationMethod
                    Definition

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

                    ShortcombinationMethod
                    Control1..1
                    TypeExtension(Action Combination Method) (Complex Extension)
                    Is Modifierfalse
                    Must Supporttrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    60. PlanDefinition.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    62. PlanDefinition.url
                    Definition

                    An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers.

                    ShortCanonical identifier for this plan definition, represented as a URI (globally unique)
                    Comments

                    Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

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

                    In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Allows the plan definition to be referenced by a single globally unique identifier.

                    Invariantscnl-1: URL should not contain | or # - these characters make processing canonical references problematic (exists() implies matches('^[^|# ]+$'))
                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. PlanDefinition.identifier
                    Definition

                    A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance.

                    ShortAdditional identifier for the plan definition
                    Comments

                    Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this plan definition outside of FHIR, where it is not possible to use the logical URI.

                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    TypeIdentifier
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Allows externally provided and/or usable business identifiers to be easily associated with the module.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. PlanDefinition.version
                    Definition

                    The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.

                    ShortBusiness version of the plan definition
                    Comments

                    There may be different plan definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version.

                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control1..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. PlanDefinition.versionAlgorithm[x]
                    Definition

                    Indicates the mechanism used to compare versions to determine which is more current.

                    ShortHow to compare versions
                    Comments

                    If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from VersionAlgorithm
                    (extensible to http://hl7.org/fhir/ValueSet/version-algorithm)
                    TypeChoice of: string, Coding
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. PlanDefinition.name
                    Definition

                    A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

                    ShortName for this plan definition (computer friendly)
                    Comments

                    The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                    Control0..1
                    This element is affected by the following invariants: cnl-0
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Support human navigation and code generation.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. PlanDefinition.title
                    Definition

                    A short, descriptive, user-friendly title for the plan definition.

                    ShortName for this plan definition (human friendly)
                    Comments

                    This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

                    Control1..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    74. PlanDefinition.subtitle
                    Definition

                    An explanatory or alternate title for the plan definition giving additional information about its content.

                    ShortSubordinate title of the plan definition
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    76. PlanDefinition.type
                    Definition

                    A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.

                    Shortorder-set | clinical-protocol | eca-rule | workflow-definition
                    Control1..1
                    BindingUnless not suitable, these codes SHALL be taken from PlanDefinitionType
                    (extensible to http://hl7.org/fhir/ValueSet/plan-definition-type)

                    The type of PlanDefinition.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
                        "code" : "workflow-definition"
                      }]
                    }
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    78. PlanDefinition.status
                    Definition

                    The status of this plan definition. Enables tracking the life-cycle of the content.

                    Shortdraft | active | retired | unknown
                    Comments

                    Allows filtering of plan definitions that are appropriate for use versus not.

                    See guidance around (not) making local changes to elements here.

                    Control1..1
                    BindingThe codes SHALL be taken from PublicationStatus
                    (required to http://hl7.org/fhir/ValueSet/publication-status|5.0.0)

                    The lifecycle status of an artifact.

                    Typecode
                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    80. PlanDefinition.experimental
                    Definition

                    A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

                    ShortFor testing purposes, not real usage
                    Comments

                    Allows filtering of plan definitions that are appropriate for use versus not.

                    Control0..1
                    Typeboolean
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.

                    Meaning if MissingIf absent, this resource is treated as though it is not experimental.
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    82. PlanDefinition.subject[x]
                    Definition

                    A code, group definition, or canonical reference that describes or identifies the intended subject of the plan definition. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.

                    ShortType of individual the plan definition is focused on
                    Comments

                    Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.

                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from ParticipantResourceTypes
                    (extensible to http://hl7.org/fhir/ValueSet/participant-resource-types)

                    The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

                    TypeChoice of: CodeableConcept, Reference(Group, MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, PackagedProductDefinition), canonical(EvidenceVariable)
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summaryfalse
                    Meaning if MissingPatient
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    84. PlanDefinition.date
                    Definition

                    The date (and optionally time) when the plan definition was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes.

                    ShortDate last changed
                    Comments

                    The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Alternate NamesRevision Date
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    86. PlanDefinition.publisher
                    Definition

                    The name of the organization or individual responsible for the release and ongoing maintenance of the plan definition.

                    ShortName of the publisher/steward (organization or individual)
                    Comments

                    Usually an organization but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Helps establish the "authority/credibility" of the plan definition. May also allow for contact.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    88. PlanDefinition.contact
                    Definition

                    Contact details to assist a user in finding and communicating with the publisher.

                    ShortContact details for the publisher
                    Comments

                    May be a web site, an email address, a telephone number, etc.

                    See guidance around (not) making local changes to elements here.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    90. PlanDefinition.description
                    Definition

                    A free text natural language description of the plan definition from a consumer's perspective.

                    ShortNatural language description of the plan definition
                    Comments

                    This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the plan definition is presumed to be the predominant language in the place the plan definition was created).

                    Control1..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    92. PlanDefinition.useContext
                    Definition

                    The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances.

                    ShortThe context that the content is intended to support
                    Comments

                    When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                    Control0..*
                    TypeUsageContext
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Assist in searching for appropriate content.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    94. PlanDefinition.jurisdiction
                    Definition

                    A legal or geographic region in which the plan definition is intended to be used.

