Pharmaceutical Quality - Chemistry, Manufacturing and Controls (PQ-CMC) Submissions to FDA
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Pharmaceutical Quality - Chemistry, Manufacturing and Controls (PQ-CMC) Submissions to FDA, published by HL7 International / Biomedical Research and Regulation. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/FHIR-us-pq-cmc-fda/ and changes regularly. See the Directory of published versions

Resource Profile: QualitySpecification - Detailed Descriptions

Active as of 2024-12-04

Definitions for the pqcmc-quality-specification resource profile.

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

0. PlanDefinition
2. PlanDefinition.extension
Control1..?
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
  • 4. PlanDefinition.extension:ApprovalStatus
    Slice NameApprovalStatus
    Control1..1
    TypeExtension(Specification Status) (Extension Type: CodeableConcept)
    Must Supporttrue
    6. PlanDefinition.extension:spec-additional-info
    Slice Namespec-additional-info
    Definition

    Placeholder for providing any comments that are relevant to the specification. [Source: SME Defined] Examples: replaces method ABC, using the XYZ facility.

    ShortSpecification Additional Information
    Control0..1
    TypeExtension(Additional Information) (Extension Type: markdown)
    8. PlanDefinition.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Must Supporttrue
    10. PlanDefinition.version
    Definition

    The alphanumeric text assigned by the sponsor to a particular edition of a specification. [Source: SME Defined] Examples: 2.1, 13.2, ST1, 00001, 00002, companyname-001. Note: This value should be unique across all specifications for a given material, not just those with the same name

    ShortSpecification Version
    NoteThis is a business version Id, not a resource version Id (see discussion)
    Control1..?
    Must Supporttrue
    12. PlanDefinition.title
    Definition

    The textual identification for the specification. [Source: SME Defined] Example: <drug name> 75 mg chewable tablets Note: This may include the name of the drug substance, product or the raw material/excipients

    ShortSpecification Title
    Control1..?
    Must Supporttrue
    14. PlanDefinition.subtitle
    Definition

    An additional textual identification for the specification [Source: SME Defined].

    ShortSpecification Subtitle
    Must Supporttrue
    16. PlanDefinition.type
    Definition

    A classification of specification related to the kind of entity it is referencing. [Source: SME Defined] Examples: Drug product, Drug substance.

    ShortSpecification Type
    Control1..?
    Must Supporttrue
    18. PlanDefinition.type.coding
    Control2..2
    Must Supporttrue
    SlicingThis element introduces a set of slices on PlanDefinition.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
    • value @ $this
    • 20. PlanDefinition.type.coding:DefinitionType
      Slice NameDefinitionType
      Control1..1
      Must Supporttrue
      Pattern Value{
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "workflow-definition",
        "display" : "Workflow Definition"
      }
      22. PlanDefinition.type.coding:SpecType
      Slice NameSpecType
      Definition

      A classification of specification related to the kind of the entity it is referencing.

      ShortSpecification Type
      Control1..1
      BindingThe codes SHALL be taken from Specification Type Terminology
      (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-specification-type-terminology)
      Must Supporttrue
      24. PlanDefinition.status
      Must Supporttrue
      26. PlanDefinition.subject[x]
      Control1..?
      TypeReference(Literal Reference)(Drug Product Handle, Drug Substance Handle, Excipient Drug Substance)bundled, canonical(EvidenceVariable), CodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      28. PlanDefinition.date
      Definition

      The date when the sponsor assigned a date to a specific version. [Source: SME Defined] Note: This is the date a particular version of the specification was internally accepted by the submitter.

      ShortSpecification Version Date
      Control1..?
      Must Supporttrue
      30. PlanDefinition.approvalDate
      Definition

      The date on which the FDA approval status for a specification became effective. [Source: SME Defined] Note: If the application is not yet approved, then this is the date of the current submission OR the date of the complete response (CR). Note: This is not the application approval status date.

      ShortSpecification Status Date
      Must Supporttrue
      32. PlanDefinition.goal
      ShortAcceptance Criteria
      Must Supporttrue
      34. PlanDefinition.goal.extension
      SlicingThis element introduces a set of slices on PlanDefinition.goal.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 36. PlanDefinition.goal.extension:ac-additional-info
        Slice Nameac-additional-info
        Definition

        A coded value specifying when a particular analytical procedure or measurement is being performed on a substance or a product. [Source: SME Defined] Examples: Release, Stability. Note: The concept of 'In-Process' is subsumed by the Release code. Example: value changed from 4% to 5% on 01/01/2010)

        ShortAcceptance Criteria Additional Information
        Control0..1
        TypeExtension(Additional Information) (Extension Type: markdown)
        38. PlanDefinition.goal.description
        Definition

        The text of the acceptance criteria as provided in the specification. [Source: SME Defined] Examples: White to off-white cake; 22.5 - 27.5 mg/ml Note: This is the text as it appears in the Specification.

        ShortOriginal Text
        Must Supporttrue
        40. PlanDefinition.goal.addresses
        Definition

        A coded value specifying when a particular analytical procedure or measurement is being performed on a substance or a product. [Source: SME Defined] Examples: Release, Stability. Note: The concept of 'In-Process' is subsumed by the Release code.

        ShortAcceptance Criteria Usage
        Control1..?
        BindingThe codes SHALL be taken from Test Usage Terminology
        (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-usage-terminology)
        Must Supporttrue
        42. PlanDefinition.goal.target
        ShortAcceptance Criteron
        Control1..?
        Must Supporttrue
        Invariantscmc-target-range: When the Range extension is present, detail cannot be present. (modifierExtension.where(url = 'http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pq-target-range').exists() implies detail.exists().not())
        44. PlanDefinition.goal.target.modifierExtension
        SlicingThis element introduces a set of slices on PlanDefinition.goal.target.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 46. PlanDefinition.goal.target.modifierExtension:targetRange
          Slice NametargetRange
          Control0..1
          TypeExtension(Target Range) (Complex Extension)
          Must Supporttrue
          48. PlanDefinition.goal.target.measure
          ShortDetailed parameter being measured if more granular than Sub-Test
          TypeCodeableConcept(Text Only Codeable Concept)
          Must Supporttrue
          50. PlanDefinition.goal.target.detail[x]
          TypeChoice of: Quantity, string, integer, boolean, Ratio, Range, CodeableConcept
          [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
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          SlicingThis element introduces a set of slices on PlanDefinition.goal.target.detail[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 52. PlanDefinition.goal.target.detail[x]:detailQuantity
            Slice NamedetailQuantity
            Definition

            The acceptable quantitative or numeric value for the result of the test. [Source: SME Defined]

            ShortValueNumeric
            Control0..1
            BindingThe codes SHALL be taken from Units Of Measure
            (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-units-of-measure)
            TypeQuantity
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Must Supporttrue
            54. PlanDefinition.goal.target.detail[x]:detailQuantity.value
            Control1..?
            Must Supporttrue
            56. PlanDefinition.goal.target.detail[x]:detailQuantity.comparator
            Must Supporttrue
            58. PlanDefinition.goal.target.detail[x]:detailQuantity.unit
            Control1..?
            Must Supporttrue
            60. PlanDefinition.goal.target.detail[x]:detailQuantity.code
            Control1..?
            Must Supporttrue
            62. PlanDefinition.goal.target.detail[x]:detailString
            Slice NamedetailString
            Definition

            A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - USP <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

            ShortValue
            Control0..1
            Typestring
            [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
            Must Supporttrue
            64. PlanDefinition.goal.target.detail[x]:detailInteger
            Slice NamedetailInteger
            Definition

            An identification number for a member of the set of results for a test, usually the sequence order in which the test was executed. Individual tests are executed on multiple samples to give greater validity to the findings. [Source SME Defined] Examples: Prepare six aliquots from the sample. Test 8 samples. If any fall above 110%, test an additional 7 samples. Record all replicate values as stated in the method.

            ShortNumber of Replicates
            Control0..1
            Typeinteger
            [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
            Must Supporttrue
            66. PlanDefinition.goal.target.due
            Control0..0
            68. PlanDefinition.action
            ShortMethod
            Control1..?
            Must Supporttrue
            Invariantscmc-link-required: Action linkId is required for alternate tests ((action.relatedAction.count() > 0) implies action.linkId.exists())
            cmc-single-or-multistage: if a test is multi-stage, the test can't have a prefix and its stages must have a name and can't be named 'Single Stage' and must be unique. If it's single stage its prefix is 'Single Stage' and its groups can't have prefixes ((( prefix.exists() implies action.prefix.empty() and prefix = 'Single Stage' ) and ( prefix.empty() implies ( (action.where( prefix.exists() and prefix != 'Single Stage' ).count() = action.count()) and action.prefix.isDistinct() ) )) = true)
            70. PlanDefinition.action.linkId
            Shortonly required for alternate tests
            Must Supporttrue
            72. PlanDefinition.action.prefix
            Definition

            A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

            Implememtation Note: Value at this level is 'Single Stage'

            ShortStage Name
            Must Supporttrue
            74. PlanDefinition.action.title
            Definition

            The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor

            ShortTest Name
            Control1..?
            Must Supporttrue
            76. PlanDefinition.action.description
            Definition

            Test Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined]. If there is more than one comment, include in this element. Markdown allows formating for clarity.

