@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "us-ph-plandefinition-alt-expression-example"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:language [ fhir:v "en"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "
\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

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

Dependencies

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    \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
"^^rdf:XMLLiteral ] ] ; # fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/PlanDefinition/us-ph-plandefinition-alt-expression-example"^^xsd:anyURI ; fhir:l ] ; # fhir:identifier ( [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ; fhir:l ] ; fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.58.34.1" ] ] ) ; # fhir:version [ fhir:v "2.0.0"] ; # fhir:name [ fhir:v "USPublicHealthPlanDefinitionAlternativeExpressionExample"] ; # fhir:title [ fhir:v "US Public Health PlanDefinition Alternative Expression Example"] ; # fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "workflow-definition" ] ; fhir:display [ fhir:v "Workflow Definition" ] ] ) ] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v true] ; # fhir:date [ fhir:v "2022-07-31T12:32:29.858-05:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 International / Public Health"] ; # fhir:contact ( [ fhir:name [ fhir:v "HL7 International / Public Health" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "pher@lists.HL7.org" ] ] ) ] ) ; # fhir:description [ fhir:v "An example PlanDefinition"] ; # fhir:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "US" ] ] ) ] ) ; # fhir:effectivePeriod [ fhir:start [ fhir:v "2020-12-01"^^xsd:date ] ] ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "depends-on" ] ; fhir:label [ fhir:v "RCTC Value Set Library of Trigger Codes" ] ; fhir:resource [ fhir:v "http://example.org/fhir/Library/library-rctc-example"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:action ( [ fhir:id [ fhir:v "start-workflow" ] ; fhir:description [ fhir:v "This action represents the start of the reporting workflow in response to the encounter-start event." ] ; fhir:textEquivalent [ fhir:v "Start the reporting workflow in response to an encounter-start event" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "initiate-reporting-workflow" ] ; fhir:display [ fhir:v "Initiate a reporting workflow" ] ] ) ] ) ; fhir:trigger ( [ fhir:id [ fhir:v "encounter-start" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "encounter-start" ] ; fhir:display [ fhir:v "Indicates the start of an encounter" ] ] ) ] ] ) ; fhir:type [ fhir:v "named-event" ] ; fhir:name [ fhir:v "encounter-start" ] ] ) ; fhir:input ( [ fhir:id [ fhir:v "patient" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Patient" ] ] [ fhir:id [ fhir:v "encounter" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Encounter/{{context.encounterId}}" ] ] ) ; fhir:type [ fhir:v "Encounter" ] ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "check-suspected-disorder" ] ; fhir:relationship [ fhir:v "before-start" ] ; fhir:offset [ a fhir:Duration ; fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "h" ] ] ] ) ] [ fhir:id [ fhir:v "check-suspected-disorder" ] ; fhir:description [ fhir:v "This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event." ] ; fhir:textEquivalent [ fhir:v "Check suspected disorders for immediate reportability and setup jobs for future reportability checks." ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "execute-reporting-workflow" ] ] ) ] ) ; fhir:action ( [ fhir:id [ fhir:v "is-encounter-suspected-disorder" ] ; fhir:description [ fhir:v "This action represents the check for suspected disorder reportability to create the patients eICR." ] ; fhir:textEquivalent [ fhir:v "Check Trigger Codes based on Suspected Reportable Value set." ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "check-trigger-codes" ] ] ) ] ) ; fhir:condition ( [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-alternativeExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Is Suspected Disorder?" ] ; fhir:reference [ fhir:v "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters"^^xsd:anyURI ; fhir:l ] ] ] ) ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()" ] ] ] ) ; fhir:input ( [ fhir:id [ fhir:v "modifiedConditions" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Condition?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Condition" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-sdtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "modifiedLabResults" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Observation?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Observation" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "value" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-sdtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "modifiedMedicationOrders" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "MedicationRequest?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "MedicationRequest" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "medication" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-sdtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "create-eicr" ] ; fhir:relationship [ fhir:v "before-start" ] ] ) ] [ fhir:id [ fhir:v "continue-check-reportable" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "evaluate-condition" ] ] ) ] ) ; fhir:condition ( [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-alternativeExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?" ] ; fhir:reference [ fhir:v "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters"^^xsd:anyURI ; fhir:l ] ] ] ) ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)" ] ] ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "check-reportable" ] ; fhir:relationship [ fhir:v "before-start" ] ; fhir:offset [ a fhir:Duration ; fhir:value [ fhir:v "6"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "h" ] ] ] ) ] ) ] [ fhir:id [ fhir:v "check-reportable" ] ; fhir:description [ fhir:v "This action represents the check for suspected reportability of the eICR." ] ; fhir:textEquivalent [ fhir:v "Check Reportability and setup jobs for future reportability checks." ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "execute-reporting-workflow" ] ] ) ] ) ; fhir:action ( [ fhir:id [ fhir:v "is-encounter-reportable" ] ; fhir:description [ fhir:v "This action represents the check for reportability to create the patients eICR." ] ; fhir:textEquivalent [ fhir:v "Check Trigger Codes based on RCTC Value sets." ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "check-trigger-codes" ] ] ) ] ) ; fhir:condition ( [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-alternativeExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Is Encounter Reportable and Within Normal Reporting Duration?" ] ; fhir:reference [ fhir:v "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters"^^xsd:anyURI ; fhir:l ] ] ] ) ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%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())" ] ] ] ) ; fhir:input ( [ fhir:id [ fhir:v "conditions" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Condition?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Condition" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-dxtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "encounters" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "encounter" ] ] ) ; fhir:type [ fhir:v "Encounter" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "reasonCode" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-dxtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "immunizations" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Immunization?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Immunization" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "vaccineCode" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-mrtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "labOrders" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "ServiceRequest?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "ServiceRequest" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-lotc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "labTests" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Observation?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Observation" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-lotc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "diagnosticOrders" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "DiagnosticReport?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "DiagnosticReport" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-lotc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "procedureOrders" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "ServiceRequest?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "ServiceRequest" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-pctc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "procedures" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Procedure?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "Procedure" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-pctc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "medicationOrders" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "MedicationRequest?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "MedicationRequest" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "medication" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-mrtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "medicationDispenses" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "MedicationDispense?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "MedicationDispense" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "medication" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-mrtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "medicationAdministrations" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "MedicationAdministration?patient=Patient/{{context.patientId}}" ] ] ) ; fhir:type [ fhir:v "MedicationAdministration" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "medication" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-mrtc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "labResults" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "labTests" ] ] ) ; fhir:type [ fhir:v "Observation" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "value" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-ostc-example"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "diagnosticResults" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "diagnosticOrders" ] ] ) ; fhir:type [ fhir:v "DiagnosticReport" ] ; fhir:codeFilter ( [ fhir:path [ fhir:v "code" ] ; fhir:valueSet [ fhir:v "http://example.org/fhir/ValueSet/valueset-ostc-example"^^xsd:anyURI ; fhir:l ] ] ) ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "create-eicr" ] ; fhir:relationship [ fhir:v "before-start" ] ] ) ] [ fhir:id [ fhir:v "check-update-eicr" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "evaluate-condition" ] ] ) ] ) ; fhir:condition ( [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-alternativeExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Most recent eICR sent over 72 hours ago?" ] ; fhir:reference [ fhir:v "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters"^^xsd:anyURI ; fhir:l ] ] ] ) ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours" ] ] ] ) ; fhir:input ( [ fhir:id [ fhir:v "lasteicr" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "eicrreport" ] ] ) ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "create-eicr" ] ; fhir:relationship [ fhir:v "before-start" ] ] ) ] [ fhir:id [ fhir:v "is-encounter-in-progress" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "evaluate-condition" ] ] ) ] ) ; fhir:condition ( [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-alternativeExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?" ] ; fhir:reference [ fhir:v "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters"^^xsd:anyURI ; fhir:l ] ] ] ) ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()" ] ] ] ) ; fhir:input ( [ fhir:id [ fhir:v "inprogressencounter" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "encounter" ] ] ) ; fhir:type [ fhir:v "Encounter" ] ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "check-reportable" ] ; fhir:relationship [ fhir:v "before-start" ] ; fhir:offset [ a fhir:Duration ; fhir:value [ fhir:v "6"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "h" ] ] ] ) ] ) ] [ fhir:id [ fhir:v "create-eicr" ] ; fhir:description [ fhir:v "This action represents the creation of the eICR. It subsequently calls validate." ] ; fhir:textEquivalent [ fhir:v "Create eICR" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "create-report" ] ] ) ] ) ; fhir:input ( [ fhir:id [ fhir:v "patientdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "patient" ] ] ) ; fhir:type [ fhir:v "Patient" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "conditiondata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "conditions" ] ] ) ; fhir:type [ fhir:v "Condition" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "encounterdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "encounter" ] ] ) ; fhir:type [ fhir:v "Encounter" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "mrdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "medicationOrders" ] ] ) ; fhir:type [ fhir:v "MedicationRequest" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "immzdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "immunizations" ] ] ) ; fhir:type [ fhir:v "Immunization" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "procdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "procedures" ] ] ) ; fhir:type [ fhir:v "Procedure" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "labResultdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "labResults" ] ] ) ; fhir:type [ fhir:v "Observation" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "labOrderdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "labOrders" ] ] ) ; fhir:type [ fhir:v "ServiceRequest" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "diagnosticResultdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "diagnosticResults" ] ] ) ; fhir:type [ fhir:v "DiagnosticReport" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:id [ fhir:v "diagnosticOrderdata" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "diagnosticOrders" ] ] ) ; fhir:type [ fhir:v "DiagnosticReport" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"^^xsd:anyURI ; fhir:l ] ) ] ) ; fhir:output ( [ fhir:id [ fhir:v "eicrreport" ] ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "validate-eicr" ] ; fhir:relationship [ fhir:v "before-start" ] ] ) ; fhir:action ( [ fhir:id [ fhir:v "anonymize-report" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-trust-service-endpoint-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Endpoint/us-ph-endpoint-pha" ] ] ] ) ; fhir:description [ fhir:v "This action is used to anonymize a identifiable report" ] ; fhir:textEquivalent [ fhir:v "Anonymize the report." ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "anonymize-report" ] ] ) ] ) ; fhir:input ( [ fhir:id [ fhir:v "report-to-be-anonymized" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "output-report" ] ] ) ; fhir:type [ fhir:v "Bundle" ] ] ) ; fhir:output ( [ fhir:id [ fhir:v "anonymized-report" ] ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ] ) ] [ fhir:id [ fhir:v "validate-eicr" ] ; fhir:description [ fhir:v "This action represents the validation of the eICR. It subsequently calls route-and-send." ] ; fhir:textEquivalent [ fhir:v "Validate eICR" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "validate-report" ] ] ) ] ) ; fhir:input ( [ fhir:id [ fhir:v "generatedeicrreport" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "eicrreport" ] ] ) ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ; fhir:output ( [ fhir:id [ fhir:v "valideicrreport" ] ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "route-and-send-eicr" ] ; fhir:relationship [ fhir:v "before-start" ] ] ) ] [ fhir:id [ fhir:v "route-and-send-eicr" ] ; fhir:description [ fhir:v "This action represents the routing and sending of the eICR." ] ; fhir:textEquivalent [ fhir:v "Route and send eICR" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "submit-report" ] ] ) ] ) ; fhir:input ( [ fhir:id [ fhir:v "validatedeicrreport" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-relateddata-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "valideicrreport" ] ] ) ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ; fhir:output ( [ fhir:id [ fhir:v "submittedeicrreport" ] ; fhir:type [ fhir:v "Bundle" ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-document-bundle"^^xsd:anyURI ; fhir:l ] ) ] ) ] [ fhir:id [ fhir:v "encounter-modified" ] ; fhir:description [ fhir:v "This action represents the start of the reporting workflow in response to the encounter-modified event" ] ; fhir:textEquivalent [ fhir:v "Start the reporting workflow in response to an encounter-modified event" ] ; fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "initiate-reporting-workflow" ] ; fhir:display [ fhir:v "Initiate a reporting workflow" ] ] ) ] ) ; fhir:trigger ( [ fhir:id [ fhir:v "encounter-modified-trigger" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "encounter-modified" ] ; fhir:display [ fhir:v "Indicates modifications to data elements of an encounter" ] ] ) ] ] ) ; fhir:type [ fhir:v "named-event" ] ; fhir:name [ fhir:v "encounter-modified" ] ] ) ; fhir:condition ( [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-alternativeExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Is Encounter Longer Than Normal Reporting Duration?" ] ; fhir:reference [ fhir:v "http://hl7.org/fhir/us/ph-library/Library/cql-library-rule-filters"^^xsd:anyURI ; fhir:l ] ] ] ) ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)" ] ] ] ) ; fhir:relatedAction ( [ fhir:actionId [ fhir:v "create-eicr" ] ; fhir:relationship [ fhir:v "before-start" ] ] ) ] ) . # a fhir:Us . # -------------------------------------------------------------------------------------