                    ShortIntended jurisdiction for plan definition (if applicable)
                    Comments

                    It may be possible for the plan definition to be used in jurisdictions other than those for which it was originally designed or intended.

                    DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

                    Control0..*
                    BindingUnless not suitable, these codes SHALL be taken from JurisdictionValueSet
                    (extensible to http://hl7.org/fhir/ValueSet/jurisdiction)

                    Countries and regions within which this artifact is targeted for use.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    96. PlanDefinition.purpose
                    Definition

                    Explanation of why this plan definition is needed and why it has been designed as it has.

                    ShortWhy this plan definition is defined
                    Comments

                    This element does not describe the usage of the plan definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this plan definition.

                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. PlanDefinition.usage
                    Definition

                    A detailed description of how the plan definition is used from a clinical perspective.

                    ShortDescribes the clinical usage of the plan
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    100. PlanDefinition.copyright
                    Definition

                    A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition.

                    ShortUse and/or publishing restrictions
                    Comments

                    The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.

                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content.

                    Alternate NamesLicense, Restrictions
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    102. PlanDefinition.copyrightLabel
                    Definition

                    A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved').

                    ShortCopyright holder and year(s)
                    Comments

                    The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Defines the content expected to be rendered in all representations of the artifact.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    104. PlanDefinition.approvalDate
                    Definition

                    The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

                    ShortWhen the plan definition was approved by publisher
                    Comments

                    The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    106. PlanDefinition.lastReviewDate
                    Definition

                    The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

                    ShortWhen the plan definition was last reviewed by the publisher
                    Comments

                    If specified, this date follows the original approval date.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    108. PlanDefinition.effectivePeriod
                    Definition

                    The period during which the plan definition content was or is planned to be in active use.

                    ShortWhen the plan definition is expected to be used
                    Comments

                    The effective period for a plan definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a plan definition intended to be used for the year 2016 might be published in 2015.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    TypePeriod
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the plan definition are or are expected to be used instead.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    110. PlanDefinition.topic
                    Definition

                    Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching.

                    ShortE.g. Education, Treatment, Assessment
                    Comments

                    DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)

                    Control0..*
                    BindingFor example codes, see DefinitionTopic
                    (example to http://hl7.org/fhir/ValueSet/definition-topic)

                    High-level categorization of the definition, used for searching, sorting, and filtering.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Repositories must be able to determine how to categorize the plan definition so that it can be found by topical searches.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    112. PlanDefinition.author
                    Definition

                    An individiual or organization primarily involved in the creation and maintenance of the content.

                    ShortWho authored the content
                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    114. PlanDefinition.editor
                    Definition

                    An individual or organization primarily responsible for internal coherence of the content.

                    ShortWho edited the content
                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    116. PlanDefinition.reviewer
                    Definition

                    An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content.

                    ShortWho reviewed the content
                    Comments

                    See guidance around (not) making local changes to elements here.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    118. PlanDefinition.endorser
                    Definition

                    An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting.

                    ShortWho endorsed the content
                    Comments

                    See guidance around (not) making local changes to elements here.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    120. PlanDefinition.relatedArtifact
                    Definition

                    Related artifacts such as additional documentation, justification, or bibliographic references.

                    ShortAdditional documentation, citations
                    Comments

                    Each related artifact is either an attachment, or a reference to another resource, but not both.

                    Control0..*
                    TypeRelatedArtifact
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on PlanDefinition.relatedArtifact. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ classifier
                    • 122. PlanDefinition.relatedArtifact:recommendationJustification
                      Slice NamerecommendationJustification
                      Definition

                      Related artifacts such as additional documentation, justification, or bibliographic references.

                      ShortAdditional documentation, citations
                      Comments

                      Each related artifact is either an attachment, or a reference to another resource, but not both.

                      Control0..1
                      TypeRelatedArtifact
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      124. PlanDefinition.relatedArtifact:recommendationJustification.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typeid
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      126. PlanDefinition.relatedArtifact:recommendationJustification.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on PlanDefinition.relatedArtifact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 128. PlanDefinition.relatedArtifact:recommendationJustification.type
                        Definition

                        The type of relationship to the related artifact.

                        Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
                        Comments

                        The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

                        Control1..1
                        BindingThe codes SHALL be taken from RelatedArtifactType
                        (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

                        The type of relationship to the related artifact.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Pattern Valuejustification
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        130. PlanDefinition.relatedArtifact:recommendationJustification.classifier
                        Definition

                        Provides additional classifiers of the related artifact.

                        ShortAdditional classifiers
                        Control1..1
                        BindingFor example codes, see CitationArtifactClassifier
                        (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier)

                        Additional classifiers for the related artifact.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Pattern Value{
                          "coding" : [{
                            "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
                            "code" : "recommendation-rating",
                            "display" : "Recommendation rating"
                          }]
                        }
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        132. PlanDefinition.relatedArtifact:recommendationJustification.label
                        Definition

                        A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.

                        ShortShort label
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        134. PlanDefinition.relatedArtifact:recommendationJustification.display
                        Definition

                        A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.

