US Public Health Profiles Library
1.0.0 - STU1

US Public Health Profiles Library, published by HL7 Public Health Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-us-ph-common-library-ig/ and changes regularly. See the Directory of published versions

## : US Public Health PlanDefinition - Alternative Expression - JSON Representation

Active as of 2022-07-31

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    {
      "resourceType" : "PlanDefinition",
      "id" : "us-ph-plandefinition-alt-expression-example",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"us-ph-plandefinition-alt-expression-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PlanDefinition &quot;us-ph-plandefinition-alt-expression-example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-ph-plandefinition.html\">US Public Health PlanDefinition</a></p></div><p><b>url</b>: <code>http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: USPublicHealthPlanDefinitionAlternativeExpressionExample</p><p><b>title</b>: US Public Health PlanDefinition Alternative Expression Example</p><p><b>type</b>: Workflow Definition <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#workflow-definition)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2022-07-31 12:32:29-0500</p><p><b>publisher</b>: HL7 Public Health Working Group</p><p><b>contact</b>: HL7 Public Health Working Group: <a href=\"http://www.hl7.org/Special/committees/pher\">http://www.hl7.org/Special/committees/pher</a>,<a href=\"mailto:pher@lists.HL7.org\">pher@lists.HL7.org</a></p><p><b>description</b>: An example PlanDefinition</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><p><b>effectivePeriod</b>: 2020-12-01 --&gt; (ongoing)</p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Resource</b></td></tr><tr><td style=\"display: none\">*</td><td>depends-on</td><td>RCTC Value Set Library of Trigger Codes</td><td><a href=\"http://example.org/fhir/Library/library-rctc-example\">http://example.org/fhir/Library/library-rctc-example</a></td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>start-workflow</blockquote><p><b>description</b>: This action represents the start of the reporting workflow in response to the encounter-start event.</p><p><b>textEquivalent</b>: Start the reporting workflow in response to an encounter-start event</p><p><b>code</b>: Initiate a reporting workflow <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#initiate-reporting-workflow)</span></p><blockquote><p><b>trigger</b></p><blockquote><p><b>id</b></p>encounter-start</blockquote><p><b>US Public Health Named Event Type Extension</b>: Indicates the start of an encounter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-triggerdefinition-namedevents.html\">US Public Health CodeSystem - Trigger Definition Named Events</a>#encounter-start)</span></p><p><b>type</b>: named-event</p><p><b>name</b>: encounter-start</p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>patient</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Patient/{{context.patientId}}</p><p><b>type</b>: Patient</p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounter</blockquote><p><b>US Public Health FHIR Query Pattern Extension</b>: Encounter/{{context.encounterId}}</p><p><b>type</b>: Encounter</p></blockquote><h3>RelatedActions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>check-suspected-disorder</td><td>before-start</td><td>1 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code h = 'h')</span></td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-suspected-disorder</blockquote><p><b>description</b>: This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.</p><p><b>textEquivalent</b>: Check suspected disorders for immediate reportability and setup jobs for future reportability checks.</p><p><b>code</b>: Execute a series of actions to accomplish reporting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#execute-reporting-workflow)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-suspected-disorder</blockquote><p><b>description</b>: This action represents the check for suspected disorder reportability to create the patients eICR.</p><p><b>textEquivalent</b>: Check Trigger Codes based on Suspected Reportable Value set.</p><p><b>code</b>: Evaluate candidate patient's data against trigger codes to determine reportability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#check-trigger-codes)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-sdtc-example\">http://example.org/fhir/ValueSet/valueset-sdtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>value</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-sdtc-example\">http://example.org/fhir/ValueSet/valueset-sdtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-sdtc-example\">http://example.org/fhir/ValueSet/valueset-sdtc-example</a></td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>continue-check-reportable</blockquote><p><b>code</b>: Evaluate condition to determine reportability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#evaluate-condition)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-reportable</blockquote><p><b>description</b>: This action represents the check for suspected reportability of the eICR.</p><p><b>textEquivalent</b>: Check Reportability and setup jobs for future reportability checks.</p><p><b>code</b>: Execute a series of actions to accomplish reporting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#execute-reporting-workflow)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-reportable</blockquote><p><b>description</b>: This action represents the check for reportability to create the patients eICR.</p><p><b>textEquivalent</b>: Check Trigger Codes based on RCTC Value sets.</p><p><b>code</b>: Evaluate candidate patient's data against trigger codes to determine reportability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#check-trigger-codes)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-dxtc-example\">http://example.org/fhir/ValueSet/valueset-dxtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>reasonCode</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-dxtc-example\">http://example.org/fhir/ValueSet/valueset-dxtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/immunization.html\">Immunization</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>vaccineCode</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-mrtc-example\">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/servicerequest.html\">ServiceRequest</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-lotc-example\">http://example.org/fhir/ValueSet/valueset-lotc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-lotc-example\">http://example.org/fhir/ValueSet/valueset-lotc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/diagnosticreport.html\">DiagnosticReport</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-lotc-example\">http://example.org/fhir/ValueSet/valueset-lotc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/servicerequest.html\">ServiceRequest</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-pctc-example\">http://example.org/fhir/ValueSet/valueset-pctc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-pctc-example\">http://example.org/fhir/ValueSet/valueset-pctc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-mrtc-example\">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationdispense.html\">MedicationDispense</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-mrtc-example\">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationadministration.html\">MedicationAdministration</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>medication</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-mrtc-example\">http://example.org/fhir/ValueSet/valueset-mrtc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>value</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-ostc-example\">http://example.org/fhir/ValueSet/valueset-ostc-example</a></td></tr></table></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/diagnosticreport.html\">DiagnosticReport</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"http://example.org/fhir/ValueSet/valueset-ostc-example\">http://example.org/fhir/ValueSet/valueset-ostc-example</a></td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-update-eicr</blockquote><p><b>code</b>: Evaluate condition to determine reportability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#evaluate-condition)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a> (<a href=\"StructureDefinition-us-ph-document-bundle.html\">US Public Health Document Bundle</a>)</td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>is-encounter-in-progress</blockquote><p><b>code</b>: Evaluate condition to determine reportability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#evaluate-condition)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a></td></tr></table></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>create-eicr</blockquote><p><b>description</b>: This action represents the creation of the eICR. It subsequently calls validate.</p><p><b>textEquivalent</b>: Create eICR</p><p><b>code</b>: Create a Report containing Patient's data for patients who passed the check-reportability test <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#create-report)</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>patientdata</blockquote><p><b>US Public Health Related Data Extension</b>: patient</p><p><b>type</b>: Patient</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>conditiondata</blockquote><p><b>US Public Health Related Data Extension</b>: conditions</p><p><b>type</b>: Condition</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">US Core Condition Encounter Diagnosis Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>encounterdata</blockquote><p><b>US Public Health Related Data Extension</b>: encounter</p><p><b>type</b>: Encounter</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>mrdata</blockquote><p><b>US Public Health Related Data Extension</b>: medicationOrders</p><p><b>type</b>: MedicationRequest</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>immzdata</blockquote><p><b>US Public Health Related Data Extension</b>: immunizations</p><p><b>type</b>: Immunization</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>procdata</blockquote><p><b>US Public Health Related Data Extension</b>: procedures</p><p><b>type</b>: Procedure</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labResultdata</blockquote><p><b>US Public Health Related Data Extension</b>: labResults</p><p><b>type</b>: Observation</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>labOrderdata</blockquote><p><b>US Public Health Related Data Extension</b>: labOrders</p><p><b>type</b>: ServiceRequest</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/R4/servicerequest.html\">ServiceRequest</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticResultdata</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticResults</p><p><b>type</b>: DiagnosticReport</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></blockquote><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>diagnosticOrderdata</blockquote><p><b>US Public Health Related Data Extension</b>: diagnosticOrders</p><p><b>type</b>: DiagnosticReport</p><p><b>profile</b>: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>eicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href=\"StructureDefinition-us-ph-document-bundle.html\">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td>validate-eicr</td><td>before-start</td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>anonymize-report</blockquote><p><b>US Public Health Trust Service Endpoint Extension</b>: <a href=\"Endpoint-us-ph-endpoint-pha.html\">Endpoint/us-ph-endpoint-pha</a> &quot;PHAReceiver&quot;</p><p><b>description</b>: This action is used to anonymize a identifiable report</p><p><b>textEquivalent</b>: Anonymize the report.</p><p><b>code</b>: Anonymize the report before submitting the report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#anonymize-report)</span></p><blockquote><p><b>input</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></td></tr></table></blockquote><blockquote><p><b>output</b></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a> (<a href=\"StructureDefinition-us-ph-reporting-bundle.html\">US Public Health Reporting Bundle</a>)</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>validate-eicr</blockquote><p><b>description</b>: This action represents the validation of the eICR. It subsequently calls route-and-send.</p><p><b>textEquivalent</b>: Validate eICR</p><p><b>code</b>: Validate Report against specified profiles and terminologies. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#validate-report)</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>generatedeicrreport</blockquote><p><b>US Public Health Related Data Extension</b>: eicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href=\"StructureDefinition-us-ph-document-bundle.html\">US Public Health Document Bundle</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>valideicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href=\"StructureDefinition-us-ph-document-bundle.html\">US Public Health Document Bundle</a></p></blockquote><h3>RelatedActions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td>route-and-send-eicr</td><td>before-start</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>route-and-send-eicr</blockquote><p><b>description</b>: This action represents the routing and sending of the eICR.