Clinical Study Schedule of Activities
2.0.0-ballot - STU 2 - Ballot International flag

Clinical Study Schedule of Activities, 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/Vulcan-schedule-ig/ and changes regularly. See the Directory of published versions

: Levothroxine-Monitoring-Titration-Activities

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="Levothroxine-Monitoring-Titration-Activities"/>
  <meta>
    <versionId value="0"/>
    <lastUpdated value="2026-03-11T16:01:52Z"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">Levothroxine-Monitoring-Titration-Activities</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-Levothroxine-Monitoring-Titration-Activities.html">Levothroxine-Monitoring-Titration-Activities</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">2.0.0-ballot</td>
        </tr>
        

        
        <tr>
            <th scope="row">
                <b>
                    
                        
                    
                </b>
            </th>
            <td style="padding-left: 4px;">
                
                <p style="margin-bottom: 5px;">
                    <span>c4ef9bcf-718f-421a-984e-45dae567935e</span>
                </p>
                
            </td>
        </tr>
        
        <tr>
            <th scope="row">
                <b>
                    
                        
                    
                </b>
            </th>
            <td style="padding-left: 4px;">
                
                <p style="margin-bottom: 5px;">
                    <span>urn:oid:2.16.840.1.113883.4.642.40.64.34.9</span>
                </p>
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">Levothroxine-Monitoring-Titration-Activities</td>
        </tr>
        

        

        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/7.1.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>clinical-protocol</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-03-31 15:50:40+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">HL7 International / Biomedical Research and Regulation</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>Levothroxine-Monitoring</p>
</div></td>
        </tr>
        

        

        

        

        
        <tr>
            <th scope="row"><b>Jurisdiction: </b></th>
            <td style="padding-left: 4px;">001</td>
        </tr>
        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> AS:</b> <div><p>Activity Start</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> Blood Sample:</b> <div><p>Blood Sample</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> TSH Measurement:</b> <div><p>TSH Measurement</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> Clinical Review:</b> <div><p>Clinical Review</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        <b>If:</b>
                                        
                                        <i>Start:</i>
                                        
                                        <i>({'TSH &gt;4.6mU/L':'true','operation':'=='})</i>
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        <b>If:</b>
                                        
                                        <i>Start:</i>
                                        
                                        <i>({'TSH 0.4-4.6mU/L':'true','operation':'=='})</i>
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        <b>If:</b>
                                        
                                        <i>Start:</i>
                                        
                                        <i>({'TSH &lt;0.4mU/L':'true','operation':'=='})</i>
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> MedicationRequest:</b> <div><p>MedicationRequest</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> AF:</b> <div><p>Activity Finish</p>
</div>
                            
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <code>http://example.org/ActivityDefinition/ActivityFinish</code><br/>
                            
                            
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> Increase Dose:</b> <div><p>Increase Dose</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> No Dose Change:</b> <div><p>No Dose Change</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                    <tr>
                        <td>
                            
                            <b> Decrease Dose:</b> <div><p>Decrease Dose</p>
</div>
                            
                            <br/>
                            
                            
                            
                            <b>Then:</b>
                            <table class="grid-dict">
                                
                                <tr>
                                    <td>
                                        
                                        <b> :</b>
                                        
                                        
                                        <br/>
                                        
                                        
                                        
                                        
                                        