            ShortTest Additional Information
            Must Supporttrue
            78. PlanDefinition.action.code
            Definition

            A coded value specifying the source of the method. [Source: SME Defined] Example: Compendial

            ShortTest Method Origin
            Control1..?
            Must Supporttrue
            80. PlanDefinition.action.code.coding
            Control1..1
            BindingThe codes SHALL be taken from Test Method Origin Terminology
            (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-method-origin-terminology)
            Must Supporttrue
            82. PlanDefinition.action.code.text
            Definition

            The name of the technique used to determine the nature of a characteristic. [Source: SME Defined].

            ShortAnalytical Procedure
            Control1..?
            Must Supporttrue
            84. PlanDefinition.action.reason
            Definition

            A high level grouping of quality attributes for products, substances, raw materials, excipients, intermediates and reagents. [Source: SME Defined] Examples: Assay, Biological Properties.

            ShortTest Category | Test Subcategory
            Control1..2
            BindingThe codes SHALL be taken from Test Category Terminology
            (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-category-terminology)
            Must Supporttrue
            86. PlanDefinition.action.reason.extension
            Control1..?
            88. PlanDefinition.action.reason.extension:categoryLevel
            Slice NamecategoryLevel
            Control1..1
            TypeExtension(Hierarchical Level) (Extension Type: positiveInt)
            Must Supporttrue
            90. PlanDefinition.action.documentation
            Control0..1
            Must Supporttrue
            92. PlanDefinition.action.documentation.type
            Pattern Valuedocumentation
            94. PlanDefinition.action.documentation.label
            Definition

            A sponsor/applicant provided alphanumeric code that identifies the procedure. [Source: SME Defined]. Example: HP1234-2008 Note: This could also be a transferred lab method.

            ShortReference to Procedure
            Control1..?
            Must Supporttrue
            96. PlanDefinition.action.goalId
            ShortReference to Acceptance Criteria
            Must Supporttrue
            98. PlanDefinition.action.relatedAction
            Definition

            Alternate Tests are one or more test that are equivalent often using differnt method or equipment. The tests are used interchangeably and only one is used to satisfy the drug product specificaion.

            ShortAlternate Test
            Must Supporttrue
            100. PlanDefinition.action.relatedAction.targetId
            Must Supporttrue
            102. PlanDefinition.action.relatedAction.relationship
            ShortCode is concurrent
            Must Supporttrue
            Pattern Valueconcurrent
            104. PlanDefinition.action.action
            ShortGroups or Stages
            TypeBackboneElement
            Must Supporttrue
            106. PlanDefinition.action.action.prefix
            Definition

            A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

            Implememtation Note: not requried if action.prefix is 'Single Stage'

            ShortStage Name
            Must Supporttrue
            108. PlanDefinition.action.action.title
            Definition

            Test Name: The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor Note: The test name of the action.action can be different than the action. Example, the action test is Microbial Limits and the action.action test is Staphylococcus aureus.

            ShortTest Name (only reqired if different than above)
            Must Supporttrue
            110. PlanDefinition.action.action.description
            Definition

            Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined].

            Implementation Note: If there is more than one comment, include in this element. Markdown allows formating for clarity.

            ShortTest Additional Information | Stage Additional Information
            Must Supporttrue
            112. PlanDefinition.action.action.documentation
            Must Supporttrue
            114. PlanDefinition.action.action.documentation.type
            Pattern Valuedocumentation
            116. PlanDefinition.action.action.documentation.document
            Definition

            Any visual data described andor referenced in additional informatation

            ShortTest or Stage Additional Information Visual Attachments
            Control1..?
            Must Supporttrue
            118. PlanDefinition.action.action.documentation.document.contentType
            Control1..?
            Must Supporttrue
            120. PlanDefinition.action.action.documentation.document.data
            Control1..?
            Must Supporttrue
            122. PlanDefinition.action.action.documentation.document.title
            Definition

            A format or abbreviation name that identifies a file structure. [Source: SME Defined] Used for the following: Analytical Instrument Data File Type, Impurity Analysis Graphic, Impurity Analytical Instrument Data File, Impurity Chemical Structure Data File, and Substance Structure Graphic.

            ShortDocument file name including the file extension
            Control1..?
            Must Supporttrue
            124. PlanDefinition.action.action.goalId
            ShortReference to Acceptance Criteria
            Must Supporttrue
            126. PlanDefinition.action.action.action
            ShortSub-Test
            TypeBackboneElement
            Must Supporttrue
            Invariantscmc-subtest-rrt: a subtest's prefix represents relative retention time, should it exist (prefix.exists() implies prefix.single() = 'RRT')
            128. PlanDefinition.action.action.action.prefix
            Definition

            RRT: The ratio of the retention time of a component relative to that of another used as a reference obtained under identical conditions as an alias for the name of the unidentified impurities. [Source: Adapted from USP] Example: 1:23 (a ratio) Note: This is the title or name of the impurity (sometimes expressed as a ratio) and not the value.

            Implementation Note: This value can only be 'RRT'. It is used to desinate that RRT value(s) expressed in action.action.action.title are relative retention times.

            ShortRRT
            Must Supporttrue
            130. PlanDefinition.action.action.action.title
            Definition

            Test Name: The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor Note: The test name of the action.action can be different than the action. Example, the action test is Microbial Limits and the action.action test is Staphylococcus aureus.

            RRT: The ratio of the retention time of a component relative to that of another used as a reference obtained under identical conditions as an alias for the name of the unidentified impurities. [Source: Adapted from USP] Example: 1:23 (a ratio) Note: This is the title or name of the impurity (sometimes expressed as a ratio) and not the value.

            Implementation Note: For RRT, if there is a range associated with the unidentified peak then the range can be entered instead of indivual values. E.g.: 0.4 – 0.8.

            ShortTest Name | RRT (complex testing)
            Control1..?
            Must Supporttrue
            132. PlanDefinition.action.action.action.description
            Definition

            Test Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined]. Stage Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined] If there is more than one comment, include in this element. Markdown allows formating for clarity. If both types are present, indicate type.

            ShortTest Additional Information | Stage Additional Information
            Must Supporttrue
            134. PlanDefinition.action.action.action.goalId
            ShortReference to Acceptance Criteria
            Control1..?
            Must Supporttrue

            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
            Control0..*
            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())
            2. 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()))
            4. 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
            6. 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.

            Control10..*
            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
            • 8. PlanDefinition.extension:ApprovalStatus
              Slice NameApprovalStatus
              Definition

              A classification of the regulatory status of the specification.

              ShortSpecification Status
              Control1..1
              TypeExtension(Specification Status) (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())
              10. PlanDefinition.extension:spec-additional-info
              Slice Namespec-additional-info
              Definition

              Placeholder for providing any comments that are relevant to the specification. [Source: SME Defined] Examples: replaces method ABC, using the XYZ facility.

              ShortSpecification Additional Information
              Control0..1
              TypeExtension(Additional Information) (Extension Type: markdown)
              Is Modifierfalse
              Must Supportfalse
              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())
              12. 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())
              14. 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 Supporttrue
              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()))
              16. PlanDefinition.version
              Definition

              The alphanumeric text assigned by the sponsor to a particular edition of a specification. [Source: SME Defined] Examples: 2.1, 13.2, ST1, 00001, 00002, companyname-001. Note: This value should be unique across all specifications for a given material, not just those with the same name


              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.

              ShortSpecification VersionBusiness 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()))
              18. PlanDefinition.title
              Definition

              The textual identification for the specification. [Source: SME Defined] Example: <drug name> 75 mg chewable tablets Note: This may include the name of the drug substance, product or the raw material/excipients


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

              ShortSpecification TitleName 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()))
              20. PlanDefinition.subtitle
              Definition

              An additional textual identification for the specification [Source: SME Defined].


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

              ShortSpecification SubtitleSubordinate 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 Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. PlanDefinition.type
              Definition

              A classification of specification related to the kind of entity it is referencing. [Source: SME Defined] Examples: Drug product, Drug substance.


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

              ShortSpecification Typeorder-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
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. PlanDefinition.type.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

              Control20..2*
              TypeCoding
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              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.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • value @ $this
              • 26. PlanDefinition.type.coding:DefinitionType
                Slice NameDefinitionType
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Pattern Value{
                  "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
                  "code" : "workflow-definition",
                  "display" : "Workflow Definition"
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                28. PlanDefinition.type.coding:SpecType
                Slice NameSpecType
                Definition

                A classification of specification related to the kind of the entity it is referencing.


                A reference to a code defined by a terminology system.