                        ShortBrief description of the related artifact
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        136. PlanDefinition.relatedArtifact:recommendationJustification.citation
                        Definition

                        A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.

                        ShortBibliographic citation for the artifact
                        Comments

                        Additional structured information about citations should be captured as extensions.

                        Control0..1
                        Typemarkdown
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        138. PlanDefinition.relatedArtifact:recommendationJustification.document
                        Definition

                        The document being referenced, represented as an attachment. This is exclusive with the resource element.

                        ShortWhat document is being referenced
                        Control0..1
                        TypeAttachment
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        140. PlanDefinition.relatedArtifact:recommendationJustification.resource
                        Definition

                        The related artifact, such as a library, value set, profile, or other knowledge resource.

                        ShortWhat artifact is being referenced
                        Comments

                        If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.

                        Control0..1
                        Typecanonical(Resource)
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        142. PlanDefinition.relatedArtifact:recommendationJustification.resourceReference
                        Definition

                        The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

                        ShortWhat artifact, if not a conformance resource
                        Comments

                        If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

                        Control1..1
                        TypeReference(Recommendation Justification)
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        144. PlanDefinition.relatedArtifact:recommendationJustification.publicationStatus
                        Definition

                        The publication status of the artifact being referred to.

                        Shortdraft | active | retired | unknown
                        Control0..1
                        BindingThe codes SHALL be taken from PublicationStatus
                        (required to http://hl7.org/fhir/ValueSet/publication-status|5.0.0)

                        Publication status of an artifact being referred to.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        146. PlanDefinition.relatedArtifact:recommendationJustification.publicationDate
                        Definition

                        The date of publication of the artifact being referred to.

                        ShortDate of publication of the artifact being referred to
                        Control0..1
                        Typedate
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        148. PlanDefinition.relatedArtifact:recommendationCitation
                        Slice NamerecommendationCitation
                        Definition

                        Related artifacts such as additional documentation, justification, or bibliographic references.

                        ShortAdditional documentation, citations
                        Comments

                        Each related artifact is either an attachment, or a reference to another resource, but not both.

                        Control0..1
                        TypeRelatedArtifact
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Requirements

                        Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        150. PlanDefinition.relatedArtifact:recommendationCitation.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        Typeid
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        152. PlanDefinition.relatedArtifact:recommendationCitation.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on PlanDefinition.relatedArtifact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 154. PlanDefinition.relatedArtifact:recommendationCitation.type
                          Definition

                          The type of relationship to the related artifact.

                          Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
                          Comments

                          The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

                          Control1..1
                          BindingThe codes SHALL be taken from RelatedArtifactType
                          (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

                          The type of relationship to the related artifact.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Pattern Valuecitation
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          156. PlanDefinition.relatedArtifact:recommendationCitation.classifier
                          Definition

                          Provides additional classifiers of the related artifact.

                          ShortAdditional classifiers
                          Control1..1
                          BindingFor example codes, see CitationArtifactClassifier
                          (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier)

                          Additional classifiers for the related artifact.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summarytrue
                          Pattern Value{
                            "coding" : [{
                              "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
                              "code" : "guideline-recommendation",
                              "display" : "Clinical practice guideline recommendation"
                            }]
                          }
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          158. PlanDefinition.relatedArtifact:recommendationCitation.label
                          Definition

                          A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.

                          ShortShort label
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          160. PlanDefinition.relatedArtifact:recommendationCitation.display
                          Definition

                          A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.

                          ShortBrief description of the related artifact
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          162. PlanDefinition.relatedArtifact:recommendationCitation.citation
                          Definition

                          A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.

                          ShortBibliographic citation for the artifact
                          Comments

                          Additional structured information about citations should be captured as extensions.

                          Control0..1
                          Typemarkdown
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          164. PlanDefinition.relatedArtifact:recommendationCitation.document
                          Definition

                          The document being referenced, represented as an attachment. This is exclusive with the resource element.

                          ShortWhat document is being referenced
                          Control0..1
                          TypeAttachment
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          166. PlanDefinition.relatedArtifact:recommendationCitation.resource
                          Definition

                          The related artifact, such as a library, value set, profile, or other knowledge resource.

                          ShortWhat artifact is being referenced
                          Comments

                          If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.

                          Control0..1
                          Typecanonical(Resource)
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          168. PlanDefinition.relatedArtifact:recommendationCitation.resourceReference
                          Definition

                          The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

                          ShortWhat artifact, if not a conformance resource
                          Comments

                          If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

                          Control1..1
                          TypeReference(Recommendation Citation)
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          170. PlanDefinition.relatedArtifact:recommendationCitation.publicationStatus
                          Definition

                          The publication status of the artifact being referred to.

                          Shortdraft | active | retired | unknown
                          Control0..1
                          BindingThe codes SHALL be taken from PublicationStatus
                          (required to http://hl7.org/fhir/ValueSet/publication-status|5.0.0)

                          Publication status of an artifact being referred to.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          172. PlanDefinition.relatedArtifact:recommendationCitation.publicationDate
                          Definition

                          The date of publication of the artifact being referred to.

