OHSU Hypertension Implementation Guide
0.1.0 - CI Build Unknown region code '840'

OHSU Hypertension Implementation Guide, published by Oregon Health and Science University. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/OHSUCMP/htnu18ig/ and changes regularly. See the Directory of published versions

: Therapy - Lifestyle changes - JSON Representation

Draft as of 2020-02-04

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{
  "resourceType" : "PlanDefinition",
  "id" : "plandefinition-NonPharmacologicIntervention",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Therapy - Lifestyle changes</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">0.1.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">ohsu-NonPharmacologicIntervention</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n\n<td class=\"content-container\">Draft</td>\n\n\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n\n<td class=\"content-container\">\n    Clinical Focus\n\n = \n    Elevated BP without HTN diagnosis\n\n\n</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n\n<td class=\"content-container\">\n    840 from <a href=\"http://unstats.un.org/unsd/methods/m49/m49.htm\">http://unstats.un.org/unsd/methods/m49/m49.htm</a> \n\n\n</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">Hypertension Management\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">Oregon Health and Science University</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward Contact</th>\n\n\n\n<td class=\"content-container\">Oregon Health and Science University</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension</p>\n</div></td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n\n\n<td class=\"content-container\"><div><p>The purpose of this is to recommend lifestyle changes that may help address high blood pressure.</p>\n</div></td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n\n\n<td class=\"content-container\"><div><p>© OHSU 2020+.</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    ECA Rule\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Action</th>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Does Patient Smoke or have a Tobacco Cessation Goal?</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">Determines if a recommendation or reminder regarding Patient smoking should be presented.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Type</th>\n\n\n\n<td class=\"content-container\">Named Event</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Name</th>\n\n\n\n<td class=\"content-container\">patient-view</td>\n\n\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Condition</th>\n  <td class=\"content-container\">\n  <em>Kind</em>: Applicability\n  \n    <br/>\n    \n      \n      <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-patient-smoking-goals-action-path\">Patient Smoking Goals Action Path</a> \n    \n   \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.title\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-smoking-recommendation\">Smoking Recommendation</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.description\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-smoking-rationale-combined-data\">Smoking Rationale Combined Data</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.extension\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-smoking-indicator-status\">Smoking Indicator Status</a>\n    \n    \n  </td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Action</th>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Is Patient's BMI Greater Than 25 or do they have a weight loss goal?</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">Determines if a recommendation or reminder regarding the Patient's BMI being over 25 should be presented.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Type</th>\n\n\n\n<td class=\"content-container\">Named Event</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Name</th>\n\n\n\n<td class=\"content-container\">patient-view</td>\n\n\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Condition</th>\n  <td class=\"content-container\">\n  <em>Kind</em>: Applicability\n  \n    <br/>\n    \n      \n      <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-patient-weight-loss-goals-action-path\">Patient Weight Loss Goals Action Path</a> \n    \n   \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.title\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-bmi-recommendation\">BMI Recommendation</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.description\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-bmi-rationale-combined-data\">BMI Rationale Combined Data</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.extension\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-weight-loss-indicator-status\">Weight Loss Indicator Status</a>\n    \n    \n  </td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Action</th>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Does the Patient Drink Heavily?</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">Determines if a recommendation or reminder regarding the Patient's Alcohol Drinking should be presented.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Type</th>\n\n\n\n<td class=\"content-container\">Named Event</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Name</th>\n\n\n\n<td class=\"content-container\">patient-view</td>\n\n\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Condition</th>\n  <td class=\"content-container\">\n  <em>Kind</em>: Applicability\n  \n    <br/>\n    \n      \n      <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-patient-alcohol-goals-action-path\">Patient Alcohol Goals Action Path</a> \n    \n   \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.title\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-alcohol-recommendation\">Alcohol Recommendation</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.description\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-alcohol-rationale-combined-data\">Alcohol Rationale Combined Data</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.extension\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-alcohol-moderation-indicator-status\">Alcohol Moderation Indicator Status</a>\n    \n    \n  </td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Action</th>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Does the Patient Need Nutrition Counseling?</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">Determines if a recommendation regarding the patient's Nutrition should be established.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Type</th>\n\n\n\n<td class=\"content-container\">Named Event</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Name</th>\n\n\n\n<td class=\"content-container\">patient-view</td>\n\n\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Condition</th>\n  <td class=\"content-container\">\n  <em>Kind</em>: Applicability\n  \n    <br/>\n    \n      \n      <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-patient-nutrition-goals-action-path\">Patient Nutrition Goals Action Path</a> \n    \n   \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.title\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-nutrition-recommendation\">Nutrition Recommendation</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.description\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-nutrition-rationale-combined-data\">Nutrition Rationale Combined Data</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.extension\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-nutrition-indicator-status\">Nutrition Indicator Status</a>\n    \n    \n  </td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Action</th>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Does the Patient Need Physical Activity Counseling?</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">Determines if a recommendation regarding the patient's Physical Activity should be established.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Type</th>\n\n\n\n<td class=\"content-container\">Named Event</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Trigger Name</th>\n\n\n\n<td class=\"content-container\">patient-view</td>\n\n\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Condition</th>\n  <td class=\"content-container\">\n  <em>Kind</em>: Applicability\n  \n    <br/>\n    \n      \n      <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-patient-physical-activity-goals-action-path\">Patient Physical Activity Goals Action Path</a> \n    \n   \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.title\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-physical-activity-recommendation\">Physical Activity Recommendation</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.description\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-physical-activity-rationale-combined-data\">Physical Activity Rationale Combined Data</a>\n    \n    \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Dynamic Value</th>\n  <td class=\"content-container\">\n    \n    <em>Path</em>: action.extension\n    \n    \n    \n    <br/>\n    \n    \n    \n    \n    <em>Logic Definition</em>: <a href=\"#nonpharmacologicintervention-physical-activity-indicator-status\">Physical Activity Indicator Status</a>\n    \n    \n  </td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n\n<td class=\"content-container\"><a href=\"Library-NonPharmacologicIntervention.html\">Non-medicinal Therapy Logic</a></td>\n\n\n</tr>\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-NonPharmacologicIntervention",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ohsu-NonPharmacologicIntervention"
    }
  ],
  "version" : "0.1.0",
  "name" : "NonPharmacologicIntervention",
  "title" : "Therapy - Lifestyle changes",
  "type" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/plan-definition-type",
        "code" : "eca-rule",
        "display" : "ECA Rule"
      }
    ]
  },
  "status" : "draft",
  "date" : "2020-02-04T00:00:00-08:00",
  "publisher" : "Oregon Health and Science University",
  "contact" : [
    {
      "name" : "Oregon Health and Science University",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.ohsu.edu/"
        }
      ]
    }
  ],
  "description" : "This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension",
  "useContext" : [
    {
      "code" : {
        "system" : "http://hl7.org/fhir/usage-context-type",
        "code" : "focus",
        "display" : "Clinical Focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "371622005",
            "display" : "Elevated BP without HTN diagnosis"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "840"
        }
      ]
    }
  ],
  "purpose" : "The purpose of this is to recommend lifestyle changes that may help address high blood pressure.",
  "usage" : "This is to be used in conjunction with a patient-facing FHIR application.",
  "copyright" : "© OHSU 2020+.",
  "topic" : [
    {
      "text" : "Hypertension Management"
    }
  ],
  "library" : [
    🔗 "http://fhir.org/guides/ohsuhypertensionig/Library/NonPharmacologicIntervention"
  ],
  "action" : [
    {
      "title" : "Does Patient Smoke or have a Tobacco Cessation Goal?",
      "description" : "Determines if a recommendation or reminder regarding Patient smoking should be presented.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Smoking Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Smoking Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Smoking Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Smoking Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Smoking Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Is Patient's BMI Greater Than 25 or do they have a weight loss goal?",
      "description" : "Determines if a recommendation or reminder regarding the Patient's BMI being over 25 should be presented.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Weight Loss Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the BMI Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "BMI Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "BMI Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Weight Loss Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Does the Patient Drink Heavily?",
      "description" : "Determines if a recommendation or reminder regarding the Patient's Alcohol Drinking should be presented.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Alcohol Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Alcohol Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Alcohol Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Alcohol Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Alcohol Moderation Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Does the Patient Need Nutrition Counseling?",
      "description" : "Determines if a recommendation regarding the patient's Nutrition should be established.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Nutrition Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Nutrition Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Nutrition Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Nutrition Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Nutrition Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Does the Patient Need Physical Activity Counseling?",
      "description" : "Determines if a recommendation regarding the patient's Physical Activity should be established.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Physical Activity Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Physical Activity Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Physical Activity Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Physical Activity Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Physical Activity Indicator Status"
          }
        }
      ]
    }
  ]
}