                ShortSpecification TypeCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control10..1*
                BindingThe codes SHALL be taken from For codes, see Specification Type Terminology
                (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-specification-type-terminology)
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                30. 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.


                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 Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                32. 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.

                Control10..1
                TypeReference(Literal Reference)(Drug Product Handle, Drug Substance Handle, Excipient Drug Substance, Group, MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, PackagedProductDefinition)bundled, canonical(EvidenceVariable), CodeableConcept
                [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
                Meaning if MissingPatient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                34. PlanDefinition.date
                Definition

                The date when the sponsor assigned a date to a specific version. [Source: SME Defined] Note: This is the date a particular version of the specification was internally accepted by the submitter.


                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.

                ShortSpecification Version DateDate 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.


                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.

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

                The date on which the FDA approval status for a specification became effective. [Source: SME Defined] Note: If the application is not yet approved, then this is the date of the current submission OR the date of the complete response (CR). Note: This is not the application approval status date.


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

                ShortSpecification Status DateWhen 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.


                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 Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                38. 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.

                ShortAcceptance CriteriaWhat the plan is trying to accomplish
                Control0..*
                This element is affected by the following invariants: pld-3
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                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()))
                40. PlanDefinition.goal.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..*
                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.goal.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 42. PlanDefinition.goal.extension:ac-additional-info
                  Slice Nameac-additional-info
                  Definition

                  A coded value specifying when a particular analytical procedure or measurement is being performed on a substance or a product. [Source: SME Defined] Examples: Release, Stability. Note: The concept of 'In-Process' is subsumed by the Release code. Example: value changed from 4% to 5% on 01/01/2010)

                  ShortAcceptance Criteria Additional Information
                  Control0..1
                  TypeExtension(Additional Information) (Extension Type: markdown)
                  Is Modifierfalse
                  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.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())
                  46. PlanDefinition.goal.description
                  Definition

                  The text of the acceptance criteria as provided in the specification. [Source: SME Defined] Examples: White to off-white cake; 22.5 - 27.5 mg/ml Note: This is the text as it appears in the Specification.


                  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".

                  ShortOriginal TextCode or text describing the goal
                  Comments

                  If no code is available, use CodeableConcept.text.

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

                  Describes goals that can be achieved.

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

                  A coded value specifying when a particular analytical procedure or measurement is being performed on a substance or a product. [Source: SME Defined] Examples: Release, Stability. Note: The concept of 'In-Process' is subsumed by the Release code.


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

                  ShortAcceptance Criteria UsageWhat does the goal address
                  Control10..*
                  BindingThe codes SHALL be taken from For example codes, see Test Usage Terminologyhttp://hl7.org/fhir/ValueSet/condition-code
                  (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-usage-terminology)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  50. PlanDefinition.goal.target
                  Definition

                  Indicates what should be done and within what timeframe.

                  ShortAcceptance CriteronTarget outcome for the goal
                  Control10..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  cmc-target-range: When the Range extension is present, detail cannot be present. (modifierExtension.where(url = 'http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pq-target-range').exists() implies detail.exists().not())
                  52. PlanDefinition.goal.target.modifierExtension
                  Definition

                  An Extension


                  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).

                  ShortExtensionExtensions 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())
                  SlicingThis element introduces a set of slices on PlanDefinition.goal.target.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 54. PlanDefinition.goal.target.modifierExtension:targetRange
                    Slice NametargetRange
                    Definition

                    The FHIR Range datatype uses Simple Quantities to represent the high and low bounds, which do not allow a comparator to be set. This extension allows the high and low bounds to have a comparator

                    ShortTarget Range
                    Control0..1
                    TypeExtension(Target Range) (Complex Extension)
                    Is Modifiertrue because When present, the target cannot have a detail; instead this extension acts as its detail
                    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())
                    56. PlanDefinition.goal.target.measure
                    Definition

                    A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


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

                    ShortDetailed parameter being measured if more granular than Sub-TestThe parameter whose value is to be tracked
                    Comments

                    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                    Control0..1
                    BindingFor example codes, see LOINCCodeshttp://hl7.org/fhir/ValueSet/observation-codes
                    (example to http://hl7.org/fhir/ValueSet/observation-codes)

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

                    TypeCodeableConcept(Text Only Codeable Concept)
                    Is Modifierfalse
                    Must Supporttrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. 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, string, integer, boolean, Ratio, Range, 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 Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summaryfalse
                    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.goal.target.detail[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                    • type @ $this
                    • 60. PlanDefinition.goal.target.detail[x]:detailQuantity
                      Slice NamedetailQuantity
                      Definition

                      The acceptable quantitative or numeric value for the result of the test. [Source: SME Defined]


                      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.

                      ShortValueNumericThe 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
                      BindingThe codes SHALL be taken from For codes, see Units Of Measure
                      (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-units-of-measure)
                      TypeQuantity, boolean, string, Ratio, integer, Range, CodeableConcept
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      62. PlanDefinition.goal.target.detail[x]:detailQuantity.value
                      Definition

                      The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                      ShortNumerical value (with implicit precision)
                      Comments

                      The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

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

                      Precision is handled implicitly in almost all cases of measurement.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      64. PlanDefinition.goal.target.detail[x]:detailQuantity.comparator
                      Definition

                      How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                      Short< | <= | >= | > | ad - how to understand the value
                      Control0..1
                      BindingThe codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0
                      (required to http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0)

                      How the Quantity should be understood and represented.

                      Typecode
                      Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                      Meaning if MissingIf there is no comparator, then there is no modification of the value
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      66. PlanDefinition.goal.target.detail[x]:detailQuantity.unit
                      Definition

                      A human-readable form of the unit.

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

                      There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      68. PlanDefinition.goal.target.detail[x]:detailQuantity.code
                      Definition

                      A computer processable form of the unit in some unit representation system.

                      ShortCoded form of the unit
                      Comments

                      The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                      Control10..1
                      This element is affected by the following invariants: qty-3
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. PlanDefinition.goal.target.detail[x]:detailString
                      Slice NamedetailString
                      Definition

                      A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - USP <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)


                      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.

                      ShortValueThe 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
                      Typestring, boolean, Quantity, Ratio, integer, Range, 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 Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. PlanDefinition.goal.target.detail[x]:detailInteger
                      Slice NamedetailInteger
                      Definition

                      An identification number for a member of the set of results for a test, usually the sequence order in which the test was executed. Individual tests are executed on multiple samples to give greater validity to the findings. [Source SME Defined] Examples: Prepare six aliquots from the sample. Test 8 samples. If any fall above 110%, test an additional 7 samples. Record all replicate values as stated in the method.


                      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.

                      ShortNumber of ReplicatesThe 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
                      Typeinteger, boolean, string, Quantity, Ratio, Range, 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 Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      74. 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..01
                      TypeDuration
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      76. 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.

                      ShortMethodAction 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()))
                      cmc-link-required: Action linkId is required for alternate tests ((action.relatedAction.count() > 0) implies action.linkId.exists())
                      cmc-single-or-multistage: if a test is multi-stage, the test can't have a prefix and its stages must have a name and can't be named 'Single Stage' and must be unique. If it's single stage its prefix is 'Single Stage' and its groups can't have prefixes ((( prefix.exists() implies action.prefix.empty() and prefix = 'Single Stage' ) and ( prefix.empty() implies ( (action.where( prefix.exists() and prefix != 'Single Stage' ).count() = action.count()) and action.prefix.isDistinct() ) )) = true)
                      78. 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())
                      80. PlanDefinition.action.linkId
                      Definition

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

                      Shortonly required for alternate testsUnique 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 Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. PlanDefinition.action.prefix
                      Definition

                      A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

                      Implememtation Note: Value at this level is 'Single Stage'


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

                      ShortStage NameUser-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()))
                      84. PlanDefinition.action.title
                      Definition

                      The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor


                      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.

                      ShortTest NameUser-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()))
                      86. PlanDefinition.action.description
                      Definition

                      Test Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined]. If there is more than one comment, include in this element. Markdown allows formating for clarity.


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

                      ShortTest Additional InformationBrief description of the action
                      Control0..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()))
                      88. PlanDefinition.action.code
                      Definition

                      A coded value specifying the source of the method. [Source: SME Defined] Example: Compendial


                      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.

                      ShortTest Method OriginCode representing the meaning of the action or sub-actions
                      Control10..1
                      BindingFor example codes, see ActionCodehttp://hl7.org/fhir/ValueSet/action-code
                      (example to http://hl7.org/fhir/ValueSet/action-code)

                      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()))
                      90. PlanDefinition.action.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control10..1*
                      BindingThe codes SHALL be taken from For codes, see Test Method Origin Terminology
                      (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-method-origin-terminology)
                      TypeCoding
                      Is Modifierfalse
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

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

                      The name of the technique used to determine the nature of a characteristic. [Source: SME Defined].


                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                      ShortAnalytical ProcedurePlain text representation of the concept
                      Comments

                      Very often the text is the same as a displayName of one of the codings.