                                    </td>
                                </tr>
                                
                            </table>
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/uv/vulcan-schedule/PlanDefinition/Levothroxine-Monitoring-Titration-Activities"/>
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  <title value="Levothroxine-Monitoring-Titration-Activities"/>
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  <status value="active"/>
  <date value="2026-03-31T15:50:40+00:00"/>
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      <extension url="soaPlannedTimePoint">
        <valueQuantity>
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          <code value="min"/>
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    <title value="AS"/>
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    <groupingBehavior value="visual-group"/>
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    <action>
      <extension
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        <extension url="soaTargetId">
          <valueString value="82f88cb2-d416-4e67-8753-e24b55186873"/>
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              <code value="s"/>
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        <extension url="soaTargetName">
          <valueString value="Blood Sample"/>
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    </action>
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    <title value="Blood Sample"/>
    <description value="Blood Sample"/>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/BloodSample"/>
    <action>
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        <extension url="soaTargetName">
          <valueString value="TSH Measurement"/>
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    <description value="TSH Measurement"/>
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          <valueString value="Increase Dose"/>
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          <expression value="{'TSH &gt;4.6mU/L':'true','operation':'=='}"/>
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        <extension url="soaTransitionType">
          <valueString value="FS"/>
        </extension>
        <extension url="soaTransitionDelay">
          <valueDuration>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </valueDuration>
        </extension>
        <extension url="soaTransitionRange">
          <valueRange>
            <low>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </low>
            <high>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </high>
          </valueRange>
        </extension>
        <extension url="soaTargetName">
          <valueString value="Decrease Dose"/>
        </extension>
      </extension>
      <condition>
        <kind value="start"/>
        <expression>
          <language value="text/x-soa-expressionplain"/>
          <expression value="{'TSH &lt;0.4mU/L':'true','operation':'=='}"/>
        </expression>
      </condition>
    </action>
  </action>
  <action id="3933c464-4863-491c-9c3b-df96d294f0e8">
    <extension
               url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint">
      <extension url="soaPlannedTimePoint">
        <valueQuantity>
          <value value="0"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="s"/>
        </valueQuantity>
      </extension>
      <extension url="soaReferenceTimePoint">
        <valueString value="AS"/>
      </extension>
      <extension url="soaRepeatAllowed">
        <valueBoolean value="false"/>
      </extension>
      <extension url="soaPlannedDuration">
        <valueDuration>
          <value value="30"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="min"/>
        </valueDuration>
      </extension>
      <extension url="soaTimePointType">
        <valueString value="Activity"/>
      </extension>
      <extension url="soaTimePointSubType">
        <valueString value="A"/>
      </extension>
      <extension url="soaPlannedRange">
        <valueRange>
          <low>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </low>
          <high>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </high>
        </valueRange>
      </extension>
      <extension url="soaRangeFromTimePoint">
        <valueString value="AS"/>
      </extension>
    </extension>
    <title value="MedicationRequest"/>
    <description value="MedicationRequest"/>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/MedicationRequest"/>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="85593dcf-a301-4857-a906-16a0984916d9"/>
        </extension>
        <extension url="soaTransitionType">
          <valueString value="FS"/>
        </extension>
        <extension url="soaTransitionDelay">
          <valueDuration>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </valueDuration>
        </extension>
        <extension url="soaTransitionRange">
          <valueRange>
            <low>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </low>
            <high>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </high>
          </valueRange>
        </extension>
        <extension url="soaTargetName">
          <valueString value="AF"/>
        </extension>
      </extension>
    </action>
  </action>
  <action id="85593dcf-a301-4857-a906-16a0984916d9">
    <extension
               url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint">
      <extension url="soaPlannedTimePoint">
        <valueQuantity>
          <value value="0"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="s"/>
        </valueQuantity>
      </extension>
      <extension url="soaReferenceTimePoint">
        <valueString value="AS"/>
      </extension>
      <extension url="soaRepeatAllowed">
        <valueBoolean value="false"/>
      </extension>
      <extension url="soaPlannedDuration">
        <valueDuration>
          <value value="30"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="min"/>
        </valueDuration>
      </extension>
      <extension url="soaTimePointType">
        <valueString value="Activity"/>
      </extension>
      <extension url="soaTimePointSubType">
        <valueString value="AF"/>
      </extension>
      <extension url="soaPlannedRange">
        <valueRange>
          <low>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </low>
          <high>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </high>
        </valueRange>
      </extension>
      <extension url="soaRangeFromTimePoint">
        <valueString value="AS"/>
      </extension>
    </extension>
    <title value="AF"/>
    <description value="Activity Finish"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/ActivityFinish"/>
  </action>
  <action id="cabec7fd-917f-4d90-a294-cd3cddeb2d72">
    <extension
               url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint">
      <extension url="soaPlannedTimePoint">