                          ShortDate of publication of the artifact being referred to
                          Control0..1
                          Typedate
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          174. PlanDefinition.relatedArtifact:guidelineCitation
                          Slice NameguidelineCitation
                          Definition

                          Related artifacts such as additional documentation, justification, or bibliographic references.

                          ShortAdditional documentation, citations
                          Comments

                          Each related artifact is either an attachment, or a reference to another resource, but not both.

                          Control0..1
                          TypeRelatedArtifact
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Requirements

                          Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          176. PlanDefinition.relatedArtifact:guidelineCitation.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typeid
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          178. PlanDefinition.relatedArtifact:guidelineCitation.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on PlanDefinition.relatedArtifact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 180. PlanDefinition.relatedArtifact:guidelineCitation.type
                            Definition

                            The type of relationship to the related artifact.

                            Shortdocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
                            Comments

                            The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.

                            Control1..1
                            BindingThe codes SHALL be taken from RelatedArtifactType
                            (required to http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0)

                            The type of relationship to the related artifact.

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Pattern Valuecitation
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            182. PlanDefinition.relatedArtifact:guidelineCitation.classifier
                            Definition

                            Provides additional classifiers of the related artifact.

                            ShortAdditional classifiers
                            Control1..1
                            BindingFor example codes, see CitationArtifactClassifier
                            (example to http://hl7.org/fhir/ValueSet/citation-artifact-classifier)

                            Additional classifiers for the related artifact.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Summarytrue
                            Pattern Value{
                              "coding" : [{
                                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
                                "code" : "clinical-practice-guideline",
                                "display" : "Clinical practice guideline"
                              }]
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            184. PlanDefinition.relatedArtifact:guidelineCitation.label
                            Definition

                            A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.

                            ShortShort label
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            186. PlanDefinition.relatedArtifact:guidelineCitation.display
                            Definition

                            A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.

                            ShortBrief description of the related artifact
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            188. PlanDefinition.relatedArtifact:guidelineCitation.citation
                            Definition

                            A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.

                            ShortBibliographic citation for the artifact
                            Comments

                            Additional structured information about citations should be captured as extensions.

                            Control0..1
                            Typemarkdown
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            190. PlanDefinition.relatedArtifact:guidelineCitation.document
                            Definition

                            The document being referenced, represented as an attachment. This is exclusive with the resource element.

                            ShortWhat document is being referenced
                            Control0..1
                            TypeAttachment
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            192. PlanDefinition.relatedArtifact:guidelineCitation.resource
                            Definition

                            The related artifact, such as a library, value set, profile, or other knowledge resource.

                            ShortWhat artifact is being referenced
                            Comments

                            If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.

                            Control0..1
                            Typecanonical(Resource)
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            194. PlanDefinition.relatedArtifact:guidelineCitation.resourceReference
                            Definition

                            The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.

                            ShortWhat artifact, if not a conformance resource
                            Comments

                            If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.

                            Control1..1
                            TypeReference(Guideline Citation)
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            196. PlanDefinition.relatedArtifact:guidelineCitation.publicationStatus
                            Definition

                            The publication status of the artifact being referred to.

                            Shortdraft | active | retired | unknown
                            Control0..1
                            BindingThe codes SHALL be taken from PublicationStatus
                            (required to http://hl7.org/fhir/ValueSet/publication-status|5.0.0)

                            Publication status of an artifact being referred to.

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            198. PlanDefinition.relatedArtifact:guidelineCitation.publicationDate
                            Definition

                            The date of publication of the artifact being referred to.

                            ShortDate of publication of the artifact being referred to
                            Control0..1
                            Typedate
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            200. PlanDefinition.library
                            Definition

                            A reference to a Library resource containing any formal logic used by the plan definition.

                            ShortLogic used by the plan definition
                            Control0..1
                            Typecanonical(Library)
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            202. PlanDefinition.goal
                            Definition

                            A goal describes an expected outcome that activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, meeting the acceptance criteria for a test as specified by a quality specification, etc.

                            ShortWhat the plan is trying to accomplish
                            Control0..*
                            This element is affected by the following invariants: pld-3
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Requirements

                            Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            204. PlanDefinition.goal.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            206. PlanDefinition.goal.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            208. PlanDefinition.goal.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            210. PlanDefinition.goal.category
                            Definition

                            Indicates a category the goal falls within.

                            ShortE.g. Treatment, dietary, behavioral
                            Control0..1
                            BindingFor example codes, see GoalCategory
                            (example to http://hl7.org/fhir/ValueSet/goal-category)

                            Example codes for grouping goals for filtering or presentation.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            212. PlanDefinition.goal.description
                            Definition

                            Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding".

                            ShortCode or text describing the goal
                            Comments

                            If no code is available, use CodeableConcept.text.

                            Control1..1
                            BindingFor example codes, see SNOMEDCTClinicalFindings
                            (example to http://hl7.org/fhir/ValueSet/clinical-findings)

                            Describes goals that can be achieved.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            214. PlanDefinition.goal.priority
                            Definition

                            Identifies the expected level of importance associated with reaching/sustaining the defined goal.

                            Shorthigh-priority | medium-priority | low-priority
                            Control0..1
                            BindingThe codes SHOULD be taken from GoalPriority
                            (preferred to http://hl7.org/fhir/ValueSet/goal-priority)

                            Indicates the level of importance associated with reaching or sustaining a goal.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            216. PlanDefinition.goal.start
                            Definition

                            The event after which the goal should begin being pursued.