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

                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                      A high level grouping of quality attributes for products, substances, raw materials, excipients, intermediates and reagents. [Source: SME Defined] Examples: Assay, Biological Properties.


                      A description of why this action is necessary or appropriate.

                      ShortTest Category | Test SubcategoryWhy 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.

                      Control10..2*
                      BindingThe codes SHALL be taken from For example codes, see Test Category Terminologyhttp://hl7.org/fhir/ValueSet/action-reason-code
                      (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-category-terminology)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      96. PlanDefinition.action.reason.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.

                      Control10..*
                      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.action.reason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 98. PlanDefinition.action.reason.extension:categoryLevel
                        Slice NamecategoryLevel
                        Definition

                        Numeric level in the hierarchical value-set. As an example, this extension is used to distinguished between Test Category | Test Subcategory in Quality Specifications. Test Category is level 1 and Test Subcategory is level two. A constraint enforces values greater than zero.

                        ShortHierarchical Level
                        Control1..1
                        TypeExtension(Hierarchical Level) (Extension Type: positiveInt)
                        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())
                        100. 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..1*
                        TypeRelatedArtifact
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        102. PlanDefinition.action.documentation.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 Valuedocumentation
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        104. PlanDefinition.action.documentation.label
                        Definition

                        A sponsor/applicant provided alphanumeric code that identifies the procedure. [Source: SME Defined]. Example: HP1234-2008 Note: This could also be a transferred lab method.


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

                        ShortReference to ProcedureShort label
                        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()))
                        106. 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.

                        ShortReference to Acceptance CriteriaWhat 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 Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        108. PlanDefinition.action.relatedAction
                        Definition

                        Alternate Tests are one or more test that are equivalent often using differnt method or equipment. The tests are used interchangeably and only one is used to satisfy the drug product specificaion.


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

                        ShortAlternate TestRelationship 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()))
                        110. 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())
                        112. 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 Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        114. PlanDefinition.action.relatedAction.relationship
                        Definition

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

                        ShortCode is concurrentbefore | 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 Supporttrue
                        Summaryfalse
                        Pattern Valueconcurrent
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        116. 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.

                        ShortGroups or StagesA sub-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()))
                        118. PlanDefinition.action.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())
                        120. PlanDefinition.action.action.prefix
                        Definition

                        A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

                        Implememtation Note: not requried if action.prefix is 'Single Stage'


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

                        ShortStage NameUser-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()))
                        122. PlanDefinition.action.action.title
                        Definition

                        Test Name: The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor Note: The test name of the action.action can be different than the action. Example, the action test is Microbial Limits and the action.action test is Staphylococcus aureus.


                        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.

                        ShortTest Name (only reqired if different than above)User-visible title
                        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()))
                        124. PlanDefinition.action.action.description
                        Definition

                        Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined].

                        Implementation Note: If there is more than one comment, include in this element. Markdown allows formating for clarity.


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

                        ShortTest Additional Information | Stage Additional InformationBrief description of the action
                        Control0..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()))
                        126. PlanDefinition.action.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()))
                        128. PlanDefinition.action.action.documentation.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 Valuedocumentation
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        130. PlanDefinition.action.action.documentation.document
                        Definition

                        Any visual data described andor referenced in additional informatation


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

                        ShortTest or Stage Additional Information Visual AttachmentsWhat document is being referenced
                        Control10..1
                        TypeAttachment
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        132. PlanDefinition.action.action.documentation.document.contentType
                        Definition

                        Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

                        ShortMime type of the content, with charset etc.
                        Control10..1
                        This element is affected by the following invariants: att-1
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

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

                        Processors of the data need to be able to know how to interpret the data.

                        Example<br/><b>General</b>:text/plain; charset=UTF-8, image/png
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        134. PlanDefinition.action.action.documentation.document.data
                        Definition

                        The actual data of the attachment - a sequence of bytes, base64 encoded.

                        ShortData inline, base64ed
                        Comments

                        The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.

                        Control10..1
                        This element is affected by the following invariants: att-1
                        Typebase64Binary
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summaryfalse
                        Requirements

                        The data needs to able to be transmitted inline.

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

                        A format or abbreviation name that identifies a file structure. [Source: SME Defined] Used for the following: Analytical Instrument Data File Type, Impurity Analysis Graphic, Impurity Analytical Instrument Data File, Impurity Chemical Structure Data File, and Substance Structure Graphic.


                        A label or set of text to display in place of the data.

                        ShortDocument file name including the file extensionLabel to display in place of the data
                        Comments

                        May sometimes be derived from the source filename.

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

                        Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.

                        Example<br/><b>General</b>:Official Corporate Logo
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        138. PlanDefinition.action.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.

                        ShortReference to Acceptance CriteriaWhat 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 Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        140. PlanDefinition.action.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.

                        ShortSub-TestA sub-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()))
                        cmc-subtest-rrt: a subtest's prefix represents relative retention time, should it exist (prefix.exists() implies prefix.single() = 'RRT')
                        142. PlanDefinition.action.action.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())
                        144. PlanDefinition.action.action.action.prefix
                        Definition

                        RRT: The ratio of the retention time of a component relative to that of another used as a reference obtained under identical conditions as an alias for the name of the unidentified impurities. [Source: Adapted from USP] Example: 1:23 (a ratio) Note: This is the title or name of the impurity (sometimes expressed as a ratio) and not the value.

                        Implementation Note: This value can only be 'RRT'. It is used to desinate that RRT value(s) expressed in action.action.action.title are relative retention times.


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

                        ShortRRTUser-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()))
                        146. PlanDefinition.action.action.action.title
                        Definition

                        Test Name: The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor Note: The test name of the action.action can be different than the action. Example, the action test is Microbial Limits and the action.action test is Staphylococcus aureus.

                        RRT: The ratio of the retention time of a component relative to that of another used as a reference obtained under identical conditions as an alias for the name of the unidentified impurities. [Source: Adapted from USP] Example: 1:23 (a ratio) Note: This is the title or name of the impurity (sometimes expressed as a ratio) and not the value.

                        Implementation Note: For RRT, if there is a range associated with the unidentified peak then the range can be entered instead of indivual values. E.g.: 0.4 – 0.8.


                        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.

                        ShortTest Name | RRT (complex testing)User-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()))
                        148. PlanDefinition.action.action.action.description
                        Definition

                        Test Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined]. Stage Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined] If there is more than one comment, include in this element. Markdown allows formating for clarity. If both types are present, indicate type.


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

                        ShortTest Additional Information | Stage Additional InformationBrief description of the action
                        Control0..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()))
                        150. PlanDefinition.action.action.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.

                        ShortReference to Acceptance CriteriaWhat goals this action supports
                        Control10..*
                        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 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
                        Control0..*
                        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())
                        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
                        Control0..1
                        TypeMeta
                        Is Modifierfalse
                        Must Supportfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        6. 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()))
                        8. 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()))
                        10. 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()))
                        12. 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
                        14. PlanDefinition.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control1..*
                        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
                        • 16. PlanDefinition.extension:ApprovalStatus
                          Slice NameApprovalStatus
                          Definition

                          A classification of the regulatory status of the specification.

                          ShortSpecification Status
                          Control1..1
                          TypeExtension(Specification Status) (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())
                          18. PlanDefinition.extension:spec-additional-info
                          Slice Namespec-additional-info
                          Definition

                          Placeholder for providing any comments that are relevant to the specification. [Source: SME Defined] Examples: replaces method ABC, using the XYZ facility.

                          ShortSpecification Additional Information
                          Control0..1
                          TypeExtension(Additional Information) (Extension Type: markdown)
                          Is Modifierfalse
                          Must Supportfalse
                          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())
                          20. 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())
                          22. 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.

                          Control0..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          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()))
                          24. 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 Supporttrue
                          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()))
                          26. PlanDefinition.version
                          Definition

                          The alphanumeric text assigned by the sponsor to a particular edition of a specification. [Source: SME Defined] Examples: 2.1, 13.2, ST1, 00001, 00002, companyname-001. Note: This value should be unique across all specifications for a given material, not just those with the same name

                          ShortSpecification Version
                          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()))
                          28. 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 Supportfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          30. 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 Supportfalse
                          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()))
                          32. PlanDefinition.title
                          Definition

                          The textual identification for the specification. [Source: SME Defined] Example: <drug name> 75 mg chewable tablets Note: This may include the name of the drug substance, product or the raw material/excipients

                          ShortSpecification Title
                          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()))
                          34. PlanDefinition.subtitle
                          Definition

                          An additional textual identification for the specification [Source: SME Defined].

                          ShortSpecification Subtitle
                          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()))
                          36. PlanDefinition.type
                          Definition

                          A classification of specification related to the kind of entity it is referencing. [Source: SME Defined] Examples: Drug product, Drug substance.