</p><p><b>textEquivalent</b>: Route and send eICR</p><p><b>code</b>: Submit the report to specified endpoint <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#submit-report)</span></p><blockquote><p><b>input</b></p><blockquote><p><b>id</b></p>validatedeicrreport</blockquote><p><b>US Public Health Related Data Extension</b>: valideicrreport</p><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href=\"StructureDefinition-us-ph-document-bundle.html\">US Public Health Document Bundle</a></p></blockquote><blockquote><p><b>output</b></p><blockquote><p><b>id</b></p>submittedeicrreport</blockquote><p><b>type</b>: Bundle</p><p><b>profile</b>: <a href=\"StructureDefinition-us-ph-document-bundle.html\">US Public Health Document Bundle</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>encounter-modified</blockquote><p><b>description</b>: This action represents the start of the reporting workflow in response to the encounter-modified event</p><p><b>textEquivalent</b>: Start the reporting workflow in response to an encounter-modified event</p><p><b>code</b>: Initiate a reporting workflow <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#initiate-reporting-workflow)</span></p><blockquote><p><b>trigger</b></p><blockquote><p><b>id</b></p>encounter-modified-trigger</blockquote><p><b>US Public Health Named Event Type Extension</b>: Indicates modifications to data elements of an encounter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-triggerdefinition-namedevents.html\">US Public Health CodeSystem - Trigger Definition Named Events</a>#encounter-modified)</span></p><p><b>type</b>: named-event</p><p><b>name</b>: encounter-modified</p></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>text/fhirpath</td><td>%encounter.where(period.start + 1 day * %normalReportingDuration &lt; now()).select(true)</td></tr></table></blockquote><h3>RelatedActions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td>create-eicr</td><td>before-start</td></tr></table></blockquote></div>"
      },
      "url" : "http://example.org/fhir/PlanDefinition/us-ph-plandefinition-alt-expression-example",
      "version" : "1.0.0",
      "name" : "USPublicHealthPlanDefinitionAlternativeExpressionExample",
      "title" : "US Public Health PlanDefinition Alternative Expression Example",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
            "code" : "workflow-definition",
            "display" : "Workflow Definition"
          }
        ]
      },
      "status" : "active",
      "experimental" : true,
      "date" : "2022-07-31T12:32:29.858-05:00",
      "publisher" : "HL7 Public Health Working Group",
      "contact" : [
        {
          "name" : "HL7 Public Health Working Group",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/pher"
            },
            {
              "system" : "email",
              "value" : "pher@lists.HL7.org"
            }
          ]
        }
      ],
      "description" : "An example PlanDefinition",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "effectivePeriod" : {
        "start" : "2020-12-01"
      },
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "label" : "RCTC Value Set Library of Trigger Codes",
          "resource" : "http://example.org/fhir/Library/library-rctc-example"
        }
      ],
      "action" : [
        {
          "id" : "start-workflow",
          "description" : "This action represents the start of the reporting workflow in response to the encounter-start event.",
          "textEquivalent" : "Start the reporting workflow in response to an encounter-start event",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "initiate-reporting-workflow",
                  "display" : "Initiate a reporting workflow"
                }
              ]
            }
          ],
          "trigger" : [
            {
              "id" : "encounter-start",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents",
                        "code" : "encounter-start",
                        "display" : "Indicates the start of an encounter"
                      }
                    ]
                  }
                }
              ],
              "type" : "named-event",
              "name" : "encounter-start"
            }
          ],
          "input" : [
            {
              "id" : "patient",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                  "valueString" : "Patient/{{context.patientId}}"
                }
              ],
              "type" : "Patient"
            },
            {
              "id" : "encounter",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                  "valueString" : "Encounter/{{context.encounterId}}"
                }
              ],
              "type" : "Encounter"
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "check-suspected-disorder",
              "relationship" : "before-start",
              "offsetDuration" : {
                "value" : 1,
                "system" : "http://unitsofmeasure.org",
                "code" : "h"
              }
            }
          ]
        },
        {
          "id" : "check-suspected-disorder",
          "description" : "This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.",
          "textEquivalent" : "Check suspected disorders for immediate reportability and setup jobs for future reportability checks.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "execute-reporting-workflow"
                }
              ]
            }
          ],
          "action" : [
            {
              "id" : "is-encounter-suspected-disorder",
              "description" : "This action represents the check for suspected disorder reportability to create the patients eICR.",
              "textEquivalent" : "Check Trigger Codes based on Suspected Reportable Value set.",
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                      "code" : "check-trigger-codes"
                    }
                  ]
                }
              ],
              "condition" : [
                {
                  "kind" : "applicability",
                  "expression" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
                        "valueExpression" : {
                          "language" : "text/cql-identifier",
                          "expression" : "Is Suspected Disorder?",
                          "reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
                        }
                      }
                    ],
                    "language" : "text/fhirpath",
                    "expression" : "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()"
                  }
                }
              ],
              "input" : [
                {
                  "id" : "modifiedConditions",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "Condition?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "Condition",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-sdtc-example"
                    }
                  ]
                },
                {
                  "id" : "modifiedLabResults",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "Observation?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "Observation",
                  "codeFilter" : [
                    {
                      "path" : "value",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-sdtc-example"