                            ShortWhen goal pursuit begins
                            Control0..1
                            BindingFor example codes, see GoalStartEvent
                            (example to http://hl7.org/fhir/ValueSet/goal-start-event)

                            Identifies the types of events that might trigger the start of a goal.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            218. PlanDefinition.goal.addresses
                            Definition

                            Identifies problems, conditions, issues, or concerns the goal is intended to address.

                            ShortWhat does the goal address
                            Control0..*
                            BindingFor example codes, see ConditionProblemDiagnosisCodes
                            (example to http://hl7.org/fhir/ValueSet/condition-code)

                            Identifies problems, conditions, issues, or concerns that goals may address.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            220. PlanDefinition.goal.documentation
                            Definition

                            Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources.

                            ShortSupporting documentation for the goal
                            Control0..*
                            TypeRelatedArtifact
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            222. PlanDefinition.goal.target
                            Definition

                            Indicates what should be done and within what timeframe.

                            ShortTarget outcome for the goal
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            224. PlanDefinition.goal.target.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            226. PlanDefinition.goal.target.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            228. PlanDefinition.goal.target.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            230. PlanDefinition.goal.target.measure
                            Definition

                            The parameter whose value is to be tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

                            ShortThe parameter whose value is to be tracked
                            Control0..1
                            BindingFor example codes, see LOINCCodes
                            (example to http://hl7.org/fhir/ValueSet/observation-codes)

                            Identifies types of parameters that can be tracked to determine goal achievement.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            232. PlanDefinition.goal.target.detail[x]
                            Definition

                            The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%, or in the case of pharmaceutical quality - NMT 0.6%, Clear solution, etc. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value.

                            ShortThe target value to be achieved
                            Comments

                            A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the goal.target.measure defines a coded value.

                            Control0..1
                            TypeChoice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            234. PlanDefinition.goal.target.due
                            Definition

                            Indicates the timeframe after the start of the goal in which the goal should be met.

                            ShortReach goal within
                            Control0..1
                            TypeDuration
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            236. PlanDefinition.actor
                            Definition

                            Actors represent the individuals or groups involved in the execution of the defined set of activities.

                            ShortActors within the plan
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            238. PlanDefinition.actor.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            240. PlanDefinition.actor.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            242. PlanDefinition.actor.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            244. PlanDefinition.actor.title
                            Definition

                            A descriptive label for the actor.

                            ShortUser-visible title
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            246. PlanDefinition.actor.description
                            Definition

                            A description of how the actor fits into the overall actions of the plan definition.

                            ShortDescribes the actor
                            Control0..1
                            Typemarkdown
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            248. PlanDefinition.actor.option
                            Definition

                            The characteristics of the candidates that could serve as the actor.

                            ShortWho or what can be this actor
                            Control1..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            250. PlanDefinition.actor.option.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            252. PlanDefinition.actor.option.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            254. PlanDefinition.actor.option.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            256. PlanDefinition.actor.option.type
                            Definition

                            The type of participant in the action.

                            Shortcareteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson
                            Control0..1
                            BindingThe codes SHALL be taken from ActionParticipantType
                            (required to http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0)

                            The type of participant in the activity.

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            258. PlanDefinition.actor.option.typeCanonical
                            Definition

                            The type of participant in the action.

                            ShortWho or what can participate
                            Control0..1
                            Typecanonical(CapabilityStatement)
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            260. PlanDefinition.actor.option.typeReference
                            Definition

                            The type of participant in the action.

                            ShortWho or what can participate
                            Comments

                            When this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location).

                            Control0..1
                            TypeReference(CareTeam, Device, DeviceDefinition, Endpoint, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            262. PlanDefinition.actor.option.role
                            Definition

                            The role the participant should play in performing the described action.

                            ShortE.g. Nurse, Surgeon, Parent
                            Control0..1
                            BindingFor example codes, see Action Participant Role
                            (example to http://terminology.hl7.org/ValueSet/action-participant-role)
                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            264. PlanDefinition.action
                            Definition

                            An action or group of actions to be taken as part of the plan. For example, in clinical care, an action would be to prescribe a particular indicated medication, or perform a particular test as appropriate. In pharmaceutical quality, an action would be the test that needs to be performed on a drug product as defined in the quality specification.

                            ShortAction defined by the plan
                            Comments

                            Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.

                            Control1..*
                            This element is affected by the following invariants: pld-3, pld-4
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            266. PlanDefinition.action.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            268. PlanDefinition.action.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on PlanDefinition.action.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 270. PlanDefinition.action.extension:strengthOfRecommendation
                              Slice NamestrengthOfRecommendation
                              Definition

                              The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation.

                              ShortThe strength of the recommendation
                              Control0..1
                              TypeExtension(strengthOfRecommendation) (Extension Type: CodeableConcept)
                              Is Modifierfalse
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              272. PlanDefinition.action.extension:directionOfRecommendation
                              Slice NamedirectionOfRecommendation
                              Definition

                              Specifies whether the recommendation is "for" or "against" a particular activity. For example, the recommendation to prescribe a particular medication, versus the recommendation not to perform a particular procedure.