                          ShortSpecification Type
                          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
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          38. PlanDefinition.type.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
                          40. PlanDefinition.type.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.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 42. PlanDefinition.type.coding
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortCode defined by a terminology system
                            Comments

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Control2..2
                            TypeCoding
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            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.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • value @ $this
                            • 44. PlanDefinition.type.coding:DefinitionType
                              Slice NameDefinitionType
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortCode defined by a terminology system
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control1..1
                              TypeCoding
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Allows for alternative encodings within a code system, and translations to other code systems.

                              Pattern Value{
                                "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
                                "code" : "workflow-definition",
                                "display" : "Workflow Definition"
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              46. PlanDefinition.type.coding:SpecType
                              Slice NameSpecType
                              Definition

                              A classification of specification related to the kind of the entity it is referencing.

                              ShortSpecification Type
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control1..1
                              BindingThe codes SHALL be taken from Specification Type Terminology
                              (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-specification-type-terminology)
                              TypeCoding
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Allows for alternative encodings within a code system, and translations to other code systems.

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

                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                              ShortPlain text representation of the concept
                              Comments

                              Very often the text is the same as a displayName of one of the codings.

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

                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              50. 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 Supporttrue
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              52. 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 Supportfalse
                              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()))
                              54. 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.

                              Control1..1
                              TypeReference(Literal Reference)(Drug Product Handle, Drug Substance Handle, Excipient Drug Substance)bundled
                              [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
                              Meaning if MissingPatient
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              56. PlanDefinition.date
                              Definition

                              The date when the sponsor assigned a date to a specific version. [Source: SME Defined] Note: This is the date a particular version of the specification was internally accepted by the submitter.

                              ShortSpecification Version Date
                              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.

                              Control1..1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Alternate NamesRevision Date
                              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 Supportfalse
                              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.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()))
                              62. 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).

                              Control0..1
                              Typemarkdown
                              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()))
                              64. 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()))
                              66. 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()))
                              68. 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()))
                              70. 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()))
                              72. 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()))
                              74. 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()))
                              76. PlanDefinition.approvalDate
                              Definition

                              The date on which the FDA approval status for a specification became effective. [Source: SME Defined] Note: If the application is not yet approved, then this is the date of the current submission OR the date of the complete response (CR). Note: This is not the application approval status date.

                              ShortSpecification Status Date
                              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 Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              78. 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()))
                              80. 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()))
                              82. 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()))
                              84. 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()))
                              86. 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()))
                              88. 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()))
                              90. 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()))
                              92. 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()))
                              94. 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..*
                              Typecanonical(Library)
                              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()))
                              96. 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.

                              ShortAcceptance Criteria
                              Control0..*
                              This element is affected by the following invariants: pld-3
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              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()))
                              98. 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
                              100. PlanDefinition.goal.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.goal.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 102. PlanDefinition.goal.extension:ac-additional-info
                                Slice Nameac-additional-info
                                Definition

                                A coded value specifying when a particular analytical procedure or measurement is being performed on a substance or a product. [Source: SME Defined] Examples: Release, Stability. Note: The concept of 'In-Process' is subsumed by the Release code. Example: value changed from 4% to 5% on 01/01/2010)

                                ShortAcceptance Criteria Additional Information
                                Control0..1
                                TypeExtension(Additional Information) (Extension Type: markdown)
                                Is Modifierfalse
                                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())
                                104. 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())
                                106. 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()))
                                108. PlanDefinition.goal.description
                                Definition

                                The text of the acceptance criteria as provided in the specification. [Source: SME Defined] Examples: White to off-white cake; 22.5 - 27.5 mg/ml Note: This is the text as it appears in the Specification.

                                ShortOriginal Text
                                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 Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                110. 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()))
                                112. 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()))
                                114. PlanDefinition.goal.addresses
                                Definition

                                A coded value specifying when a particular analytical procedure or measurement is being performed on a substance or a product. [Source: SME Defined] Examples: Release, Stability. Note: The concept of 'In-Process' is subsumed by the Release code.

                                ShortAcceptance Criteria Usage
                                Control1..*
                                BindingThe codes SHALL be taken from Test Usage Terminology
                                (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-usage-terminology)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                116. 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()))
                                118. PlanDefinition.goal.target
                                Definition

                                Indicates what should be done and within what timeframe.

                                ShortAcceptance Criteron
                                Control1..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                cmc-target-range: When the Range extension is present, detail cannot be present. (modifierExtension.where(url = 'http://hl7.org/fhir/us/pq-cmc-fda/StructureDefinition/pq-target-range').exists() implies detail.exists().not())
                                120. 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
                                122. 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())
                                124. PlanDefinition.goal.target.modifierExtension
                                Definition

                                An Extension

                                ShortExtension
                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                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.goal.target.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 126. PlanDefinition.goal.target.modifierExtension:targetRange
                                  Slice NametargetRange
                                  Definition

                                  The FHIR Range datatype uses Simple Quantities to represent the high and low bounds, which do not allow a comparator to be set. This extension allows the high and low bounds to have a comparator

                                  ShortTarget Range
                                  Control0..1
                                  TypeExtension(Target Range) (Complex Extension)
                                  Is Modifiertrue because When present, the target cannot have a detail; instead this extension acts as its detail
                                  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())
                                  128. PlanDefinition.goal.target.measure
                                  Definition

                                  A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

                                  ShortDetailed parameter being measured if more granular than Sub-Test
                                  Comments

                                  Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                                  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(Text Only Codeable Concept)
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  130. 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, string, integer
                                  [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
                                  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.goal.target.detail[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                  • type @ $this
                                  • 132. PlanDefinition.goal.target.detail[x]:detailQuantity
                                    Slice NamedetailQuantity
                                    Definition

                                    The acceptable quantitative or numeric value for the result of the test. [Source: SME Defined]

                                    ShortValueNumeric
                                    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
                                    BindingThe codes SHALL be taken from Units Of Measure
                                    (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-units-of-measure)
                                    TypeQuantity
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    134. PlanDefinition.goal.target.detail[x]:detailQuantity.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
                                    136. PlanDefinition.goal.target.detail[x]:detailQuantity.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.goal.target.detail[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 138. PlanDefinition.goal.target.detail[x]:detailQuantity.value
                                      Definition

                                      The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                                      ShortNumerical value (with implicit precision)
                                      Comments

                                      The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

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

                                      Precision is handled implicitly in almost all cases of measurement.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      140. PlanDefinition.goal.target.detail[x]:detailQuantity.comparator
                                      Definition

                                      How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                                      Short< | <= | >= | > | ad - how to understand the value
                                      Control0..1
                                      BindingThe codes SHALL be taken from QuantityComparator
                                      (required to http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0)

                                      How the Quantity should be understood and represented.

                                      Typecode
                                      Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                                      Meaning if MissingIf there is no comparator, then there is no modification of the value
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      142. PlanDefinition.goal.target.detail[x]:detailQuantity.unit
                                      Definition

                                      A human-readable form of the unit.

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

                                      There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      144. PlanDefinition.goal.target.detail[x]:detailQuantity.system
                                      Definition

                                      The identification of the system that provides the coded form of the unit.

                                      ShortSystem that defines coded unit form
                                      Control0..1
                                      This element is affected by the following invariants: qty-3
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to know the system that defines the coded form of the unit.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      146. PlanDefinition.goal.target.detail[x]:detailQuantity.code
                                      Definition

                                      A computer processable form of the unit in some unit representation system.

                                      ShortCoded form of the unit
                                      Comments

                                      The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                                      Control1..1
                                      This element is affected by the following invariants: qty-3
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      148. PlanDefinition.goal.target.detail[x]:detailString
                                      Slice NamedetailString
                                      Definition

                                      A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - USP <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

                                      ShortValue
                                      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
                                      Typestring
                                      [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()))
                                      150. PlanDefinition.goal.target.detail[x]:detailInteger
                                      Slice NamedetailInteger
                                      Definition

                                      An identification number for a member of the set of results for a test, usually the sequence order in which the test was executed. Individual tests are executed on multiple samples to give greater validity to the findings. [Source SME Defined] Examples: Prepare six aliquots from the sample. Test 8 samples. If any fall above 110%, test an additional 7 samples. Record all replicate values as stated in the method.

                                      ShortNumber of Replicates
                                      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
                                      Typeinteger
                                      [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()))
                                      152. 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..0
                                      TypeDuration
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      154. 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()))
                                      156. 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
                                      158. 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())
                                      160. 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())
                                      162. 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()))
                                      164. 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()))
                                      166. 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()))
                                      168. 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
                                      170. 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())
                                      172. 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())
                                      174. 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()))
                                      176. 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()))
                                      178. 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()))
                                      180. 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()))
                                      182. 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.