                    }
                  ]
                },
                {
                  "id" : "modifiedMedicationOrders",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "MedicationRequest?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "MedicationRequest",
                  "codeFilter" : [
                    {
                      "path" : "medication",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-sdtc-example"
                    }
                  ]
                }
              ],
              "relatedAction" : [
                {
                  "actionId" : "create-eicr",
                  "relationship" : "before-start"
                }
              ]
            },
            {
              "id" : "continue-check-reportable",
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                      "code" : "evaluate-condition"
                    }
                  ]
                }
              ],
              "condition" : [
                {
                  "kind" : "applicability",
                  "expression" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
                        "valueExpression" : {
                          "language" : "text/cql-identifier",
                          "expression" : "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?",
                          "reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
                        }
                      }
                    ],
                    "language" : "text/fhirpath",
                    "expression" : "%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)"
                  }
                }
              ],
              "relatedAction" : [
                {
                  "actionId" : "check-reportable",
                  "relationship" : "before-start",
                  "offsetDuration" : {
                    "value" : 6,
                    "system" : "http://unitsofmeasure.org",
                    "code" : "h"
                  }
                }
              ]
            }
          ]
        },
        {
          "id" : "check-reportable",
          "description" : "This action represents the check for suspected reportability of the eICR.",
          "textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "execute-reporting-workflow"
                }
              ]
            }
          ],
          "action" : [
            {
              "id" : "is-encounter-reportable",
              "description" : "This action represents the check for reportability to create the patients eICR.",
              "textEquivalent" : "Check Trigger Codes based on RCTC Value sets.",
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                      "code" : "check-trigger-codes"
                    }
                  ]
                }
              ],
              "condition" : [
                {
                  "kind" : "applicability",
                  "expression" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
                        "valueExpression" : {
                          "language" : "text/cql-identifier",
                          "expression" : "Is Encounter Reportable and Within Normal Reporting Duration?",
                          "reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
                        }
                      }
                    ],
                    "language" : "text/fhirpath",
                    "expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists())"
                  }
                }
              ],
              "input" : [
                {
                  "id" : "conditions",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "Condition?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "Condition",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-dxtc-example"
                    }
                  ]
                },
                {
                  "id" : "encounters",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                      "valueString" : "encounter"
                    }
                  ],
                  "type" : "Encounter",
                  "codeFilter" : [
                    {
                      "path" : "reasonCode",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-dxtc-example"
                    }
                  ]
                },
                {
                  "id" : "immunizations",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "Immunization?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "Immunization",
                  "codeFilter" : [
                    {
                      "path" : "vaccineCode",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
                    }
                  ]
                },
                {
                  "id" : "labOrders",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "ServiceRequest?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "ServiceRequest",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-lotc-example"
                    }
                  ]
                },
                {
                  "id" : "labTests",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "Observation?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "Observation",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-lotc-example"
                    }
                  ]
                },
                {
                  "id" : "diagnosticOrders",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "DiagnosticReport?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "DiagnosticReport",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-lotc-example"
                    }
                  ]
                },
                {
                  "id" : "procedureOrders",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "ServiceRequest?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "ServiceRequest",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-pctc-example"
                    }
                  ]
                },
                {
                  "id" : "procedures",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "Procedure?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "Procedure",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-pctc-example"
                    }
                  ]
                },
                {
                  "id" : "medicationOrders",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "MedicationRequest?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "MedicationRequest",
                  "codeFilter" : [
                    {
                      "path" : "medication",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
                    }
                  ]
                },
                {
