Clinical Study Schedule of Activities
2.0.0-snapshot - STU 2 - SNAPSHOT World

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-snapshot 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

Page standards status: Informative

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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" xml:lang="en" lang="en">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header">Metadata</th>


</tr>

<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">Levothroxine-Monitoring-Titration-Activities</td>


</tr>



<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">2.0.0-snapshot</td>


</tr>







  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">c4ef9bcf-718f-421a-984e-45dae567935e</td>


</tr>


  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.64.34.9</td>


</tr>










<tr>


<th scope="row" class="row-header">Jurisdiction</th>



<td class="content-container">
    World


</td>


</tr>








<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>



<td class="content-container">HL7 International / Biomedical Research and Regulation</td>


</tr>



<tr>


<th scope="row" class="row-header">Steward Contact</th>



<td class="content-container">HL7 International / Biomedical Research and Regulation</td>


</tr>







<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Levothroxine-Monitoring</p>
</div></td>


</tr>






<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    clinical-protocol from <a href="http://terminology.hl7.org/7.3.0/CodeSystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a> 


</td>


</tr>




<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">0088a1c5-86ff-4081-b8ac-d0ec38c31f40</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">AS</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Activity Start</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/start</code></td>


</tr>





  
    
      
      

    
    
      

    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">82f88cb2-d416-4e67-8753-e24b55186873</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">Blood Sample</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Blood Sample</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/BloodSample</code></td>


</tr>





  
    
      
      

    
    
      

    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">de868321-2d8c-4ca5-9aa2-8268ecbdc18a</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">TSH Measurement</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>TSH Measurement</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/TSHMeasurement</code></td>


</tr>





  
    
      
      

    
    
      

    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">f63d8cb3-8589-4877-83fa-0e514398e785</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">Clinical Review</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Clinical Review</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/ClinicalReview</code></td>


</tr>





  
    
      
      
<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action (Parent Action ID: f63d8cb3-8589-4877-83fa-0e514398e785)</th>


</tr>













<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Start
  
    <br/>
    
   
  </td>
</tr>















    
    
      
<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action</th>


</tr>













<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Start
  
    <br/>
    
   
  </td>
</tr>















    
  
    
      
      
<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action (Parent Action ID: f63d8cb3-8589-4877-83fa-0e514398e785)</th>


</tr>













<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Start
  
    <br/>
    
   
  </td>
</tr>















    
    
      
<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action</th>


</tr>













<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Start
  
    <br/>
    
   
  </td>
</tr>















    
  
    
      
      
<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action (Parent Action ID: f63d8cb3-8589-4877-83fa-0e514398e785)</th>


</tr>













<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Start
  
    <br/>
    
   
  </td>
</tr>















    
    
      
<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Sub-Action</th>


</tr>













<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Start
  
    <br/>
    
   
  </td>
</tr>















    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">3933c464-4863-491c-9c3b-df96d294f0e8</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">MedicationRequest</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>MedicationRequest</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/MedicationRequest</code></td>


</tr>





  
    
      
      

    
    
      

    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">85593dcf-a301-4857-a906-16a0984916d9</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">AF</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Activity Finish</p>
</div></td>


</tr>



















<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/ActivityFinish</code></td>


</tr>







<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">cabec7fd-917f-4d90-a294-cd3cddeb2d72</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">Increase Dose</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Increase Dose</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/IncreaseDose</code></td>


</tr>





  
    
      
      

    
    
      

    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">dfa9adda-33fd-4a78-b8b7-ba28aa807fe1</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">No Dose Change</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>No Dose Change</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/NoDoseChange</code></td>


</tr>





  
    
      
      

    
    
      

    
  



<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">0b1f8a61-d934-428a-887e-e4e5bfb834e1</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">Decrease Dose</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Decrease Dose</p>
</div></td>


</tr>














<tr>


<th scope="row" class="row-header">Grouping Behavior</th>



<td class="content-container">Visual Group</td>


</tr>


<tr>


<th scope="row" class="row-header">Selection Behavior</th>



<td class="content-container">Exactly One</td>


</tr>





<tr>


<th scope="row" class="row-header">Definition</th>



<td class="content-container"><code>http://example.org/ActivityDefinition/DecreaseDose</code></td>


</tr>





  
    
      
      

    
    
      

    
  





<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
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  </text>
  <url
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  <version value="2.0.0-snapshot"/>
  <name value="Levothroxine-Monitoring-Titration-Activities"/>
  <title value="Levothroxine-Monitoring-Titration-Activities"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="clinical-protocol"/>
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  </type>
  <status value="active"/>
  <date value="2026-03-24T21:36:22+00:00"/>
  <publisher value="HL7 International / Biomedical Research and Regulation"/>
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    <telecom>
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      <value value="http://www.hl7.org/Special/committees/rcrim"/>
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    <telecom>
      <system value="email"/>
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    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
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      </extension>
    </action>
  </action>
  <action id="f63d8cb3-8589-4877-83fa-0e514398e785">
    <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="Clinical Review"/>
    <description value="Clinical Review"/>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definitionCanonical
                         value="http://example.org/ActivityDefinition/ClinicalReview"/>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="cabec7fd-917f-4d90-a294-cd3cddeb2d72"/>
        </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="Increase Dose"/>
        </extension>
      </extension>
      <condition>
        <kind value="start"/>
        <expression>
          <language value="text/x-soa-expressionplain"/>
          <expression value="{’TSH’: 0.4 ‘mU/L’, operation = ‘&lt;‘}"/>
        </expression>
      </condition>
    </action>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="dfa9adda-33fd-4a78-b8b7-ba28aa807fe1"/>
        </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="No Dose Change"/>
        </extension>
      </extension>
      <condition>
        <kind value="start"/>
        <expression>
          <language value="text/x-soa-expressionplain"/>
          <expression
                      value="{’TSH’: 0.4 ‘mU/L’, operation = ‘&gt;=’} | {’TSH’: 4.6 ‘mU/L, operation = ‘&lt;=’}"/>
        </expression>
      </condition>
    </action>
    <action>
      <extension
                 url="http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition">
        <extension url="soaTargetId">
          <valueString value="0b1f8a61-d934-428a-887e-e4e5bfb834e1"/>
        </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="Decrease Dose"/>
        </extension>
      </extension>
      <condition>
        <kind value="start"/>
        <expression>
          <language value="text/x-soa-expressionplain"/>
          <expression value="{’TSH’: 4.6 ‘mU/L’, operation = ‘&gt;’}"/>
        </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>