Clinical Practice Guidelines
2.0.0 - STU2 International flag

Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions

Resource Profile: CPG Pathway Definition

Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition Version: 2.0.0
Active as of 2024-11-26 Computable Name: CPGPathwayDefinition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.92

Profile of PlanDefinition as a Clinical Pathway for use with CPG Implementation Guide. A pathway provides groupings of strategies to provide a longitudinal view of the guideline

Usage:

Formal Views of Profile Content

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

This structure is derived from CPGComputablePlanDefinition

NameFlagsCard.TypeDescription & Constraintsdoco
.. PlanDefinition 0..* CPGComputablePlanDefinition The definition of a plan for a series of actions, independent of any specific patient or context
... type 1..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/plan-definition-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: clinical-protocol
... action
.... title 1..1 string User-visible title
.... description 1..1 string Brief description of the action
.... code 1..1 CodeableConcept Code representing the meaning of the action or sub-actions
Binding: CPG Common Process Value Set (extensible): High-level processes identified in guideline-based care

.... input 0..0
.... output 0..0
.... relatedAction 0..0
.... type 0..0
.... groupingBehavior 0..0
.... selectionBehavior 0..0
.... requiredBehavior 0..0
.... precheckBehavior 0..0
.... cardinalityBehavior 0..0
.... definition[x] 0..1 canonical(CPG Strategy Definition | CPG Workflow Definition) Description of the activity to be performed
.... transform S 0..0
.... dynamicValue 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
PlanDefinition.action.codeextensibleCPGCommonProcessVS (a valid code from CPG Common Process Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process-vs
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. PlanDefinition C 0..* CPGComputablePlanDefinition The definition of a plan for a series of actions, independent of any specific patient or context
pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... enabled S 0..1 boolean CPG Enabled Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enabled
.... partOf S 0..1 canonical(PlanDefinition) CPG Part Of Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/plan-definition-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: clinical-protocol
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... subject[x] S 0..1 Type of individual the plan definition is focused on
Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... library S 0..1 canonical(Library) Logic used by the plan definition
... action S 1..* BackboneElement Action defined by the plan
.... Slices for extension Content/Rules for all slices
..... strengthOfRecommendation S 0..1 CodeableConcept The strength of the recommendation
URL: http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation
Binding: StrengthOfRecommendationRating (example)
..... directionOfRecommendation S 0..1 CodeableConcept CPG Direction Of Recommendation Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation
Binding: CPG Recommendation Direction Value Set (required): The direction of the recommendation, for or against


..... qualityOfEvidence S 0..1 CodeableConcept The quality of the evidence
URL: http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence
Binding: QualityOfEvidenceRating (example)
..... rating S 0..1 Quantity, Range, Ratio CPG Rating Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... prefix S 0..1 string User-visible prefix for the action (e.g. 1. or A.)
.... title S 1..1 string User-visible title
.... description S 1..1 string Brief description of the action
.... code S 1..1 CodeableConcept Code representing the meaning of the action or sub-actions
Binding: CPG Common Process Value Set (extensible): High-level processes identified in guideline-based care


.... reason S 0..* CodeableConcept Why the action should be performed
.... documentation S 0..* RelatedArtifact Supporting documentation for the intended performer of the action
.... trigger S 0..* TriggerDefinition When the action should be triggered
.... condition S 0..* BackboneElement Whether or not the action is applicable
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... kind 1..1 code applicability | start | stop
Binding: ActionConditionKind (required): Defines the kinds of conditions that can appear on actions.

.... timing[x] S 0..1 When the action should take place
..... timingDateTime dateTime
..... timingAge Age
..... timingPeriod Period
..... timingDuration Duration
..... timingRange Range
..... timingTiming Timing
.... participant S 0..* BackboneElement Who should participate in the action
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 code patient | practitioner | related-person | device
Binding: ActionParticipantType (required): The type of participant for the action.