                  "id" : "medicationDispenses",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "MedicationDispense?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "MedicationDispense",
                  "codeFilter" : [
                    {
                      "path" : "medication",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
                    }
                  ]
                },
                {
                  "id" : "medicationAdministrations",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-fhirquerypattern-extension",
                      "valueString" : "MedicationAdministration?patient=Patient/{{context.patientId}}"
                    }
                  ],
                  "type" : "MedicationAdministration",
                  "codeFilter" : [
                    {
                      "path" : "medication",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-mrtc-example"
                    }
                  ]
                },
                {
                  "id" : "labResults",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                      "valueString" : "labTests"
                    }
                  ],
                  "type" : "Observation",
                  "codeFilter" : [
                    {
                      "path" : "value",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-ostc-example"
                    }
                  ]
                },
                {
                  "id" : "diagnosticResults",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                      "valueString" : "diagnosticOrders"
                    }
                  ],
                  "type" : "DiagnosticReport",
                  "codeFilter" : [
                    {
                      "path" : "code",
                      "valueSet" : "http://example.org/fhir/ValueSet/valueset-ostc-example"
                    }
                  ]
                }
              ],
              "relatedAction" : [
                {
                  "actionId" : "create-eicr",
                  "relationship" : "before-start"
                }
              ]
            },
            {
              "id" : "check-update-eicr",
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                      "code" : "evaluate-condition"
                    }
                  ]
                }
              ],
              "condition" : [
                {
                  "kind" : "applicability",
                  "expression" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
                        "valueExpression" : {
                          "language" : "text/cql-identifier",
                          "expression" : "Most recent eICR sent over 72 hours ago?",
                          "reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
                        }
                      }
                    ],
                    "language" : "text/fhirpath",
                    "expression" : "((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours"
                  }
                }
              ],
              "input" : [
                {
                  "id" : "lasteicr",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                      "valueString" : "eicrreport"
                    }
                  ],
                  "type" : "Bundle",
                  "profile" : [
                    "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
                  ]
                }
              ],
              "relatedAction" : [
                {
                  "actionId" : "create-eicr",
                  "relationship" : "before-start"
                }
              ]
            },
            {
              "id" : "is-encounter-in-progress",
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                      "code" : "evaluate-condition"
                    }
                  ]
                }
              ],
              "condition" : [
                {
                  "kind" : "applicability",
                  "expression" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
                        "valueExpression" : {
                          "language" : "text/cql-identifier",
                          "expression" : "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?",
                          "reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
                        }
                      }
                    ],
                    "language" : "text/fhirpath",
                    "expression" : "%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()"
                  }
                }
              ],
              "input" : [
                {
                  "id" : "inprogressencounter",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                      "valueString" : "encounter"
                    }
                  ],
                  "type" : "Encounter"
                }
              ],
              "relatedAction" : [
                {
                  "actionId" : "check-reportable",
                  "relationship" : "before-start",
                  "offsetDuration" : {
                    "value" : 6,
                    "system" : "http://unitsofmeasure.org",
                    "code" : "h"
                  }
                }
              ]
            }
          ]
        },
        {
          "id" : "create-eicr",
          "description" : "This action represents the creation of the eICR. It subsequently calls validate.",
          "textEquivalent" : "Create eICR",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "create-report"
                }
              ]
            }
          ],
          "input" : [
            {
              "id" : "patientdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "patient"
                }
              ],
              "type" : "Patient",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
              ]
            },
            {
              "id" : "conditiondata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "conditions"
                }
              ],
              "type" : "Condition",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"
              ]
            },
            {
              "id" : "encounterdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "encounter"
                }
              ],
              "type" : "Encounter",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
              ]
            },
            {
              "id" : "mrdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "medicationOrders"
                }
              ],
              "type" : "MedicationRequest",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
              ]
            },
            {
              "id" : "immzdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "immunizations"
                }
              ],
              "type" : "Immunization",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