                                      ShortMethod
                                      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()))
                                      cmc-link-required: Action linkId is required for alternate tests ((action.relatedAction.count() > 0) implies action.linkId.exists())
                                      cmc-single-or-multistage: if a test is multi-stage, the test can't have a prefix and its stages must have a name and can't be named 'Single Stage' and must be unique. If it's single stage its prefix is 'Single Stage' and its groups can't have prefixes ((( prefix.exists() implies action.prefix.empty() and prefix = 'Single Stage' ) and ( prefix.empty() implies ( (action.where( prefix.exists() and prefix != 'Single Stage' ).count() = action.count()) and action.prefix.isDistinct() ) )) = true)
                                      184. 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
                                      186. PlanDefinition.action.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())
                                      188. 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())
                                      190. PlanDefinition.action.linkId
                                      Definition

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

                                      Shortonly required for alternate tests
                                      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()))
                                      192. PlanDefinition.action.prefix
                                      Definition

                                      A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

                                      Implememtation Note: Value at this level is 'Single Stage'

                                      ShortStage Name
                                      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()))
                                      194. PlanDefinition.action.title
                                      Definition

                                      The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor

                                      ShortTest Name
                                      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()))
                                      196. PlanDefinition.action.description
                                      Definition

                                      Test Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined]. If there is more than one comment, include in this element. Markdown allows formating for clarity.

                                      ShortTest Additional Information
                                      Control0..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()))
                                      198. 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()))
                                      200. 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()))
                                      202. PlanDefinition.action.code
                                      Definition

                                      A coded value specifying the source of the method. [Source: SME Defined] Example: Compendial

                                      ShortTest Method Origin
                                      Control1..1
                                      BindingFor example codes, see ActionCode
                                      (example to http://hl7.org/fhir/ValueSet/action-code)

                                      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()))
                                      204. PlanDefinition.action.code.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
                                      206. PlanDefinition.action.code.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.action.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 208. PlanDefinition.action.code.coding
                                        Definition

                                        A reference to a code defined by a terminology system.

                                        ShortCode defined by a terminology system
                                        Comments

                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                        Control1..1
                                        BindingThe codes SHALL be taken from Test Method Origin Terminology
                                        (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-method-origin-terminology)
                                        TypeCoding
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Allows for alternative encodings within a code system, and translations to other code systems.

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

                                        The name of the technique used to determine the nature of a characteristic. [Source: SME Defined].

                                        ShortAnalytical Procedure
                                        Comments

                                        Very often the text is the same as a displayName of one of the codings.

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

                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                                        A high level grouping of quality attributes for products, substances, raw materials, excipients, intermediates and reagents. [Source: SME Defined] Examples: Assay, Biological Properties.

                                        ShortTest Category | Test Subcategory
                                        Comments

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

                                        Control1..2
                                        BindingThe codes SHALL be taken from Test Category Terminology
                                        (required to http://hl7.org/fhir/us/pq-cmc-fda/ValueSet/pqcmc-test-category-terminology)
                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        214. PlanDefinition.action.reason.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
                                        216. PlanDefinition.action.reason.extension
                                        Definition

                                        An Extension

                                        ShortExtension
                                        Control1..*
                                        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.reason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 218. PlanDefinition.action.reason.extension:categoryLevel
                                          Slice NamecategoryLevel
                                          Definition

                                          Numeric level in the hierarchical value-set. As an example, this extension is used to distinguished between Test Category | Test Subcategory in Quality Specifications. Test Category is level 1 and Test Subcategory is level two. A constraint enforces values greater than zero.

                                          ShortHierarchical Level
                                          Control1..1
                                          TypeExtension(Hierarchical Level) (Extension Type: positiveInt)
                                          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())
                                          220. PlanDefinition.action.reason.coding
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode defined by a terminology system
                                          Comments

                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                          Control0..*
                                          TypeCoding
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

                                          Allows for alternative encodings within a code system, and translations to other code systems.

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

                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                          ShortPlain text representation of the concept
                                          Comments

                                          Very often the text is the same as a displayName of one of the codings.

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

                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          224. 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..1
                                          TypeRelatedArtifact
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          226. PlanDefinition.action.documentation.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
                                          228. PlanDefinition.action.documentation.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.action.documentation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 230. PlanDefinition.action.documentation.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 Valuedocumentation
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            232. PlanDefinition.action.documentation.classifier
                                            Definition

                                            Provides additional classifiers of the related artifact.

                                            ShortAdditional classifiers
                                            Control0..*
                                            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
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            234. PlanDefinition.action.documentation.label
                                            Definition

                                            A sponsor/applicant provided alphanumeric code that identifies the procedure. [Source: SME Defined]. Example: HP1234-2008 Note: This could also be a transferred lab method.

                                            ShortReference to Procedure
                                            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()))
                                            236. PlanDefinition.action.documentation.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()))
                                            238. PlanDefinition.action.documentation.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()))
                                            240. PlanDefinition.action.documentation.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()))
                                            242. PlanDefinition.action.documentation.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()))
                                            244. PlanDefinition.action.documentation.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.

                                            Control0..1
                                            TypeReference(Resource)
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            246. PlanDefinition.action.documentation.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()))
                                            248. PlanDefinition.action.documentation.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()))
                                            250. 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.

                                            ShortReference to Acceptance Criteria
                                            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 Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            252. 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()))
                                            254. 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 Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            256. 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 Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            258. 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
                                            260. 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())
                                            262. 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())
                                            264. 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()))
                                            266. 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()))
                                            268. PlanDefinition.action.input
                                            Definition

                                            Defines input data requirements for the action.

                                            ShortInput data requirements
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            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())
                                            270. 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
                                            272. 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())
                                            274. 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())
                                            276. 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()))
                                            278. 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()))
                                            280. 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()))
                                            282. PlanDefinition.action.output
                                            Definition

                                            Defines the outputs of the action, if any.

                                            ShortOutput data definition
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            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())
                                            284. 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
                                            286. 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())
                                            288. 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())
                                            290. 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()))
                                            292. 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()))
                                            294. 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()))
                                            296. PlanDefinition.action.relatedAction
                                            Definition

                                            Alternate Tests are one or more test that are equivalent often using differnt method or equipment. The tests are used interchangeably and only one is used to satisfy the drug product specificaion.

                                            ShortAlternate Test
                                            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()))
                                            298. 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
                                            300. 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())
                                            302. 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())
                                            304. 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 Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            306. PlanDefinition.action.relatedAction.relationship
                                            Definition

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

                                            ShortCode is concurrent
                                            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 Supporttrue
                                            Summaryfalse
                                            Pattern Valueconcurrent
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            308. 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()))
                                            310. 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()))
                                            312. 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 Supportfalse
                                            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()))
                                            314. 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()))
                                            316. PlanDefinition.action.participant
                                            Definition

                                            Indicates who should participate in performing the action described.

                                            ShortWho should participate in the action
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            318. 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
                                            320. 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())
                                            322. 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())
                                            324. 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()))
                                            326. 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()))
                                            328. 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()))
                                            330. 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()))
                                            332. PlanDefinition.action.participant.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)

                                            Defines roles played by participants for the action.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            334. 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()))
                                            336. PlanDefinition.action.type
                                            Definition

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

                                            Shortcreate | update | remove | fire-event
                                            Control0..1
                                            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 Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            338. PlanDefinition.action.groupingBehavior
                                            Definition

                                            Defines the grouping behavior for the action and its children.

                                            Shortvisual-group | logical-group | sentence-group
                                            Control0..1
                                            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()))
                                            340. 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 Supportfalse
                                            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()))
                                            342. PlanDefinition.action.requiredBehavior
                                            Definition

                                            Defines the required behavior for the action.

                                            Shortmust | could | must-unless-documented
                                            Control0..1
                                            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()))
                                            344. PlanDefinition.action.precheckBehavior
                                            Definition

                                            Defines whether the action should usually be preselected.

                                            Shortyes | no
                                            Control0..1
                                            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()))
                                            346. PlanDefinition.action.cardinalityBehavior
                                            Definition

                                            Defines whether the action can be selected multiple times.

                                            Shortsingle | multiple
                                            Control0..1
                                            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()))
                                            348. 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.

                                            Control0..1
                                            TypeChoice of: canonical(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 Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            350. 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..1
                                            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()))
                                            352. 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..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            354. PlanDefinition.action.dynamicValue.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
                                            356. PlanDefinition.action.dynamicValue.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())
                                            358. PlanDefinition.action.dynamicValue.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())
                                            360. PlanDefinition.action.dynamicValue.path
                                            Definition

                                            The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details).

                                            ShortThe path to the element to be set dynamically
                                            Comments

                                            To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation.

                                            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()))
                                            362. PlanDefinition.action.dynamicValue.expression
                                            Definition

                                            An expression specifying the value of the customized element.

                                            ShortAn expression that provides the dynamic value for the customization
                                            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()))
                                            364. 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.