                              ShortRecommendation for or against?
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(directionOfRecommendation) (Extension Type: CodeableConcept)
                              Is Modifierfalse
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              274. PlanDefinition.action.extension:qualityOfEvidence
                              Slice NamequalityOfEvidence
                              Definition

                              The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence.

                              ShortThe quality of the evidence
                              Control0..1
                              TypeExtension(qualityOfEvidence) (Extension Type: CodeableConcept)
                              Is Modifierfalse
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              276. PlanDefinition.action.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              278. PlanDefinition.action.linkId
                              Definition

                              An identifier that is unique within the PlanDefinition to allow linkage within the realized CarePlan and/or RequestOrchestration.

                              ShortUnique id for the action in the PlanDefinition
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              280. PlanDefinition.action.prefix
                              Definition

                              A user-visible prefix for the action. For example a section or item numbering such as 1. or A.

                              ShortUser-visible prefix for the action (e.g. 1. or A.)
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              282. PlanDefinition.action.title
                              Definition

                              The textual description of the action displayed to a user. For example, when the action is a test to be performed, the title would be the title of the test such as Assay by HPLC.

                              ShortUser-visible title
                              Control1..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              284. PlanDefinition.action.description
                              Definition

                              A brief description of the action used to provide a summary to display to the user.

                              ShortBrief description of the action
                              Control1..1
                              Typemarkdown
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              286. PlanDefinition.action.textEquivalent
                              Definition

                              A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.

                              ShortStatic text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
                              Control0..1
                              Typemarkdown
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              288. PlanDefinition.action.priority
                              Definition

                              Indicates how quickly the action should be addressed with respect to other actions.

                              Shortroutine | urgent | asap | stat
                              Control0..1
                              BindingThe codes SHALL be taken from RequestPriority
                              (required to http://hl7.org/fhir/ValueSet/request-priority|5.0.0)

                              Identifies the level of importance to be assigned to actioning the request.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              290. PlanDefinition.action.code
                              Definition

                              A code that provides a meaning, grouping, or classification for the action or action group. For example, a section may have a LOINC code for the section of a documentation template. In pharmaceutical quality, an action (Test) such as pH could be classified as a physical property.

                              ShortCode representing the meaning of the action or sub-actions
                              Control1..1
                              BindingUnless not suitable, these codes SHALL be taken from CPG Common Process
                              (extensible to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process)

                              High-level processes identified in guideline-based care

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              292. PlanDefinition.action.reason
                              Definition

                              A description of why this action is necessary or appropriate.

                              ShortWhy the action should be performed
                              Comments

                              This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.

                              Control0..*
                              BindingFor example codes, see ActionReasonCode
                              (example to http://hl7.org/fhir/ValueSet/action-reason-code)

                              Provides examples of reasons for actions to be performed.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              294. PlanDefinition.action.documentation
                              Definition

                              Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.

                              ShortSupporting documentation for the intended performer of the action
                              Control0..*
                              TypeRelatedArtifact
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              296. PlanDefinition.action.goalId
                              Definition

                              Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition. In pharmaceutical quality, a goal represents acceptance criteria (Goal) for a given action (Test), so the goalId would be the unique id of a defined goal element establishing the acceptance criteria for the action.

                              ShortWhat goals this action supports
                              Control0..*
                              This element is affected by the following invariants: pld-3
                              Typeid
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              298. PlanDefinition.action.subject[x]
                              Definition

                              A code, group definition, or canonical reference that describes the intended subject of the action and its children, if any. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource.

                              ShortType of individual the action is focused on
                              Comments

                              The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified.

                              In addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).

                              Control0..1
                              BindingUnless not suitable, these codes SHALL be taken from ParticipantResourceTypes
                              (extensible to http://hl7.org/fhir/ValueSet/participant-resource-types)

                              The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

                              TypeChoice of: CodeableConcept, Reference(Group), canonical
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Requirements

                              Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.

                              Meaning if MissingPatient
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              300. PlanDefinition.action.trigger
                              Definition

                              A description of when the action should be triggered. When multiple triggers are specified on an action, any triggering event invokes the action.

                              ShortWhen the action should be triggered
                              Control0..*
                              TypeTriggerDefinition
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              302. PlanDefinition.action.condition
                              Definition

                              An expression that describes applicability criteria or start/stop conditions for the action.

                              ShortWhether or not the action is applicable
                              Comments

                              When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.

                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              304. PlanDefinition.action.condition.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              306. PlanDefinition.action.condition.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              308. PlanDefinition.action.condition.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              310. PlanDefinition.action.condition.kind
                              Definition

                              The kind of condition.

                              Shortapplicability | start | stop
                              Comments

                              Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.

                              Control1..1
                              BindingThe codes SHALL be taken from ActionConditionKind
                              (required to http://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0)

                              Defines the kinds of conditions that can appear on actions.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              312. PlanDefinition.action.condition.expression
                              Definition

                              An expression that returns true or false, indicating whether the condition is satisfied.

                              ShortBoolean-valued expression
                              Comments

                              The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.

                              Control0..1
                              TypeExpression
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              314. PlanDefinition.action.input
                              Definition

                              Defines input data requirements for the action.