              ]
            },
            {
              "id" : "procdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "procedures"
                }
              ],
              "type" : "Procedure",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
              ]
            },
            {
              "id" : "labResultdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "labResults"
                }
              ],
              "type" : "Observation",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
              ]
            },
            {
              "id" : "labOrderdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "labOrders"
                }
              ],
              "type" : "ServiceRequest",
              "profile" : [
                "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
              ]
            },
            {
              "id" : "diagnosticResultdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "diagnosticResults"
                }
              ],
              "type" : "DiagnosticReport",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
              ]
            },
            {
              "id" : "diagnosticOrderdata",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "diagnosticOrders"
                }
              ],
              "type" : "DiagnosticReport",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
              ]
            }
          ],
          "output" : [
            {
              "id" : "eicrreport",
              "type" : "Bundle",
              "profile" : [
                "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
              ]
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "validate-eicr",
              "relationship" : "before-start"
            }
          ],
          "action" : [
            {
              "id" : "anonymize-report",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-trust-service-endpoint-extension",
                  "valueReference" : {
                    "reference" : "Endpoint/us-ph-endpoint-pha"
                  }
                }
              ],
              "description" : "This action is used to anonymize a identifiable report",
              "textEquivalent" : "Anonymize the report.",
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                      "code" : "anonymize-report"
                    }
                  ]
                }
              ],
              "input" : [
                {
                  "id" : "report-to-be-anonymized",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                      "valueString" : "output-report"
                    }
                  ],
                  "type" : "Bundle"
                }
              ],
              "output" : [
                {
                  "id" : "anonymized-report",
                  "type" : "Bundle",
                  "profile" : [
                    "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"
                  ]
                }
              ]
            }
          ]
        },
        {
          "id" : "validate-eicr",
          "description" : "This action represents the validation of the eICR. It subsequently calls route-and-send.",
          "textEquivalent" : "Validate eICR",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "validate-report"
                }
              ]
            }
          ],
          "input" : [
            {
              "id" : "generatedeicrreport",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "eicrreport"
                }
              ],
              "type" : "Bundle",
              "profile" : [
                "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
              ]
            }
          ],
          "output" : [
            {
              "id" : "valideicrreport",
              "type" : "Bundle",
              "profile" : [
                "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
              ]
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "route-and-send-eicr",
              "relationship" : "before-start"
            }
          ]
        },
        {
          "id" : "route-and-send-eicr",
          "description" : "This action represents the routing and sending of the eICR.",
          "textEquivalent" : "Route and send eICR",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "submit-report"
                }
              ]
            }
          ],
          "input" : [
            {
              "id" : "validatedeicrreport",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension",
                  "valueString" : "valideicrreport"
                }
              ],
              "type" : "Bundle",
              "profile" : [
                "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
              ]
            }
          ],
          "output" : [
            {
              "id" : "submittedeicrreport",
              "type" : "Bundle",
              "profile" : [
                "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"
              ]
            }
          ]
        },
        {
          "id" : "encounter-modified",
          "description" : "This action represents the start of the reporting workflow in response to the encounter-modified event",
          "textEquivalent" : "Start the reporting workflow in response to an encounter-modified event",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                  "code" : "initiate-reporting-workflow",
                  "display" : "Initiate a reporting workflow"
                }
              ]
            }
          ],
          "trigger" : [
            {
              "id" : "encounter-modified-trigger",
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents",
                        "code" : "encounter-modified",
                        "display" : "Indicates modifications to data elements of an encounter"
                      }
                    ]
                  }
                }
              ],
              "type" : "named-event",
              "name" : "encounter-modified"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-alternative-expression-extension",
                    "valueExpression" : {
                      "language" : "text/cql-identifier",
                      "expression" : "Is Encounter Longer Than Normal Reporting Duration?",
                      "reference" : "http://example.org/fhir/Library/RuleFilters|1.0.0"
                    }
                  }
                ],
                "language" : "text/fhirpath",
                "expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)"
              }
            }
          ],
          "relatedAction" : [
            {
              "actionId" : "create-eicr",
              "relationship" : "before-start"
            }
          ]
        }
      ]
    }