                                            ShortGroups or Stages
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            366. PlanDefinition.action.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
                                            368. PlanDefinition.action.action.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())
                                            370. PlanDefinition.action.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())
                                            372. PlanDefinition.action.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()))
                                            374. PlanDefinition.action.action.prefix
                                            Definition

                                            A textual description and/or a number that identifies a level within a sequential test. [Source: SME Defined] Examples – Single Stage, Stage 1, Stage 2 (sometimes referred to as L1, L2 L3 or A1, A2 as in USP <711>) Note: A Stage may or may not provide a conditional sequence with associated acceptance criteria. [Source: SME Defined] (e.g., dissolution test, pyrogen test - <151>; 21 CFR 610.13 (b) Test for pyrogenic substances)

                                            Implememtation Note: not requried if action.prefix is 'Single Stage'

                                            ShortStage Name
                                            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()))
                                            376. PlanDefinition.action.action.title
                                            Definition

                                            Test Name: The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor Note: The test name of the action.action can be different than the action. Example, the action test is Microbial Limits and the action.action test is Staphylococcus aureus.

                                            ShortTest Name (only reqired if different than above)
                                            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()))
                                            378. PlanDefinition.action.action.description
                                            Definition

                                            Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined].

                                            Implementation Note: If there is more than one comment, include in this element. Markdown allows formating for clarity.

                                            ShortTest Additional Information | Stage Additional Information
                                            Control0..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()))
                                            380. PlanDefinition.action.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()))
                                            382. PlanDefinition.action.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()))
                                            384. PlanDefinition.action.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
                                            Control0..1
                                            BindingFor example codes, see ActionCode
                                            (example to http://hl7.org/fhir/ValueSet/action-code)

                                            Provides examples of actions to be performed.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            386. PlanDefinition.action.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 Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            388. PlanDefinition.action.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()))
                                            390. PlanDefinition.action.action.documentation.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
                                            392. PlanDefinition.action.action.documentation.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.action.action.documentation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 394. PlanDefinition.action.action.documentation.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 Valuedocumentation
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              396. PlanDefinition.action.action.documentation.classifier
                                              Definition

                                              Provides additional classifiers of the related artifact.

                                              ShortAdditional classifiers
                                              Control0..*
                                              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
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              398. PlanDefinition.action.action.documentation.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()))
                                              400. PlanDefinition.action.action.documentation.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()))
                                              402. PlanDefinition.action.action.documentation.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()))
                                              404. PlanDefinition.action.action.documentation.document
                                              Definition

                                              Any visual data described andor referenced in additional informatation

                                              ShortTest or Stage Additional Information Visual Attachments
                                              Control1..1
                                              TypeAttachment
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              406. PlanDefinition.action.action.documentation.document.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
                                              408. PlanDefinition.action.action.documentation.document.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.action.action.documentation.document.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 410. PlanDefinition.action.action.documentation.document.contentType
                                                Definition

                                                Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

                                                ShortMime type of the content, with charset etc.
                                                Control1..1
                                                This element is affected by the following invariants: att-1
                                                BindingThe codes SHALL be taken from MimeTypes
                                                (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

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

                                                Processors of the data need to be able to know how to interpret the data.

                                                Example<br/><b>General</b>:text/plain; charset=UTF-8, image/png
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                412. PlanDefinition.action.action.documentation.document.language
                                                Definition

                                                The human language of the content. The value can be any valid value according to BCP 47.

                                                ShortHuman language of the content (BCP-47)
                                                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
                                                Summarytrue
                                                Requirements

                                                Users need to be able to choose between the languages in a set of attachments.

                                                Example<br/><b>General</b>:en-AU
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                414. PlanDefinition.action.action.documentation.document.data
                                                Definition

                                                The actual data of the attachment - a sequence of bytes, base64 encoded.

                                                ShortData inline, base64ed
                                                Comments

                                                The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.

                                                Control1..1
                                                This element is affected by the following invariants: att-1
                                                Typebase64Binary
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summaryfalse
                                                Requirements

                                                The data needs to able to be transmitted inline.

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

                                                A location where the data can be accessed.

                                                ShortUri where the data can be found
                                                Comments

                                                If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.

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

                                                The data needs to be transmitted by reference.

                                                Example<br/><b>General</b>:http://www.acme.com/logo-small.png
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                418. PlanDefinition.action.action.documentation.document.size
                                                Definition

                                                The number of bytes of data that make up this attachment (before base64 encoding, if that is done).

                                                ShortNumber of bytes of content (if url provided)
                                                Comments

                                                The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.

                                                Control0..1
                                                Typeinteger64
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.

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

                                                The calculated hash of the data using SHA-1. Represented using base64.

                                                ShortHash of the data (sha-1, base64ed)
                                                Comments

                                                The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see Provenance.signature for mechanism to protect a resource with a digital signature.

                                                Control0..1
                                                Typebase64Binary
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).

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

                                                A format or abbreviation name that identifies a file structure. [Source: SME Defined] Used for the following: Analytical Instrument Data File Type, Impurity Analysis Graphic, Impurity Analytical Instrument Data File, Impurity Chemical Structure Data File, and Substance Structure Graphic.

                                                ShortDocument file name including the file extension
                                                Comments

                                                May sometimes be derived from the source filename.

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

                                                Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.

                                                Example<br/><b>General</b>:Official Corporate Logo
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                424. PlanDefinition.action.action.documentation.document.creation
                                                Definition

                                                The date that the attachment was first created.

                                                ShortDate attachment was first created
                                                Control0..1
                                                TypedateTime
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                This is often tracked as an integrity issue for use of the attachment.

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

                                                Height of the image in pixels (photo/video).

                                                ShortHeight of the image in pixels (photo/video)
                                                Control0..1
                                                TypepositiveInt
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                428. PlanDefinition.action.action.documentation.document.width
                                                Definition

                                                Width of the image in pixels (photo/video).

                                                ShortWidth of the image in pixels (photo/video)
                                                Control0..1
                                                TypepositiveInt
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                430. PlanDefinition.action.action.documentation.document.frames
                                                Definition

                                                The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.

                                                ShortNumber of frames if > 1 (photo)
                                                Comments

                                                if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.

                                                Control0..1
                                                TypepositiveInt
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                432. PlanDefinition.action.action.documentation.document.duration
                                                Definition

                                                The duration of the recording in seconds - for audio and video.

                                                ShortLength in seconds (audio / video)
                                                Comments

                                                The duration might differ from occurrencePeriod if recording was paused.

                                                Control0..1
                                                Typedecimal
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                434. PlanDefinition.action.action.documentation.document.pages
                                                Definition

                                                The number of pages when printed.

                                                ShortNumber of printed pages
                                                Control0..1
                                                TypepositiveInt
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                436. PlanDefinition.action.action.documentation.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()))
                                                438. PlanDefinition.action.action.documentation.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.

                                                Control0..1
                                                TypeReference(Resource)
                                                Is Modifierfalse
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                440. PlanDefinition.action.action.documentation.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()))
                                                442. PlanDefinition.action.action.documentation.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()))
                                                444. PlanDefinition.action.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.

                                                ShortReference to Acceptance Criteria
                                                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 Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                446. PlanDefinition.action.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()))
                                                448. PlanDefinition.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                450. PlanDefinition.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                452. PlanDefinition.action.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
                                                454. PlanDefinition.action.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())
                                                456. PlanDefinition.action.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())
                                                458. PlanDefinition.action.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()))
                                                460. PlanDefinition.action.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()))
                                                462. PlanDefinition.action.action.input
                                                Definition

                                                Defines input data requirements for the action.

                                                ShortInput data requirements
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                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())
                                                464. PlanDefinition.action.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
                                                466. PlanDefinition.action.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())
                                                468. PlanDefinition.action.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())
                                                470. PlanDefinition.action.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()))
                                                472. PlanDefinition.action.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()))
                                                474. PlanDefinition.action.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()))
                                                476. PlanDefinition.action.action.output
                                                Definition

                                                Defines the outputs of the action, if any.

                                                ShortOutput data definition
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                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())
                                                478. PlanDefinition.action.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
                                                480. PlanDefinition.action.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())
                                                482. PlanDefinition.action.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())
                                                484. PlanDefinition.action.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()))
                                                486. PlanDefinition.action.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()))
                                                488. PlanDefinition.action.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()))
                                                490. PlanDefinition.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                492. PlanDefinition.action.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
                                                494. PlanDefinition.action.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())
                                                496. PlanDefinition.action.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())
                                                498. PlanDefinition.action.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()))
                                                500. PlanDefinition.action.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()))
                                                502. PlanDefinition.action.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()))
                                                504. PlanDefinition.action.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()))
                                                506. PlanDefinition.action.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 Supportfalse
                                                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()))
                                                508. PlanDefinition.action.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()))
                                                510. PlanDefinition.action.action.participant
                                                Definition

                                                Indicates who should participate in performing the action described.

                                                ShortWho should participate in the action
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                512. PlanDefinition.action.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
                                                514. PlanDefinition.action.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())
                                                516. PlanDefinition.action.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())
                                                518. PlanDefinition.action.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()))
                                                520. PlanDefinition.action.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()))
                                                522. PlanDefinition.action.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()))
                                                524. PlanDefinition.action.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()))
                                                526. PlanDefinition.action.action.participant.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)

                                                Defines roles played by participants for the action.