..... role S 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent
Binding: CPG Common Persona Value Set (preferred): Personas used in identifying participants and their roles in computable content

.... definition[x] S 0..1 canonical(CPG Strategy Definition | CPG Workflow Definition) Description of the activity to be performed
.... action S 0..* See action (PlanDefinition) A sub-action

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
PlanDefinition.typeextensiblePattern: clinical-protocol
http://hl7.org/fhir/ValueSet/plan-definition-type
from the FHIR Standard
PlanDefinition.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
PlanDefinition.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
PlanDefinition.action.codeextensibleCPGCommonProcessVS (a valid code from CPG Common Process Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process-vs
from this IG
PlanDefinition.action.condition.kindrequiredActionConditionKind
http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1
from the FHIR Standard
PlanDefinition.action.relatedAction.relationshiprequiredActionRelationshipType
http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.typerequiredActionParticipantType
http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.rolepreferredCPGCommonPersonaVS (a valid code from CPG Common Personas Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-persona-vs
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPlanDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPlanDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePlanDefinitionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pdf-0warningPlanDefinitionName should be usable as an identifier for the module by machine processing applications such as code generation
: name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
NameFlagsCard.TypeDescription & Constraintsdoco
.. PlanDefinition C 0..* CPGComputablePlanDefinition The definition of a plan for a series of actions, independent of any specific patient or context
pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... enabled S 0..1 boolean CPG Enabled Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enabled
.... partOf S 0..1 canonical(PlanDefinition) CPG Part Of Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this plan definition, represented as a URI (globally unique)
... identifier Σ 0..* Identifier Additional identifier for the plan definition
... version Σ 0..1 string Business version of the plan definition
... name ΣC 0..1 string Name for this plan definition (computer friendly)
... title Σ 0..1 string Name for this plan definition (human friendly)
... subtitle 0..1 string Subordinate title of the plan definition
... type SΣ 1..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition
Binding: PlanDefinitionType (extensible): The type of PlanDefinition.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/plan-definition-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: clinical-protocol
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ 0..1 boolean For testing purposes, not real usage
... subject[x] S 0..1 Type of individual the plan definition is focused on
Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... date Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the plan definition
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1 markdown Why this plan definition is defined
... usage 0..1 string Describes the clinical usage of the plan
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the plan definition was approved by publisher
... lastReviewDate 0..1 date When the plan definition was last reviewed
... effectivePeriod Σ 0..1 Period When the plan definition is expected to be used
... topic 0..* CodeableConcept E.g. Education, Treatment, Assessment
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations
... library S 0..1 canonical(Library) Logic used by the plan definition
... goal 0..* BackboneElement What the plan is trying to accomplish
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... category 0..1 CodeableConcept E.g. Treatment, dietary, behavioral
Binding: GoalCategory (example): Example codes for grouping goals for filtering or presentation.

.... description 1..1 CodeableConcept Code or text describing the goal
Binding: SNOMEDCTClinicalFindings (example): Describes goals that can be achieved.

.... priority 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): Indicates the level of importance associated with reaching or sustaining a goal.

.... start 0..1 CodeableConcept When goal pursuit begins
Binding: GoalStartEvent (example): Identifies the types of events that might trigger the start of a goal.

.... addresses 0..* CodeableConcept What does the goal address
Binding: Condition/Problem/DiagnosisCodes (example): Identifies problems, conditions, issues, or concerns that goals may address.


.... documentation 0..* RelatedArtifact Supporting documentation for the goal
.... target 0..* BackboneElement Target outcome for the goal
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... measure 0..1 CodeableConcept The parameter whose value is to be tracked
Binding: LOINCCodes (example): Identifies types of parameters that can be tracked to determine goal achievement.

..... detail[x] 0..1 The target value to be achieved
...... detailQuantity Quantity
...... detailRange Range
...... detailCodeableConcept CodeableConcept
..... due 0..1 Duration Reach goal within
... action S 1..* BackboneElement Action defined by the plan
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... strengthOfRecommendation S 0..1 CodeableConcept The strength of the recommendation
URL: http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation
Binding: StrengthOfRecommendationRating (example)
..... directionOfRecommendation S 0..1 CodeableConcept CPG Direction Of Recommendation Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation
Binding: CPG Recommendation Direction Value Set (required): The direction of the recommendation, for or against


..... qualityOfEvidence S 0..1 CodeableConcept The quality of the evidence
URL: http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence
Binding: QualityOfEvidenceRating (example)
..... rating S 0..1 Quantity, Range, Ratio CPG Rating Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... prefix S 0..1 string User-visible prefix for the action (e.g. 1. or A.)
.... title S 1..1 string User-visible title
.... description S 1..1 string Brief description of the action
.... textEquivalent 0..1 string Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
.... priority 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

.... code S 1..1 CodeableConcept Code representing the meaning of the action or sub-actions
Binding: CPG Common Process Value Set (extensible): High-level processes identified in guideline-based care


.... reason S 0..* CodeableConcept Why the action should be performed
.... documentation S 0..* RelatedArtifact Supporting documentation for the intended performer of the action
.... goalId 0..* id What goals this action supports
.... subject[x] 0..1 Type of individual the action is focused on
Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

..... subjectCodeableConcept CodeableConcept
..... subjectReference Reference(Group)
.... trigger S 0..* TriggerDefinition When the action should be triggered
.... condition S 0..* BackboneElement Whether or not the action is applicable
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... kind 1..1 code applicability | start | stop
Binding: ActionConditionKind (required): Defines the kinds of conditions that can appear on actions.