        <valueQuantity>
          <value value="0"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="s"/>
        </valueQuantity>
      </extension>
      <extension url="soaReferenceTimePoint">
        <valueString value="AS"/>
      </extension>
      <extension url="soaRepeatAllowed">
        <valueBoolean value="false"/>
      </extension>
      <extension url="soaPlannedDuration">
        <valueDuration>
          <value value="24"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="h"/>
        </valueDuration>
      </extension>
      <extension url="soaTimePointType">
        <valueString value="Activity"/>
      </extension>
      <extension url="soaTimePointSubType">
        <valueString value="A"/>
      </extension>
      <extension url="soaPlannedRange">
        <valueRange>
          <low>
            <value value="24"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="h"/>
          </low>
          <high>
            <value value="24"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="h"/>
          </high>
        </valueRange>
      </extension>
      <extension url="soaRangeFromTimePoint">
        <valueString value="AS"/>
      </extension>
    </extension>
    <title value="Increase Dose"/>
    <description value="Increase Dose"/>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/IncreaseDose"/>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="3933c464-4863-491c-9c3b-df96d294f0e8"/>
        </extension>
        <extension url="soaTransitionType">
          <valueString value="FS"/>
        </extension>
        <extension url="soaTransitionDelay">
          <valueDuration>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </valueDuration>
        </extension>
        <extension url="soaTransitionRange">
          <valueRange>
            <low>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </low>
            <high>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </high>
          </valueRange>
        </extension>
        <extension url="soaTargetName">
          <valueString value="MedicationRequest"/>
        </extension>
      </extension>
    </action>
  </action>
  <action id="dfa9adda-33fd-4a78-b8b7-ba28aa807fe1">
    <extension
               url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint">
      <extension url="soaPlannedTimePoint">
        <valueQuantity>
          <value value="0"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="s"/>
        </valueQuantity>
      </extension>
      <extension url="soaReferenceTimePoint">
        <valueString value="AS"/>
      </extension>
      <extension url="soaRepeatAllowed">
        <valueBoolean value="false"/>
      </extension>
      <extension url="soaPlannedDuration">
        <valueDuration>
          <value value="24"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="h"/>
        </valueDuration>
      </extension>
      <extension url="soaTimePointType">
        <valueString value="Activity"/>
      </extension>
      <extension url="soaTimePointSubType">
        <valueString value="A"/>
      </extension>
      <extension url="soaPlannedRange">
        <valueRange>
          <low>
            <value value="24"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="h"/>
          </low>
          <high>
            <value value="24"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="h"/>
          </high>
        </valueRange>
      </extension>
      <extension url="soaRangeFromTimePoint">
        <valueString value="AS"/>
      </extension>
    </extension>
    <title value="No Dose Change"/>
    <description value="No Dose Change"/>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/NoDoseChange"/>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="3933c464-4863-491c-9c3b-df96d294f0e8"/>
        </extension>
        <extension url="soaTransitionType">
          <valueString value="FS"/>
        </extension>
        <extension url="soaTransitionDelay">
          <valueDuration>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </valueDuration>
        </extension>
        <extension url="soaTransitionRange">
          <valueRange>
            <low>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </low>
            <high>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </high>
          </valueRange>
        </extension>
        <extension url="soaTargetName">
          <valueString value="MedicationRequest"/>
        </extension>
      </extension>
    </action>
  </action>
  <action id="0b1f8a61-d934-428a-887e-e4e5bfb834e1">
    <extension
               url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint">
      <extension url="soaPlannedTimePoint">
        <valueQuantity>
          <value value="0"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="s"/>
        </valueQuantity>
      </extension>
      <extension url="soaReferenceTimePoint">
        <valueString value="AS"/>
      </extension>
      <extension url="soaRepeatAllowed">
        <valueBoolean value="false"/>
      </extension>
      <extension url="soaPlannedDuration">
        <valueDuration>
          <value value="24"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="h"/>
        </valueDuration>
      </extension>
      <extension url="soaTimePointType">
        <valueString value="Activity"/>
      </extension>
      <extension url="soaTimePointSubType">
        <valueString value="A"/>
      </extension>
      <extension url="soaPlannedRange">
        <valueRange>
          <low>
            <value value="24"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="h"/>
          </low>
          <high>
            <value value="24"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="h"/>
          </high>
        </valueRange>
      </extension>
      <extension url="soaRangeFromTimePoint">
        <valueString value="AS"/>
      </extension>
    </extension>
    <title value="Decrease Dose"/>
    <description value="Decrease Dose"/>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/DecreaseDose"/>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="3933c464-4863-491c-9c3b-df96d294f0e8"/>
        </extension>
        <extension url="soaTransitionType">
          <valueString value="FS"/>
        </extension>
        <extension url="soaTransitionDelay">
          <valueDuration>
            <value value="0"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="s"/>
          </valueDuration>
        </extension>
        <extension url="soaTransitionRange">
          <valueRange>
            <low>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </low>
            <high>
              <value value="0"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="s"/>
            </high>
          </valueRange>
        </extension>
        <extension url="soaTargetName">
          <valueString value="MedicationRequest"/>
        </extension>
      </extension>
    </action>
  </action>
</PlanDefinition>