                              ShortInput data requirements
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              pld-0: Input data elements must have a requirement or a relatedData, but not both (requirement.exists() xor relatedData.exists())
                              316. PlanDefinition.action.input.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              318. PlanDefinition.action.input.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              320. PlanDefinition.action.input.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              322. PlanDefinition.action.input.title
                              Definition

                              A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers.

                              ShortUser-visible title
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              324. PlanDefinition.action.input.requirement
                              Definition

                              Defines the data that is to be provided as input to the action.

                              ShortWhat data is provided
                              Control0..1
                              This element is affected by the following invariants: pld-0
                              TypeDataRequirement
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              326. PlanDefinition.action.input.relatedData
                              Definition

                              Points to an existing input or output element that provides data to this input.

                              ShortWhat data is provided
                              Comments

                              The relatedData element allows indicating that an input to a parent action is an input to specific child actions. It also allows the output of one action to be identified as the input to a different action

                              Control0..1
                              This element is affected by the following invariants: pld-0
                              Typeid
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              328. PlanDefinition.action.output
                              Definition

                              Defines the outputs of the action, if any.

                              ShortOutput data definition
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              pld-1: Output data element must have a requirement or a relatedData, but not both (requirement.exists() xor relatedData.exists())
                              330. PlanDefinition.action.output.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              332. PlanDefinition.action.output.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              334. PlanDefinition.action.output.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              336. PlanDefinition.action.output.title
                              Definition

                              A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers.

                              ShortUser-visible title
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              338. PlanDefinition.action.output.requirement
                              Definition

                              Defines the data that results as output from the action.

                              ShortWhat data is provided
                              Control0..1
                              This element is affected by the following invariants: pld-1
                              TypeDataRequirement
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              340. PlanDefinition.action.output.relatedData
                              Definition

                              Points to an existing input or output element that is results as output from the action.

                              ShortWhat data is provided
                              Comments

                              The relatedData element allows indicating that the output of child action is also the output of a parent action. It also allows the input of one action to be identified as the output of a different action

                              Control0..1
                              This element is affected by the following invariants: pld-1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              342. PlanDefinition.action.relatedAction
                              Definition

                              A relationship to another action such as "before" or "30-60 minutes after start of".

                              ShortRelationship to another action
                              Comments

                              When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.

                              Control0..*
                              This element is affected by the following invariants: pld-4
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              344. PlanDefinition.action.relatedAction.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              346. PlanDefinition.action.relatedAction.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              348. PlanDefinition.action.relatedAction.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              350. PlanDefinition.action.relatedAction.targetId
                              Definition

                              The element id of the target related action.

                              ShortWhat action is this related to
                              Control1..1
                              This element is affected by the following invariants: pld-4
                              Typeid
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              352. PlanDefinition.action.relatedAction.relationship
                              Definition

                              The relationship of the start of this action to the related action.

                              Shortbefore | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end
                              Control1..1
                              BindingThe codes SHALL be taken from ActionRelationshipType
                              (required to http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0)

                              Defines the types of relationships between actions.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              354. PlanDefinition.action.relatedAction.endRelationship
                              Definition

                              The relationship of the end of this action to the related action.

                              Shortbefore | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end
                              Control0..1
                              BindingThe codes SHALL be taken from ActionRelationshipType
                              (required to http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0)

                              Defines the types of relationships between actions.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              356. PlanDefinition.action.relatedAction.offset[x]
                              Definition

                              A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.

                              ShortTime offset for the relationship
                              Control0..1
                              TypeChoice of: Duration, Range
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              358. PlanDefinition.action.timing[x]
                              Definition

                              An optional value describing when the action should be performed.

                              ShortWhen the action should take place
                              Comments

                              The intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity.

                              Control0..1
                              TypeChoice of: Age, Duration, Range, Timing
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Must Supporttrue
                              Must Support TypesNo must-support rules about the choice of types/profiles
                              Summaryfalse
                              Requirements

                              Allows prompting for activities and detection of missed planned activities.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              360. PlanDefinition.action.location
                              Definition

                              Identifies the facility where the action will occur; e.g. home, hospital, specific clinic, etc.

                              ShortWhere it should happen
                              Comments

                              May reference a specific clinical location or may just identify a type of location.

                              Control0..1
                              TypeCodeableReference(Location)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Requirements

                              Helps in planning of activity.

                              Alternate Namesfacility
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              362. PlanDefinition.action.participant
                              Definition

                              Indicates who should participate in performing the action described.

                              ShortWho should participate in the action
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              364. PlanDefinition.action.participant.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              366. PlanDefinition.action.participant.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              368. PlanDefinition.action.participant.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              370. PlanDefinition.action.participant.actorId
                              Definition

                              A reference to the id element of the actor who will participate in this action.

                              ShortWhat actor
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              372. PlanDefinition.action.participant.type
                              Definition

                              The type of participant in the action.

                              Shortcareteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson
                              Control0..1
                              BindingThe codes SHALL be taken from ActionParticipantType
                              (required to http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0)

                              The type of participant in the activity.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              374. PlanDefinition.action.participant.typeCanonical
                              Definition

                              The type of participant in the action.