..... expression 0..1 Expression Boolean-valued expression
.... timing[x] S 0..1 When the action should take place
..... timingDateTime dateTime
..... timingAge Age
..... timingPeriod Period
..... timingDuration Duration
..... timingRange Range
..... timingTiming Timing
.... participant S 0..* BackboneElement Who should participate in the action
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 code patient | practitioner | related-person | device
Binding: ActionParticipantType (required): The type of participant for the action.

..... role S 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent
Binding: CPG Common Persona Value Set (preferred): Personas used in identifying participants and their roles in computable content

.... definition[x] S 0..1 canonical(CPG Strategy Definition | CPG Workflow Definition) Description of the activity to be performed
.... action S 0..* See action (PlanDefinition) A sub-action

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
PlanDefinition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
PlanDefinition.typeextensiblePattern: clinical-protocol
http://hl7.org/fhir/ValueSet/plan-definition-type
from the FHIR Standard
PlanDefinition.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
PlanDefinition.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
PlanDefinition.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
PlanDefinition.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
PlanDefinition.goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
PlanDefinition.goal.descriptionexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
PlanDefinition.goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
PlanDefinition.goal.startexampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
PlanDefinition.goal.addressesexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
PlanDefinition.goal.target.measureexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
PlanDefinition.action.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
PlanDefinition.action.codeextensibleCPGCommonProcessVS (a valid code from CPG Common Process Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process-vs
from this IG
PlanDefinition.action.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
PlanDefinition.action.condition.kindrequiredActionConditionKind
http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1
from the FHIR Standard
PlanDefinition.action.relatedAction.relationshiprequiredActionRelationshipType
http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.typerequiredActionParticipantType
http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.rolepreferredCPGCommonPersonaVS (a valid code from CPG Common Personas Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-persona-vs
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPlanDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPlanDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePlanDefinitionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pdf-0warningPlanDefinitionName should be usable as an identifier for the module by machine processing applications such as code generation
: name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

This structure is derived from CPGComputablePlanDefinition

Summary

Mandatory: 3 elements
Must-Support: 1 element
Prohibited: 11 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from CPGComputablePlanDefinition

NameFlagsCard.TypeDescription & Constraintsdoco
.. PlanDefinition 0..* CPGComputablePlanDefinition The definition of a plan for a series of actions, independent of any specific patient or context
... type 1..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/plan-definition-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: clinical-protocol
... action
.... title 1..1 string User-visible title
.... description 1..1 string Brief description of the action
.... code 1..1 CodeableConcept Code representing the meaning of the action or sub-actions
Binding: CPG Common Process Value Set (extensible): High-level processes identified in guideline-based care

.... input 0..0
.... output 0..0
.... relatedAction 0..0
.... type 0..0
.... groupingBehavior 0..0
.... selectionBehavior 0..0
.... requiredBehavior 0..0
.... precheckBehavior 0..0
.... cardinalityBehavior 0..0
.... definition[x] 0..1 canonical(CPG Strategy Definition | CPG Workflow Definition) Description of the activity to be performed
.... transform S 0..0
.... dynamicValue 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
PlanDefinition.action.codeextensibleCPGCommonProcessVS (a valid code from CPG Common Process Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process-vs
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. PlanDefinition C 0..* CPGComputablePlanDefinition The definition of a plan for a series of actions, independent of any specific patient or context
pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... enabled S 0..1 boolean CPG Enabled Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enabled
.... partOf S 0..1 canonical(PlanDefinition) CPG Part Of Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/plan-definition-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: clinical-protocol
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... subject[x] S 0..1 Type of individual the plan definition is focused on
Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... library S 0..1 canonical(Library) Logic used by the plan definition
... action S 1..* BackboneElement Action defined by the plan
.... Slices for extension Content/Rules for all slices
..... strengthOfRecommendation S 0..1 CodeableConcept The strength of the recommendation
URL: http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation
Binding: StrengthOfRecommendationRating (example)
..... directionOfRecommendation S 0..1 CodeableConcept CPG Direction Of Recommendation Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation
Binding: CPG Recommendation Direction Value Set (required): The direction of the recommendation, for or against