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

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

                                                Shortcreate | update | remove | fire-event
                                                Control0..1
                                                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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                532. PlanDefinition.action.action.groupingBehavior
                                                Definition

                                                Defines the grouping behavior for the action and its children.

                                                Shortvisual-group | logical-group | sentence-group
                                                Control0..1
                                                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()))
                                                534. PlanDefinition.action.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 Supportfalse
                                                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()))
                                                536. PlanDefinition.action.action.requiredBehavior
                                                Definition

                                                Defines the required behavior for the action.

                                                Shortmust | could | must-unless-documented
                                                Control0..1
                                                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()))
                                                538. PlanDefinition.action.action.precheckBehavior
                                                Definition

                                                Defines whether the action should usually be preselected.

                                                Shortyes | no
                                                Control0..1
                                                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()))
                                                540. PlanDefinition.action.action.cardinalityBehavior
                                                Definition

                                                Defines whether the action can be selected multiple times.

                                                Shortsingle | multiple
                                                Control0..1
                                                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()))
                                                542. PlanDefinition.action.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.

                                                Control0..1
                                                TypeChoice of: canonical(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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                544. PlanDefinition.action.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..1
                                                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()))
                                                546. PlanDefinition.action.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..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                548. PlanDefinition.action.action.dynamicValue.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
                                                550. PlanDefinition.action.action.dynamicValue.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())
                                                552. PlanDefinition.action.action.dynamicValue.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())
                                                554. PlanDefinition.action.action.dynamicValue.path
                                                Definition

                                                The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details).

                                                ShortThe path to the element to be set dynamically
                                                Comments

                                                To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation.

                                                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()))
                                                556. PlanDefinition.action.action.dynamicValue.expression
                                                Definition

                                                An expression specifying the value of the customized element.

                                                ShortAn expression that provides the dynamic value for the customization
                                                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()))
                                                558. PlanDefinition.action.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.

                                                ShortSub-Test
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                cmc-subtest-rrt: a subtest's prefix represents relative retention time, should it exist (prefix.exists() implies prefix.single() = 'RRT')
                                                560. PlanDefinition.action.action.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
                                                562. PlanDefinition.action.action.action.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())
                                                564. PlanDefinition.action.action.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())
                                                566. PlanDefinition.action.action.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()))
                                                568. PlanDefinition.action.action.action.prefix
                                                Definition

                                                RRT: The ratio of the retention time of a component relative to that of another used as a reference obtained under identical conditions as an alias for the name of the unidentified impurities. [Source: Adapted from USP] Example: 1:23 (a ratio) Note: This is the title or name of the impurity (sometimes expressed as a ratio) and not the value.

                                                Implementation Note: This value can only be 'RRT'. It is used to desinate that RRT value(s) expressed in action.action.action.title are relative retention times.

                                                ShortRRT
                                                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()))
                                                570. PlanDefinition.action.action.action.title
                                                Definition

                                                Test Name: The textual description of a procedure or analytical method. [Source: SME Defined] Examples: Assay by HPLC, moisture by Karl Fischer, analysis for impurities. Note: as defined by the sponsor Note: The test name of the action.action can be different than the action. Example, the action test is Microbial Limits and the action.action test is Staphylococcus aureus.

                                                RRT: The ratio of the retention time of a component relative to that of another used as a reference obtained under identical conditions as an alias for the name of the unidentified impurities. [Source: Adapted from USP] Example: 1:23 (a ratio) Note: This is the title or name of the impurity (sometimes expressed as a ratio) and not the value.

                                                Implementation Note: For RRT, if there is a range associated with the unidentified peak then the range can be entered instead of indivual values. E.g.: 0.4 – 0.8.

                                                ShortTest Name | RRT (complex testing)
                                                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()))
                                                572. PlanDefinition.action.action.action.description
                                                Definition

                                                Test Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined]. Stage Additional Information: Placeholder for providing any comments that are relevant to the Test. [Source: SME Defined] If there is more than one comment, include in this element. Markdown allows formating for clarity. If both types are present, indicate type.

                                                ShortTest Additional Information | Stage Additional Information
                                                Control0..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()))
                                                574. PlanDefinition.action.action.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()))
                                                576. PlanDefinition.action.action.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()))
                                                578. PlanDefinition.action.action.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
                                                Control0..1
                                                BindingFor example codes, see ActionCode
                                                (example to http://hl7.org/fhir/ValueSet/action-code)

                                                Provides examples of actions to be performed.

                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                580. PlanDefinition.action.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                582. PlanDefinition.action.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                584. PlanDefinition.action.action.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.

                                                ShortReference to Acceptance Criteria
                                                Control1..*
                                                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 Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                586. PlanDefinition.action.action.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()))
                                                588. PlanDefinition.action.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                590. PlanDefinition.action.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                592. PlanDefinition.action.action.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
                                                594. PlanDefinition.action.action.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())
                                                596. PlanDefinition.action.action.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())
                                                598. PlanDefinition.action.action.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()))
                                                600. PlanDefinition.action.action.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()))
                                                602. PlanDefinition.action.action.action.input
                                                Definition

                                                Defines input data requirements for the action.

                                                ShortInput data requirements
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                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())
                                                604. PlanDefinition.action.action.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
                                                606. PlanDefinition.action.action.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())
                                                608. PlanDefinition.action.action.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())
                                                610. PlanDefinition.action.action.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()))
                                                612. PlanDefinition.action.action.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()))
                                                614. PlanDefinition.action.action.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()))
                                                616. PlanDefinition.action.action.action.output
                                                Definition

                                                Defines the outputs of the action, if any.

                                                ShortOutput data definition
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                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())
                                                618. PlanDefinition.action.action.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
                                                620. PlanDefinition.action.action.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())
                                                622. PlanDefinition.action.action.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())
                                                624. PlanDefinition.action.action.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()))
                                                626. PlanDefinition.action.action.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()))
                                                628. PlanDefinition.action.action.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()))
                                                630. PlanDefinition.action.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                632. PlanDefinition.action.action.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
                                                634. PlanDefinition.action.action.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())
                                                636. PlanDefinition.action.action.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())
                                                638. PlanDefinition.action.action.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()))
                                                640. PlanDefinition.action.action.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()))
                                                642. PlanDefinition.action.action.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()))
                                                644. PlanDefinition.action.action.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()))
                                                646. PlanDefinition.action.action.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 Supportfalse
                                                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()))
                                                648. PlanDefinition.action.action.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()))
                                                650. PlanDefinition.action.action.action.participant
                                                Definition

                                                Indicates who should participate in performing the action described.

                                                ShortWho should participate in the action
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                652. PlanDefinition.action.action.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
                                                654. PlanDefinition.action.action.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())
                                                656. PlanDefinition.action.action.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())
                                                658. PlanDefinition.action.action.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()))
                                                660. PlanDefinition.action.action.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()))
                                                662. PlanDefinition.action.action.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()))
                                                664. PlanDefinition.action.action.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()))
                                                666. PlanDefinition.action.action.action.participant.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)

                                                Defines roles played by participants for the action.

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

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

                                                Shortcreate | update | remove | fire-event
                                                Control0..1
                                                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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                672. PlanDefinition.action.action.action.groupingBehavior
                                                Definition

                                                Defines the grouping behavior for the action and its children.

                                                Shortvisual-group | logical-group | sentence-group
                                                Control0..1
                                                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()))
                                                674. PlanDefinition.action.action.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 Supportfalse
                                                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()))
                                                676. PlanDefinition.action.action.action.requiredBehavior
                                                Definition

                                                Defines the required behavior for the action.

                                                Shortmust | could | must-unless-documented
                                                Control0..1
                                                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()))
                                                678. PlanDefinition.action.action.action.precheckBehavior
                                                Definition

                                                Defines whether the action should usually be preselected.

                                                Shortyes | no
                                                Control0..1
                                                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()))
                                                680. PlanDefinition.action.action.action.cardinalityBehavior
                                                Definition

                                                Defines whether the action can be selected multiple times.

                                                Shortsingle | multiple
                                                Control0..1
                                                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()))
                                                682. PlanDefinition.action.action.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.

                                                Control0..1
                                                TypeChoice of: canonical(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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                684. PlanDefinition.action.action.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..1
                                                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()))
                                                686. PlanDefinition.action.action.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..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                688. PlanDefinition.action.action.action.dynamicValue.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
                                                690. PlanDefinition.action.action.action.dynamicValue.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())
                                                692. PlanDefinition.action.action.action.dynamicValue.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())
                                                694. PlanDefinition.action.action.action.dynamicValue.path
                                                Definition

                                                The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details).

                                                ShortThe path to the element to be set dynamically
                                                Comments

                                                To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation.

                                                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()))
                                                696. PlanDefinition.action.action.action.dynamicValue.expression
                                                Definition

                                                An expression specifying the value of the customized element.

                                                ShortAn expression that provides the dynamic value for the customization
                                                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()))
                                                698. PlanDefinition.action.action.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 Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                700. 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()))