{ "resourceType" : "PlanDefinition", "id" : "us-ph-plandefinition-alt-expression-example", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "
\n
\n \n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n \n \n \n \n \n\n \n\n \n\n \n\n \n\n \n\n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n\n \n \n \n \n \n \n
Id: us-ph-plandefinition-alt-expression-example
Url: US Public Health PlanDefinition Alternative Expression Example
Version: 2.0.0
\n \n \n \n \n \n \n \n

\n urn:oid:2.16.840.1.113883.4.642.40.58.34.1\n

\n \n
Title: US Public Health PlanDefinition Alternative Expression Example
Experimental: true
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/plan-definition-type\n

\n \n \n

\n code: workflow-definition\n

\n \n \n

\n display: Workflow Definition\n

\n \n \n \n \n
Date: 2022-07-31 12:32:29-0500
Publisher: HL7 International / Public Health
Description:

An example PlanDefinition

\n
Jurisdiction: US
Effective Period: 2020-12-01..
Related Artifacts: \n \n \n \n

Dependencies

\n
    \n \n
  • http://example.org/fhir/Library/library-rctc-example
    • \n \n
\n \n \n \n \n \n
Actions: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n \n Start the reporting workflow in response to an encounter-start event\n \n
\n \n When:\n \n Named Event: encounter-start\n
\n \n \n \n \n \n \n
\n \n Check suspected disorders for immediate reportability and setup jobs for future reportability checks.\n \n
\n \n \n \n Then:\n \n \n \n \n \n \n \n \n \n \n
\n \n Check Trigger Codes based on Suspected Reportable Value set.\n \n
\n \n \n If:\n \n Applicability:\n \n (%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists())\n
\n \n \n \n \n \n
\n \n :\n \n \n
\n \n \n If:\n \n Applicability:\n \n (%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true))\n
\n \n \n \n \n \n
\n \n
\n \n Check Reportability and setup jobs for future reportability checks.\n \n
\n \n \n \n Then:\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n \n Check Trigger Codes based on RCTC Value sets.\n \n
\n \n \n If:\n \n Applicability:\n \n (%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()))\n
\n \n \n \n \n \n
\n \n :\n \n \n
\n \n \n If:\n \n Applicability:\n \n (((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours)\n
\n \n \n \n \n \n
\n \n :\n \n \n
\n \n \n If:\n \n Applicability:\n \n (%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists())\n
\n \n \n \n \n \n
\n \n
\n \n Create eICR\n \n
\n \n \n \n Then:\n \n \n \n \n \n \n
\n \n Anonymize the report.\n \n
\n \n \n \n \n \n
\n \n
\n \n Validate eICR\n \n
\n \n \n \n \n \n
\n \n Route and send eICR\n \n
\n \n \n \n \n \n
\n \n Start the reporting workflow in response to an encounter-modified event\n \n
\n \n When:\n \n Named Event: encounter-modified\n
\n \n \n \n If:\n \n Applicability:\n \n (%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true))\n
\n \n \n \n \n \n
\n
\n
\n
" }, "url" : "http://hl7.org/fhir/us/ph-library/PlanDefinition/us-ph-plandefinition-alt-expression-example", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.40.58.34.1" }], "version" : "2.0.0", "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 International / Public Health", "contact" : [{ "name" : "HL7 International / Public Health", "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/StructureDefinition/cqf-fhirQueryPattern", "valueString" : "Patient/{{context.patientId}}" }], "type" : "Patient" }, { "id" : "encounter", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-alternativeExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Is Suspected Disorder?", "reference" : "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters" } }], "language" : "text/fhirpath", "expression" : "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()" } }], "input" : [{ "id" : "modifiedConditions", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-alternativeExpression", "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://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters" } }], "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/StructureDefinition/cqf-alternativeExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Is Encounter Reportable and Within Normal Reporting Duration?", "reference" : "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters" } }], "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-fhirQueryPattern", "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/StructureDefinition/cqf-alternativeExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Most recent eICR sent over 72 hours ago?", "reference" : "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters" } }], "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/StructureDefinition/cqf-alternativeExpression", "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://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters" } }], "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/StructureDefinition/cqf-alternativeExpression", "valueExpression" : { "language" : "text/cql-identifier", "expression" : "Is Encounter Longer Than Normal Reporting Duration?", "reference" : "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters" } }], "language" : "text/fhirpath", "expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)" } }], "relatedAction" : [{ "actionId" : "create-eicr", "relationship" : "before-start" }] }] }