                              ShortWho or what can participate
                              Control0..1
                              Typecanonical(CapabilityStatement)
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              376. PlanDefinition.action.participant.typeReference
                              Definition

                              The type of participant in the action.

                              ShortWho or what can participate
                              Comments

                              When this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location).

                              Control0..1
                              TypeReference(CareTeam, Device, DeviceDefinition, Endpoint, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              378. PlanDefinition.action.participant.role
                              Definition

                              The role the participant should play in performing the described action.

                              ShortE.g. Nurse, Surgeon, Parent
                              Control0..1
                              BindingThe codes SHOULD be taken from CPG Common Persona
                              (preferred to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-persona)

                              Personas used in identifying participants and their roles in computable content

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              380. PlanDefinition.action.participant.function
                              Definition

                              Indicates how the actor will be involved in the action - author, reviewer, witness, etc.

                              ShortE.g. Author, Reviewer, Witness, etc
                              Control0..1
                              BindingFor example codes, see ActionParticipantFunction
                              (example to http://hl7.org/fhir/ValueSet/action-participant-function)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              382. PlanDefinition.action.type
                              Definition

                              The type of action to perform (create, update, remove).

                              Shortcreate | update | remove | fire-event
                              Control0..0
                              BindingUnless not suitable, these codes SHALL be taken from ActionType
                              (extensible to http://hl7.org/fhir/ValueSet/action-type)

                              The type of action to be performed.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              384. PlanDefinition.action.groupingBehavior
                              Definition

                              Defines the grouping behavior for the action and its children.

                              Shortvisual-group | logical-group | sentence-group
                              Control0..0
                              BindingThe codes SHALL be taken from ActionGroupingBehavior
                              (required to http://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0)

                              Defines organization behavior of a group.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Meaning if MissingIf no grouping behavior is specified but the action has children (i.e. is a group), the grouping behavior is assumed to be `logical-group`.
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              386. PlanDefinition.action.selectionBehavior
                              Definition

                              Defines the selection behavior for the action and its children.

                              Shortany | all | all-or-none | exactly-one | at-most-one | one-or-more
                              Control0..1
                              BindingThe codes SHALL be taken from ActionSelectionBehavior
                              (required to http://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0)

                              Defines selection behavior of a group.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Meaning if MissingIf no selection behavior is specified but the action has children (i.e. is a group), the selection behavior is assumed to be `all`.
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              388. PlanDefinition.action.requiredBehavior
                              Definition

                              Defines the required behavior for the action.

                              Shortmust | could | must-unless-documented
                              Control0..0
                              BindingThe codes SHALL be taken from ActionRequiredBehavior
                              (required to http://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0)

                              Defines expectations around whether an action or action group is required.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Meaning if MissingIf no required behavior is specified but the action has children (i.e. is a group), the required behavior is assumed to be `could`.
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              390. PlanDefinition.action.precheckBehavior
                              Definition

                              Defines whether the action should usually be preselected.

                              Shortyes | no
                              Control0..0
                              BindingThe codes SHALL be taken from ActionPrecheckBehavior
                              (required to http://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0)

                              Defines selection frequency behavior for an action or group.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Meaning if MissingIf no precheck behavior is specified but the action has children (i.e. is a group), the precheck behavior is assumed to be `no`.
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              392. PlanDefinition.action.cardinalityBehavior
                              Definition

                              Defines whether the action can be selected multiple times.

                              Shortsingle | multiple
                              Control0..0
                              BindingThe codes SHALL be taken from ActionCardinalityBehavior
                              (required to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0)

                              Defines behavior for an action or a group for how many times that item may be repeated.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Meaning if MissingIf no cardinality behavior is specified but the action has children (i.e. is a group), the cardinality behavior is assumed to be `single`.
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              394. PlanDefinition.action.definition[x]
                              Definition

                              A reference to an ActivityDefinition that describes the action to be taken in detail, a MessageDefinition describing a message to be snet, a PlanDefinition that describes a series of actions to be taken, a Questionnaire that should be filled out, a SpecimenDefinition describing a specimen to be collected, or an ObservationDefinition that specifies what observation should be captured.

                              ShortDescription of the activity to be performed
                              Comments

                              Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.

                              Control1..1
                              Typecanonical(Recommendation Plan)
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              396. PlanDefinition.action.transform
                              Definition

                              A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.

                              ShortTransform to apply the template
                              Comments

                              Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.

                              Control0..0
                              Typecanonical(StructureMap)
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              398. PlanDefinition.action.dynamicValue
                              Definition

                              Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.

                              ShortDynamic aspects of the definition
                              Comments

                              Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.

                              Control0..0
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              405. PlanDefinition.action.action
                              Definition

                              Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.

                              ShortA sub-action
                              Control0..*
                              TypeSeettp://hl7.org/fhir/StructureDefinition/PlanDefinition#PlanDefinition.action
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              407. PlanDefinition.asNeeded[x]
                              Definition

                              If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.

                              ShortPreconditions for service
                              Control0..1
                              BindingFor example codes, see SNOMEDCTMedicationAsNeededReasonCodes
                              (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason)

                              A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

                              TypeChoice of: boolean, CodeableConcept
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))