..... qualityOfEvidence S 0..1 CodeableConcept The quality of the evidence
URL: http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence
Binding: QualityOfEvidenceRating (example)
..... rating S 0..1 Quantity, Range, Ratio CPG Rating Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... prefix S 0..1 string User-visible prefix for the action (e.g. 1. or A.)
.... title S 1..1 string User-visible title
.... description S 1..1 string Brief description of the action
.... code S 1..1 CodeableConcept Code representing the meaning of the action or sub-actions
Binding: CPG Common Process Value Set (extensible): High-level processes identified in guideline-based care


.... reason S 0..* CodeableConcept Why the action should be performed
.... documentation S 0..* RelatedArtifact Supporting documentation for the intended performer of the action
.... trigger S 0..* TriggerDefinition When the action should be triggered
.... condition S 0..* BackboneElement Whether or not the action is applicable
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... kind 1..1 code applicability | start | stop
Binding: ActionConditionKind (required): Defines the kinds of conditions that can appear on actions.

.... timing[x] S 0..1 When the action should take place
..... timingDateTime dateTime
..... timingAge Age
..... timingPeriod Period
..... timingDuration Duration
..... timingRange Range
..... timingTiming Timing
.... participant S 0..* BackboneElement Who should participate in the action
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 code patient | practitioner | related-person | device
Binding: ActionParticipantType (required): The type of participant for the action.

..... role S 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent
Binding: CPG Common Persona Value Set (preferred): Personas used in identifying participants and their roles in computable content

.... definition[x] S 0..1 canonical(CPG Strategy Definition | CPG Workflow Definition) Description of the activity to be performed
.... action S 0..* See action (PlanDefinition) A sub-action

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
PlanDefinition.typeextensiblePattern: clinical-protocol
http://hl7.org/fhir/ValueSet/plan-definition-type
from the FHIR Standard
PlanDefinition.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
PlanDefinition.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
PlanDefinition.action.codeextensibleCPGCommonProcessVS (a valid code from CPG Common Process Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process-vs
from this IG
PlanDefinition.action.condition.kindrequiredActionConditionKind
http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1
from the FHIR Standard
PlanDefinition.action.relatedAction.relationshiprequiredActionRelationshipType
http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.typerequiredActionParticipantType
http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.rolepreferredCPGCommonPersonaVS (a valid code from CPG Common Personas Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-persona-vs
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPlanDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPlanDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePlanDefinitionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pdf-0warningPlanDefinitionName should be usable as an identifier for the module by machine processing applications such as code generation
: name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. PlanDefinition C 0..* CPGComputablePlanDefinition The definition of a plan for a series of actions, independent of any specific patient or context
pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... enabled S 0..1 boolean CPG Enabled Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enabled
.... partOf S 0..1 canonical(PlanDefinition) CPG Part Of Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this plan definition, represented as a URI (globally unique)
... identifier Σ 0..* Identifier Additional identifier for the plan definition
... version Σ 0..1 string Business version of the plan definition
... name ΣC 0..1 string Name for this plan definition (computer friendly)
... title Σ 0..1 string Name for this plan definition (human friendly)
... subtitle 0..1 string Subordinate title of the plan definition
... type SΣ 1..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition
Binding: PlanDefinitionType (extensible): The type of PlanDefinition.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/plan-definition-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: clinical-protocol
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ 0..1 boolean For testing purposes, not real usage
... subject[x] S 0..1 Type of individual the plan definition is focused on
Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... date Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the plan definition
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1 markdown Why this plan definition is defined
... usage 0..1 string Describes the clinical usage of the plan
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the plan definition was approved by publisher
... lastReviewDate 0..1 date When the plan definition was last reviewed
... effectivePeriod Σ 0..1 Period When the plan definition is expected to be used
... topic 0..* CodeableConcept E.g. Education, Treatment, Assessment
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations
... library S 0..1 canonical(Library) Logic used by the plan definition
... goal 0..* BackboneElement What the plan is trying to accomplish
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... category 0..1 CodeableConcept E.g. Treatment, dietary, behavioral
Binding: GoalCategory (example): Example codes for grouping goals for filtering or presentation.

.... description 1..1 CodeableConcept Code or text describing the goal
Binding: SNOMEDCTClinicalFindings (example): Describes goals that can be achieved.

.... priority 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): Indicates the level of importance associated with reaching or sustaining a goal.

.... start 0..1 CodeableConcept When goal pursuit begins
Binding: GoalStartEvent (example): Identifies the types of events that might trigger the start of a goal.

.... addresses 0..* CodeableConcept What does the goal address
Binding: Condition/Problem/DiagnosisCodes (example): Identifies problems, conditions, issues, or concerns that goals may address.


.... documentation 0..* RelatedArtifact Supporting documentation for the goal
.... target 0..* BackboneElement Target outcome for the goal
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... measure 0..1 CodeableConcept The parameter whose value is to be tracked
Binding: LOINCCodes (example): Identifies types of parameters that can be tracked to determine goal achievement.

..... detail[x] 0..1 The target value to be achieved
...... detailQuantity Quantity
...... detailRange Range
...... detailCodeableConcept CodeableConcept
..... due 0..1 Duration Reach goal within
... action S 1..* BackboneElement Action defined by the plan
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... strengthOfRecommendation S 0..1 CodeableConcept The strength of the recommendation
URL: http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation
Binding: StrengthOfRecommendationRating (example)
..... directionOfRecommendation S 0..1 CodeableConcept CPG Direction Of Recommendation Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation
Binding: CPG Recommendation Direction Value Set (required): The direction of the recommendation, for or against


..... qualityOfEvidence S 0..1 CodeableConcept The quality of the evidence
URL: http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence
Binding: QualityOfEvidenceRating (example)
..... rating S 0..1 Quantity, Range, Ratio CPG Rating Extension
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... prefix S 0..1 string User-visible prefix for the action (e.g. 1. or A.)
.... title S 1..1 string User-visible title
.... description S 1..1 string Brief description of the action
.... textEquivalent 0..1 string Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
.... priority 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

.... code S 1..1 CodeableConcept Code representing the meaning of the action or sub-actions
Binding: CPG Common Process Value Set (extensible): High-level processes identified in guideline-based care


.... reason S 0..* CodeableConcept Why the action should be performed
.... documentation S 0..* RelatedArtifact Supporting documentation for the intended performer of the action
.... goalId 0..* id What goals this action supports
.... subject[x] 0..1 Type of individual the action is focused on
Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).

..... subjectCodeableConcept CodeableConcept
..... subjectReference Reference(Group)
.... trigger S 0..* TriggerDefinition When the action should be triggered
.... condition S 0..* BackboneElement Whether or not the action is applicable
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... kind 1..1 code applicability | start | stop
Binding: ActionConditionKind (required): Defines the kinds of conditions that can appear on actions.

..... expression 0..1 Expression Boolean-valued expression
.... timing[x] S 0..1 When the action should take place
..... timingDateTime dateTime
..... timingAge Age
..... timingPeriod Period
..... timingDuration Duration
..... timingRange Range
..... timingTiming Timing
.... participant S 0..* BackboneElement Who should participate in the action
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 code patient | practitioner | related-person | device
Binding: ActionParticipantType (required): The type of participant for the action.

..... role S 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent
Binding: CPG Common Persona Value Set (preferred): Personas used in identifying participants and their roles in computable content

.... definition[x] S 0..1 canonical(CPG Strategy Definition | CPG Workflow Definition) Description of the activity to be performed
.... action S 0..* See action (PlanDefinition) A sub-action

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
PlanDefinition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
PlanDefinition.typeextensiblePattern: clinical-protocol
http://hl7.org/fhir/ValueSet/plan-definition-type
from the FHIR Standard
PlanDefinition.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
PlanDefinition.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
PlanDefinition.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
PlanDefinition.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
PlanDefinition.goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
PlanDefinition.goal.descriptionexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
PlanDefinition.goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
PlanDefinition.goal.startexampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
PlanDefinition.goal.addressesexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
PlanDefinition.goal.target.measureexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
PlanDefinition.action.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
PlanDefinition.action.codeextensibleCPGCommonProcessVS (a valid code from CPG Common Process Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-process-vs
from this IG
PlanDefinition.action.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
PlanDefinition.action.condition.kindrequiredActionConditionKind
http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1
from the FHIR Standard
PlanDefinition.action.relatedAction.relationshiprequiredActionRelationshipType
http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.typerequiredActionParticipantType
http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1
from the FHIR Standard
PlanDefinition.action.participant.rolepreferredCPGCommonPersonaVS (a valid code from CPG Common Personas Code System)
http://hl7.org/fhir/uv/cpg/ValueSet/cpg-common-persona-vs
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPlanDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPlanDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPlanDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePlanDefinitionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pdf-0warningPlanDefinitionName should be usable as an identifier for the module by machine processing applications such as code generation
: name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

This structure is derived from CPGComputablePlanDefinition

Summary

Mandatory: 3 elements
Must-Support: 1 element
Prohibited: 11 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron