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12.19 12.21 Resource PlanDefinition - Content

Clinical Decision Support Work Group Maturity Level : 2   Trial Use Security Category : Business Compartments : Not linked to any defined compartments

This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols.

12.19.1 12.21.1 Scope and Usage

This resource is a definition resource from a FHIR workflow perspective - see Workflow , specifically Definition .

A plan definition is a pre-defined group of actions to be taken in particular circumstances, often including conditional elements, options, and other decision points. The resource is flexible enough to be used to represent a variety of workflows, as well as clinical decision support and quality improvement assets, including order sets, protocols, and decision support rules.

PlanDefinitions can contain hierarchical groups of action definitions, where each specific action definition describes an activity to be performed (in (often in terms of an ActivityDefinition resource), and each group defines additional behavior, relationships, and applicable conditions between the actions in the overall definition.

In addition to describing what should take place, each action in a plan definition can specify when and whether the action should take place. For when the action should be taken, the triggerDefinition trigger element specifies the action should be taken in response to some trigger occurring (such as a particular point in a workflow being reached, or as the result of a prescription being ordered). For whether the action should be taken, the condition element can be used to provide an expression that evaluates to true or false to indicate the applicability of the action to the specific context.

The process of applying a PlanDefinition to a particular context typically produces request resources representing the actions that should be performed, typically grouped within a CarePlan and/or RequestGroup to capture relationships between the resulting request resources.

Each ActivityDefinition is used to construct a specific resource, based on the definition of the activity and combined with contextual information for the particular patient that the plan definition is being applied to.

As with the ActivityDefinition, a PlanDefinition may provide information about how to transform the activity to a specific intent resource, either by specifying a StructureMap that can be used to perform the transformation completely, or by specifying values for specific elements of the resulting resource using dynamicValue elements in the action.

Note that these mechanisms are provided on both the ActivityDefinition and the PlanDefinition to allow both reusable transformation descriptions, as well as customization of those descriptions within specific contexts. As such, the transform descriptions specified on the PlanDefinition override transform descriptions defined on the ActivityDefinition.

Dynamic values within the definitions can be provided by specifying the expression directly, or by referencing an expression defined within a library. For more information on how to reference expressions within resources, refer to the Using Expressions topic.

As an example, the Low Suicide Risk example order set from the Clinical Decision Support Knowledge Artifact Specification can be represented using the PlanDefinition and ActivityDefinition structures: Low Suicide Risk Example Order Set .

In addition to the representation of PlanDefinitions, the $apply operation allows PlanDefinitions to be realized for applied to a specific context such as a patient, practitioner, or institution. For Order Sets specifically, this operation is expected to place the orders defined by the order set, consistent with the service functional requirements defined by the Order Set specification .

12.19.2 12.21.2 Boundaries and Relationships

The PlanDefinition resource is used to describe series, sequences, or groups of actions to be taken, while the ActivityDefinition resource is used to define each specific step or activity to be performed.

As the name implies, the PlanDefinition resource is strictly definitional. It does not represent the intention to take any action, nor does it represent that any actions have been taken. Rather, the resource provides a definition that can be applied in the appropriate circumstances. When the plan definition is applied, the result will in general be a set of actions that should be (or potentially even have been) performed.

Note that the PlanDefinition still has action-level information, as well as a reference to an ActivityDefinition . The action-level information defined in the PlanDefinition itself is used to describe how the actions are related to each other within the plan, where the ActivityDefinition contains only information about the activity itself. The following diagram illustrates the relationship between the PlanDefinition and ActivityDefinition resources, as well as a typical realization to CarePlan, RequestGroup, and Request resources: Note to implementers: There In addition, there is some overlap between the content overlapping information that can be specified in PlanDefinition.actionDefinition and the ActivityDefinition resource. Part of allows the work for FHIR Release 4 will be resources to resolve the overlap and this will likely result be used independently, or in some minor changes to combination. See the structures. Applying a PlanDefinition section for more information.

12.21.3 References

This resource is referenced by UsageContext , CarePlan , CatalogEntry , ClinicalUseIssue , Communication , ConditionDefinition , DeviceRequest , FamilyMemberHistory , Flag , MedicationAdministration , MedicationRequest , MessageDefinition , Procedure NutritionOrder , ProcedureRequest itself, Procedure , ReferralRequest ResearchStudy and ResearchStudy ServiceRequest .

This resource implements the Definition pattern.

12.19.3 12.21.4 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
. . PlanDefinition I TU DomainResource The definition of a plan for a series of actions, independent of any specific patient or context
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . url Σ 0..1 uri Logical URI to reference Canonical identifier for this plan definition definition, represented as a URI (globally unique)
. . . identifier Σ 0..* Identifier Additional identifier for the plan definition
. . . version Σ 0..1 string Business version of the plan definition
. . . name Σ I 0..1 string Name for this plan definition (computer friendly)
. . . title Σ 0..1 string Name for this plan definition (human friendly)
. . . subtitle 0..1 string Subordinate title of the plan definition
.. . type Σ 0..1 CodeableConcept order-set | protocol clinical-protocol | eca-rule | workflow-definition
PlanDefinitionType ( Extensible )
. . . status ?! Σ 1..1 code draft | active | retired | unknown
PublicationStatus ( Required )
. . . experimental ?! Σ 0..1 boolean For testing purposes, not real usage
. . . subject[x] 0..1 Type of individual the plan definition is focused on
Subject type ( Extensible )
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference ( Group )
. . . date Σ 0..1 dateTime Date this was last changed
. . . publisher Σ 0..1 string Name of the publisher (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
.. . description Σ 0..1 markdown Natural language description of the plan definition
. . . useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable)
Jurisdiction ( Extensible )
.. . purpose 0..1 markdown Why this plan definition is defined
. . . usage 0..1 string Describes the clinical usage of the asset plan
... copyright 0..1 markdown Use and/or publishing restrictions
. . . approvalDate 0..1 date When the plan definition was approved by publisher
. . . lastReviewDate 0..1 date When the plan definition was last reviewed
. . . effectivePeriod Σ 0..1 Period When the plan definition is expected to be used
. . . useContext Σ 0..* UsageContext Context the content is intended to support jurisdiction topic Σ 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable) E.g. Education, Treatment, Assessment
Jurisdiction ValueSet DefinitionTopic ( Extensible Example )
. . . topic author 0..* CodeableConcept ContactDetail E.g. Education, Treatment, Assessment, etc DefinitionTopic ( Example ) Who authored the content
. . . contributor editor 0..* Contributor ContactDetail A Who edited the content contributor
. . . contact reviewer Σ 0..* ContactDetail Contact details for Who reviewed the publisher content
. . copyright . endorser 0..1 0..* markdown ContactDetail Use and/or publishing restrictions Who endorsed the content
. . . relatedArtifact 0..* RelatedArtifact Related artifacts for the asset Additional documentation, citations
. . . library 0..* Reference canonical ( Library ) Logic used by the plan definition
. . . goal 0..* BackboneElement What the plan is trying to accomplish
. . . . category 0..1 CodeableConcept E.g. Treatment, dietary, behavioral, etc behavioral
GoalCategory Goal category ( Example )
. . . . description 1..1 CodeableConcept Code or text describing the goal
SNOMED CT Clinical Findings ( Example )
. . . . priority 0..1 CodeableConcept high-priority | medium-priority | low-priority
GoalPriority Goal priority ( Preferred )
. . . . start 0..1 CodeableConcept When goal pursuit begins
GoalStartEvent Goal start event ( Example )
. . . . addresses 0..* CodeableConcept What does the goal address
Condition/Problem/Diagnosis Codes ( Example )
. . . . documentation 0..* RelatedArtifact Supporting documentation for the goal
. . . . target 0..* BackboneElement Target outcome for the goal
. . . . . measure 0..1 CodeableConcept The parameter whose value is to be tracked
LOINC Codes ( Example )
. . . . . detail[x] 0..1 The target value to be achieved
. . . . . . detailQuantity Quantity
. . . . . . detailRange Range
. . . . . . detailCodeableConcept CodeableConcept
. . . . . due 0..1 Duration Reach goal within
. . . action 0..* BackboneElement Action defined by the plan
. . . . label prefix 0..1 string User-visible label prefix for the action (e.g. 1. or A.)
. . . . title 0..1 string User-visible title
. . . . description 0..1 string Short Brief description of the action
. . . . textEquivalent 0..1 string Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
. . . . priority 0..1 code routine | urgent | asap | stat
Request priority ( Required )
... . code 0..* CodeableConcept Code representing the meaning of the action or sub-actions
. . . . reason 0..* CodeableConcept Why the action should be performed
. . . . documentation 0..* RelatedArtifact Supporting documentation for the intended performer of the action
. . . . goalId 0..* id What goals this action supports
. . . triggerDefinition . subject[x] 0..* 0..1 TriggerDefinition When Type of individual the action should be triggered is focused on
Subject type ( Extensible )
. . . condition . . subjectCodeableConcept 0..* BackboneElement CodeableConcept Whether or not the action is applicable
. . . . . subjectReference Reference ( Group )
.. . kind . trigger 1..1 0..* code TriggerDefinition applicability | start | stop When the action should be triggered
ActionConditionKind ( Required )
. . . description . condition 0..1 0..* string BackboneElement Natural language description of Whether or not the condition action is applicable
. . . . . language kind 0..1 1..1 string code Language of the expression applicability | start | stop
ActionConditionKind ( Required )
. . . . . expression 0..1 string Expression Boolean-valued expression
. . . . input 0..* DataRequirement Input data requirements
. . . . output 0..* DataRequirement Output data definition
. . . . relatedAction 0..* BackboneElement Relationship to another action
. . . . . actionId 1..1 id What action is this related to
. . . . . relationship 1..1 code before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
ActionRelationshipType ( Required )
. . . . . offset[x] 0..1 Time offset for the relationship
. . . . . . offsetDuration Duration
. . . . . . offsetRange Range
. . . . timing[x] 0..1 When the action should take place
. . . . . timingDateTime dateTime
. . . . . timingAge Age
..... timingPeriod Period
. . . . . timingDuration Duration
. . . . . timingRange Range
. . . . . timingTiming Timing
. . . . participant 0..* BackboneElement Who should participate in the action
. . . . . type 1..1 code patient | practitioner | related-person | device
ActionParticipantType ( Required )
. . . . . role 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent, etc Parent
ActionParticipantRole Action participant role ( Example )
. . . . type 0..1 Coding CodeableConcept create | update | remove | fire-event
ActionType ( Required Extensible )
. . . . groupingBehavior 0..1 code visual-group | logical-group | sentence-group
ActionGroupingBehavior ( Required )
. . . . selectionBehavior 0..1 code any | all | all-or-none | exactly-one | at-most-one | one-or-more
ActionSelectionBehavior ( Required )
. . . . requiredBehavior 0..1 code must | could | must-unless-documented
ActionRequiredBehavior ( Required )
. . . . precheckBehavior 0..1 code yes | no
ActionPrecheckBehavior ( Required )
. . . . cardinalityBehavior 0..1 code single | multiple
ActionCardinalityBehavior ( Required )
. . . definition . definition[x] 0..1 Reference ( ActivityDefinition | PlanDefinition ) Description of the activity to be performed
. . . . . transform definitionCanonical 0..1 Reference canonical ( StructureMap ActivityDefinition | PlanDefinition | Questionnaire ) Transform to apply the template
. . . dynamicValue . . definitionUri 0..* BackboneElement uri Dynamic aspects of the definition
. . . description . transform 0..1 string canonical ( StructureMap ) Natural language description of Transform to apply the dynamic value template
. . . path . dynamicValue 0..1 0..* string BackboneElement The path to Dynamic aspects of the element to be set dynamically definition
. . . . . language path 0..1 string Language of The path to the expression element to be set dynamically
. . . . . expression 0..1 string Expression An expression that provides the dynamic value for the customization
. . . . action 0..* see action A sub-action

doco Documentation for this format

UML Diagram ( Legend )

PlanDefinition ( DomainResource ) An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance. instance; also called its canonical identifier. This SHALL be a URL, SHOULD be globally unique, unique and SHOULD be an a literal address at which at which an authoritative instance of this plan definition is (or will be) published. The This URL SHOULD include can be the major version target of a canonical reference. It SHALL remain the same when the plan definition. For more information see [Technical and Business Versions](resource.html#versions) definition is stored on different servers url : uri [0..1] A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance identifier : Identifier [0..*] The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts version : string [0..1] A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation name : string [0..1] A short, descriptive, user-friendly title for the plan definition title : string [0..1] The type An explanatory or alternate title for the plan definition giving additional information about its content subtitle : string [0..1] A high-level category for the plan definition that distinguishes the kinds of asset systems that would be interested in the plan definition represents, e.g. an order set, protocol, or event-condition-action rule type : CodeableConcept [0..1] « The type of PlanDefinition PlanDefinition. (Strength=Extensible) PlanDefinitionType + » The status of this plan definition. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements) status : code [1..1] « The lifecycle status of a Value Set or Concept Map. an artifact. (Strength=Required) PublicationStatus ! » A boolean Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing), education/evaluation/marketing) and is not intended to be used for genuine usage (this element modifies the meaning of other elements) experimental : boolean [0..1] A code or group definition that describes the intended subject of the plan definition subject[x] : Type [0..1] « CodeableConcept | Reference ( Group ); The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.). (Strength=Extensible) SubjectType + » The date (and optionally time) when the plan definition was published. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes date : dateTime [0..1] The name of the individual or organization or individual that published the plan definition publisher : string [0..1] Contact details to assist a user in finding and communicating with the publisher contact : ContactDetail [0..*] A free text natural language description of the plan definition from a consumer's perspective description : markdown [0..1] Explaination The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances useContext : UsageContext [0..*] A legal or geographic region in which the plan definition is intended to be used jurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use. (Strength=Extensible) Jurisdiction ValueSet + » Explanation of why this plan definition is needed and why it has been designed as it has purpose : markdown [0..1] A detailed description of how the asset plan definition is used from a clinical perspective usage : string [0..1] A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition copyright : markdown [0..1] The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage approvalDate : date [0..1] The date on which the resource content was last reviewed. Review happens periodically after approval, approval but doesn't does not change the original approval date lastReviewDate : date [0..1] The period during which the plan definition content was or is planned to be in active use effectivePeriod : Period [0..1] The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate plan definition instances useContext : UsageContext [0..*] A legal or geographic region in which the plan definition is intended to be used jurisdiction : CodeableConcept [0..*] Countries and regions within which this artifact is targeted for use (Strength=Extensible) Jurisdiction ValueSet + Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching topic : CodeableConcept [0..*] « High-level categorization of the definition, used for searching, sorting, and filtering filtering. (Strength=Example) DefinitionTopic ?? » A contributor to An individiual or organization primarily involved in the content creation and maintenance of the asset, including authors, editors, reviewers, and endorsers content contributor author : Contributor ContactDetail [0..*] Contact details to assist a user in finding and communicating with An individual or organization primarily responsible for internal coherence of the publisher content contact editor : ContactDetail [0..*] A copyright statement relating to An individual or organization primarily responsible for review of some aspect of the plan definition and/or its contents. Copyright statements are generally legal restrictions on content reviewer : ContactDetail [0..*] An individual or organization responsible for officially endorsing the content for use and publishing of the plan definition in some setting copyright endorser : markdown ContactDetail [0..1] [0..*] Related artifacts such as additional documentation, justification, or bibliographic references relatedArtifact : RelatedArtifact [0..*] A reference to a Library resource containing any formal logic used by the plan definition library : Reference canonical [0..*] « Library » Goal Indicates a category the goal falls within category : CodeableConcept [0..1] « Example codes for grouping goals for filtering or presentation presentation. (Strength=Example) GoalCategory ?? » Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding" description : CodeableConcept [1..1] « Describes goals that can be achieved achieved. (Strength=Example) SNOMED CT Clinical Findings SNOMEDCTClinicalFindings ?? » Identifies the expected level of importance associated with reaching/sustaining the defined goal priority : CodeableConcept [0..1] « Indicates the level of importance associated with reaching or sustaining a goal goal. (Strength=Preferred) GoalPriority ? » The event after which the goal should begin being pursued start : CodeableConcept [0..1] « Identifies the types of events that might trigger the start of a goal goal. (Strength=Example) GoalStartEvent ?? » Identifies problems, conditions, issues, or concerns the goal is intended to address addresses : CodeableConcept [0..*] « Identifies problems, conditions, issues, or concerns that goals may address address. (Strength=Example) Condition/Problem/Diagnosis Condition/Problem/DiagnosisCo... ?? » Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources documentation : RelatedArtifact [0..*] Target The parameter whose value is to be tracked, e.g. body weigth, weight, blood pressure, or hemoglobin A1c level measure : CodeableConcept [0..1] « Identifies types of parameters that can be tracked to determine goal achievement achievement. (Strength=Example) LOINC LOINCCodes ?? » The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%. Either the high or low or both values of the range can be specified. Whan When a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value detail[x] : Type [0..1] « Quantity | Range | CodeableConcept » Indicates the timeframe after the start of the goal in which the goal should be met due : Duration [0..1] Action A user-visible label prefix for the action label prefix : string [0..1] The title of the action displayed to a user title : string [0..1] A short brief description of the action used to provide a summary to display to the user description : string [0..1] A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that may might not be capable of interpreting it dynamically textEquivalent : string [0..1] Indicates how quickly the action should be addressed with respect to other actions priority : code [0..1] « Identifies the level of importance to be assigned to actioning the request. (Strength=Required) RequestPriority ! » A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a the section of a documentation template code : CodeableConcept [0..*] A description of why this action is necessary or appropriate reason : CodeableConcept [0..*] Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources documentation : RelatedArtifact [0..*] Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition goalId : id [0..*] A code or group definition that describes the intended subject of the action and its children, if any subject[x] : Type [0..1] « CodeableConcept | Reference ( Group ); The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.). (Strength=Extensible) SubjectType + » A description of when the action should be triggered triggerDefinition trigger : TriggerDefinition [0..*] Defines input data requirements for the action input : DataRequirement [0..*] Defines the outputs of the action, if any output : DataRequirement [0..*] An optional value describing when the action should be performed timing[x] : Type [0..1] « dateTime | Age | Period | Duration | Range | Timing » The type of action to perform (create, update, remove) type : Coding CodeableConcept [0..1] « The type of action to be performed (Strength=Required) performed. (Strength=Extensible) ActionType ! + » Defines the grouping behavior for the action and its children groupingBehavior : code [0..1] « Defines organization behavior of a group group. (Strength=Required) ActionGroupingBehavior ! » Defines the selection behavior for the action and its children selectionBehavior : code [0..1] « Defines selection behavior of a group group. (Strength=Required) ActionSelectionBehavior ! » Defines the requiredness required behavior for the action requiredBehavior : code [0..1] « Defines requiredness behavior for selecting expectations around whether an action or an action group is required. (Strength=Required) ActionRequiredBehavior ! » Defines whether the action should usually be preselected precheckBehavior : code [0..1] « Defines selection frequency behavior for an action or group group. (Strength=Required) ActionPrecheckBehavior ! » Defines whether the action can be selected multiple times cardinalityBehavior : code [0..1] « Defines behavior for an action or a group for how many times that item may be repeated repeated. (Strength=Required) ActionCardinalityBehavior ! » A reference to an ActivityDefinition that describes the action to be taken in detail, or a PlanDefinition that describes a series of actions to be taken definition definition[x] : Reference Type [0..1] « canonical ( ActivityDefinition | PlanDefinition | Questionnaire )| uri » A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input transform : Reference canonical [0..1] « StructureMap » Condition The kind of condition kind : code [1..1] « Defines the kinds of conditions that can appear on actions actions. (Strength=Required) ActionConditionKind ! » A brief, natural language description of the condition that effectively communicates the intended semantics description : string [0..1] The media type of the language for the expression language : string [0..1] An expression that returns true or false, indicating whether or not the condition is satisfied expression : string Expression [0..1] RelatedAction The element id of the related action actionId : id [1..1] The relationship of this action to the related action relationship : code [1..1] « Defines the types of relationships between actions actions. (Strength=Required) ActionRelationshipType ! » A duration or range of durations to apply to the relationship. For example, 30-60 minutes before offset[x] : Type [0..1] « Duration | Range » Participant The type of participant in the action type : code [1..1] « The type of participant for the action action. (Strength=Required) ActionParticipantType ! » The role the participant should play in performing the described action role : CodeableConcept [0..1] « Defines roles played by participants for the action action. (Strength=Example) ActionParticipantRole ?? » DynamicValue A brief, natural language description of the intended semantics of the dynamic value description : string [0..1] The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression path : string [0..1] expression. The media specified path SHALL be a FHIRPath resolveable on the specified target type of the language for ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the expression [Simple FHIRPath Profile](fhirpath.html#simple) for full details) language path : string [0..1] An expression specifying the value of the customized element expression : string Expression [0..1] Indicates what should be done and within what timeframe target [0..*] Goals that describe what the activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc goal [0..*] An expression that describes applicability criteria, criteria or start/stop conditions for the action condition [0..*] A relationship to another action such as "before" or "30-60 minutes after start of" relatedAction [0..*] Indicates who should participate in performing the action described participant [0..*] Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result dynamicValue [0..*] Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition action [0..*] An action or group of actions to be taken as part of the plan action [0..*]

XML Template 

<PlanDefinition xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <

 <url value="[uri]"/><!-- 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique) -->

 <identifier><!-- 0..* Identifier Additional identifier for the plan definition --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the plan definition -->
 <

 <name value="[string]"/><!-- ?? 0..1 Name for this plan definition (computer friendly) -->

 <title value="[string]"/><!-- 0..1 Name for this plan definition (human friendly) -->
 <</type>

 <subtitle value="[string]"/><!-- 0..1 Subordinate title of the plan definition -->
 <type><!-- 0..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition --></type>

 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <
 <
 <

 <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage -->
 <subject[x]><!-- 0..1 CodeableConcept|Reference(Group) Type of individual the plan definition is focused on --></subject[x]>
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>

 <description value="[markdown]"/><!-- 0..1 Natural language description of the plan definition -->
 <
 <
 <
 <
 <</effectivePeriod>
 <</useContext>

 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>

 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable) --></jurisdiction>
 <</topic>
 <</contributor>
 <</contact>

 <purpose value="[markdown]"/><!-- 0..1 Why this plan definition is defined -->
 <usage value="[string]"/><!-- 0..1 Describes the clinical usage of the plan -->

 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <</relatedArtifact>
 <</library>

 <approvalDate value="[date]"/><!-- 0..1 When the plan definition was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the plan definition was last reviewed -->
 <effectivePeriod><!-- 0..1 Period When the plan definition is expected to be used --></effectivePeriod>
 <topic><!-- 0..* CodeableConcept E.g. Education, Treatment, Assessment --></topic>
 <author><!-- 0..* ContactDetail Who authored the content --></author>
 <editor><!-- 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact Additional documentation, citations --></relatedArtifact>
 <library><!-- 0..* canonical(Library) Logic used by the plan definition --></library>

 <goal>  <!-- 0..* What the plan is trying to accomplish -->
  <</category>

  <category><!-- 0..1 CodeableConcept E.g. Treatment, dietary, behavioral --></category>

  <description><!-- 1..1 CodeableConcept Code or text describing the goal --></description>
  <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority>
  <start><!-- 0..1 CodeableConcept When goal pursuit begins --></start>
  <addresses><!-- 0..* CodeableConcept What does the goal address --></addresses>
  <documentation><!-- 0..* RelatedArtifact Supporting documentation for the goal --></documentation>
  <target>  <!-- 0..* Target outcome for the goal -->
   <</measure>
   <</detail[x]>

   <measure><!-- 0..1 CodeableConcept The parameter whose value is to be tracked --></measure>
   <detail[x]><!-- 0..1 Quantity|Range|CodeableConcept The target value to be achieved --></detail[x]>

   <due><!-- 0..1 Duration Reach goal within --></due>
  </target>
 </goal>
 <
  <

 <action>  <!-- 0..* Action defined by the plan -->
  <prefix value="[string]"/><!-- 0..1 User-visible prefix for the action (e.g. 1. or A.) -->

  <title value="[string]"/><!-- 0..1 User-visible title -->
  <
  <
  <</code>

  <description value="[string]"/><!-- 0..1 Brief description of the action -->
  <textEquivalent value="[string]"/><!-- 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system -->
  <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->
  <code><!-- 0..* CodeableConcept Code representing the meaning of the action or sub-actions --></code>

  <reason><!-- 0..* CodeableConcept Why the action should be performed --></reason>
  <documentation><!-- 0..* RelatedArtifact Supporting documentation for the intended performer of the action --></documentation>
  <goalId value="[id]"/><!-- 0..* What goals this action supports -->
  <</triggerDefinition>
  <

  <subject[x]><!-- 0..1 CodeableConcept|Reference(Group) Type of individual the action is focused on --></subject[x]>
  <trigger><!-- 0..* TriggerDefinition When the action should be triggered --></trigger>
  <condition>  <!-- 0..* Whether or not the action is applicable -->

   <kind value="[code]"/><!-- 1..1 applicability | start | stop -->
   <
   <
   <

   <expression><!-- 0..1 Expression Boolean-valued expression --></expression>

  </condition>
  <input><!-- 0..* DataRequirement Input data requirements --></input>
  <output><!-- 0..* DataRequirement Output data definition --></output>
  <relatedAction>  <!-- 0..* Relationship to another action -->
   <actionId value="[id]"/><!-- 1..1 What action is this related to -->
   <relationship value="[code]"/><!-- 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end -->
   <offset[x]><!-- 0..1 Duration|Range Time offset for the relationship --></offset[x]>
  </relatedAction>
  <</timing[x]>

  <timing[x]><!-- 0..1 dateTime|Age|Period|Duration|Range|Timing When the action should take place --></timing[x]>

  <participant>  <!-- 0..* Who should participate in the action -->
   <
   <</role>

   <type value="[code]"/><!-- 1..1 patient | practitioner | related-person | device -->
   <role><!-- 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent --></role>

  </participant>
  <</type>

  <type><!-- 0..1 CodeableConcept create | update | remove | fire-event --></type>

  <groupingBehavior value="[code]"/><!-- 0..1 visual-group | logical-group | sentence-group -->
  <selectionBehavior value="[code]"/><!-- 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more -->
  <

  <requiredBehavior value="[code]"/><!-- 0..1 must | could | must-unless-documented -->

  <precheckBehavior value="[code]"/><!-- 0..1 yes | no -->
  <cardinalityBehavior value="[code]"/><!-- 0..1 single | multiple -->
  <</definition>
  <</transform>

  <definition[x]><!-- 0..1 canonical(ActivityDefinition|PlanDefinition|
    Questionnaire)|uri Description of the activity to be performed --></definition[x]>
  <transform><!-- 0..1 canonical(StructureMap) Transform to apply the template --></transform>

  <dynamicValue>  <!-- 0..* Dynamic aspects of the definition -->
   <
   <
   <
   <

   <path value="[string]"/><!-- 0..1 The path to the element to be set dynamically -->
   <expression><!-- 0..1 Expression An expression that provides the dynamic value for the customization --></expression>

  </dynamicValue>
  <action><!-- 0..* Content as for PlanDefinition.action A sub-action --></action>
 </action>
</PlanDefinition>

JSON Template 

{doco
  "resourceType" : "PlanDefinition",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "

  "url" : "<uri>", // Canonical identifier for this plan definition, represented as a URI (globally unique)

  "identifier" : [{ Identifier }], // Additional identifier for the plan definition
  "version" : "<string>", // Business version of the plan definition
  "

  "name" : "<string>", // C? Name for this plan definition (computer friendly)

  "title" : "<string>", // Name for this plan definition (human friendly)
  "

  "subtitle" : "<string>", // Subordinate title of the plan definition
  "type" : { CodeableConcept }, // order-set | clinical-protocol | eca-rule | workflow-definition

  "status" : "<code>", // R!  draft | active | retired | unknown
  "
  "
  "

  "experimental" : <boolean>, // For testing purposes, not real usage
  // subject[x]: Type of individual the plan definition is focused on. One of these 2:
  "subjectCodeableConcept" : { CodeableConcept },
  "subjectReference" : { Reference(Group) },
  "date" : "<dateTime>", // Date last changed
  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher

  "description" : "<markdown>", // Natural language description of the plan definition
  "
  "
  "
  "
  "
  "

  "useContext" : [{ UsageContext }], // The context that the content is intended to support

  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for plan definition (if applicable)
  "
  "
  "

  "purpose" : "<markdown>", // Why this plan definition is defined
  "usage" : "<string>", // Describes the clinical usage of the plan

  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "
  "

  "approvalDate" : "<date>", // When the plan definition was approved by publisher
  "lastReviewDate" : "<date>", // When the plan definition was last reviewed
  "effectivePeriod" : { Period }, // When the plan definition is expected to be used
  "topic" : [{ CodeableConcept }], // E.g. Education, Treatment, Assessment
  "author" : [{ ContactDetail }], // Who authored the content
  "editor" : [{ ContactDetail }], // Who edited the content
  "reviewer" : [{ ContactDetail }], // Who reviewed the content
  "endorser" : [{ ContactDetail }], // Who endorsed the content
  "relatedArtifact" : [{ RelatedArtifact }], // Additional documentation, citations
  "library" : [{ canonical(Library) }], // Logic used by the plan definition

  "goal" : [{ // What the plan is trying to accomplish
    "

    "category" : { CodeableConcept }, // E.g. Treatment, dietary, behavioral

    "description" : { CodeableConcept }, // R!  Code or text describing the goal
    "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
    "start" : { CodeableConcept }, // When goal pursuit begins
    "addresses" : [{ CodeableConcept }], // What does the goal address
    "documentation" : [{ RelatedArtifact }], // Supporting documentation for the goal
    "target" : [{ // Target outcome for the goal
      "

      "measure" : { CodeableConcept }, // The parameter whose value is to be tracked

      // detail[x]: The target value to be achieved. One of these 3:
      " },
      " },
      " },

      "detailQuantity" : { Quantity },
      "detailRange" : { Range },
      "detailCodeableConcept" : { CodeableConcept },

      "due" : { Duration } // Reach goal within
    }]
  }],
  "
    "

  "action" : [{ // Action defined by the plan
    "prefix" : "<string>", // User-visible prefix for the action (e.g. 1. or A.)

    "title" : "<string>", // User-visible title
    "
    "
    "

    "description" : "<string>", // Brief description of the action
    "textEquivalent" : "<string>", // Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
    "priority" : "<code>", // routine | urgent | asap | stat
    "code" : [{ CodeableConcept }], // Code representing the meaning of the action or sub-actions

    "reason" : [{ CodeableConcept }], // Why the action should be performed
    "documentation" : [{ RelatedArtifact }], // Supporting documentation for the intended performer of the action
    "goalId" : ["<id>"], // What goals this action supports
    "
    "

    // subject[x]: Type of individual the action is focused on. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept },
    "subjectReference" : { Reference(Group) },
    "trigger" : [{ TriggerDefinition }], // When the action should be triggered
    "condition" : [{ // Whether or not the action is applicable

      "kind" : "<code>", // R!  applicability | start | stop
      "
      "
      "

      "expression" : { Expression } // Boolean-valued expression

    }],
    "input" : [{ DataRequirement }], // Input data requirements
    "output" : [{ DataRequirement }], // Output data definition
    "relatedAction" : [{ // Relationship to another action
      "actionId" : "<id>", // R!  What action is this related to
      "relationship" : "<code>", // R!  before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
      // offset[x]: Time offset for the relationship. One of these 2:
      "offsetDuration" : { Duration }
      "offsetRange" : { Range }
    }],
    

    // timing[x]: When the action should take place. One of these 6:
    "timingDateTime" : "<dateTime>",
    "timingAge" : { Age },

    "timingPeriod" : { Period },
    "timingDuration" : { Duration },
    "timingRange" : { Range },
    "timingTiming" : { Timing },
    "participant" : [{ // Who should participate in the action
      "
      "

      "type" : "<code>", // R!  patient | practitioner | related-person | device
      "role" : { CodeableConcept } // E.g. Nurse, Surgeon, Parent

    }],
    "

    "type" : { CodeableConcept }, // create | update | remove | fire-event

    "groupingBehavior" : "<code>", // visual-group | logical-group | sentence-group
    "selectionBehavior" : "<code>", // any | all | all-or-none | exactly-one | at-most-one | one-or-more
    "

    "requiredBehavior" : "<code>", // must | could | must-unless-documented

    "precheckBehavior" : "<code>", // yes | no
    "cardinalityBehavior" : "<code>", // single | multiple
    "
    "

    // definition[x]: Description of the activity to be performed. One of these 2:
    "definitionCanonical" : { canonical(ActivityDefinition|PlanDefinition|
    Questionnaire) },
    "definitionUri" : "<uri>",
    "transform" : { canonical(StructureMap) }, // Transform to apply the template

    "dynamicValue" : [{ // Dynamic aspects of the definition
      "
      "
      "
      "

      "path" : "<string>", // The path to the element to be set dynamically
      "expression" : { Expression } // An expression that provides the dynamic value for the customization

    }],
    "action" : [{ Content as for PlanDefinition.action }] // A sub-action
  }]
}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:PlanDefinition;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:

  fhir:PlanDefinition.url [ uri ]; # 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique)

  fhir:PlanDefinition.identifier [ Identifier ], ... ; # 0..* Additional identifier for the plan definition
  fhir:PlanDefinition.version [ string ]; # 0..1 Business version of the plan definition
  fhir:PlanDefinition.name [ string ]; # 0..1 Name for this plan definition (computer friendly)
  fhir:PlanDefinition.title [ string ]; # 0..1 Name for this plan definition (human friendly)
  fhir:

  fhir:PlanDefinition.subtitle [ string ]; # 0..1 Subordinate title of the plan definition
  fhir:PlanDefinition.type [ CodeableConcept ]; # 0..1 order-set | clinical-protocol | eca-rule | workflow-definition

  fhir:PlanDefinition.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:
  fhir:
  fhir:

  fhir:PlanDefinition.experimental [ boolean ]; # 0..1 For testing purposes, not real usage
  # PlanDefinition.subject[x] : 0..1 Type of individual the plan definition is focused on. One of these 2
    fhir:PlanDefinition.subjectCodeableConcept [ CodeableConcept ]
    fhir:PlanDefinition.subjectReference [ Reference(Group) ]
  fhir:PlanDefinition.date [ dateTime ]; # 0..1 Date last changed
  fhir:PlanDefinition.publisher [ string ]; # 0..1 Name of the publisher (organization or individual)
  fhir:PlanDefinition.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher

  fhir:PlanDefinition.description [ markdown ]; # 0..1 Natural language description of the plan definition
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:

  fhir:PlanDefinition.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support

  fhir:PlanDefinition.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for plan definition (if applicable)
  fhir:
  fhir:
  fhir:

  fhir:PlanDefinition.purpose [ markdown ]; # 0..1 Why this plan definition is defined
  fhir:PlanDefinition.usage [ string ]; # 0..1 Describes the clinical usage of the plan

  fhir:PlanDefinition.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions
  fhir:
  fhir:

  fhir:PlanDefinition.approvalDate [ date ]; # 0..1 When the plan definition was approved by publisher
  fhir:PlanDefinition.lastReviewDate [ date ]; # 0..1 When the plan definition was last reviewed
  fhir:PlanDefinition.effectivePeriod [ Period ]; # 0..1 When the plan definition is expected to be used
  fhir:PlanDefinition.topic [ CodeableConcept ], ... ; # 0..* E.g. Education, Treatment, Assessment
  fhir:PlanDefinition.author [ ContactDetail ], ... ; # 0..* Who authored the content
  fhir:PlanDefinition.editor [ ContactDetail ], ... ; # 0..* Who edited the content
  fhir:PlanDefinition.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content
  fhir:PlanDefinition.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content
  fhir:PlanDefinition.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Additional documentation, citations
  fhir:PlanDefinition.library [ canonical(Library) ], ... ; # 0..* Logic used by the plan definition

  fhir:PlanDefinition.goal [ # 0..* What the plan is trying to accomplish
    fhir:

    fhir:PlanDefinition.goal.category [ CodeableConcept ]; # 0..1 E.g. Treatment, dietary, behavioral

    fhir:PlanDefinition.goal.description [ CodeableConcept ]; # 1..1 Code or text describing the goal
    fhir:PlanDefinition.goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority
    fhir:PlanDefinition.goal.start [ CodeableConcept ]; # 0..1 When goal pursuit begins
    fhir:PlanDefinition.goal.addresses [ CodeableConcept ], ... ; # 0..* What does the goal address
    fhir:PlanDefinition.goal.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the goal
    fhir:PlanDefinition.goal.target [ # 0..* Target outcome for the goal
      fhir:
      # . One of these 3
        fhir: ]
        fhir: ]
        fhir: ]

      fhir:PlanDefinition.goal.target.measure [ CodeableConcept ]; # 0..1 The parameter whose value is to be tracked
      # PlanDefinition.goal.target.detail[x] : 0..1 The target value to be achieved. One of these 3
        fhir:PlanDefinition.goal.target.detailQuantity [ Quantity ]
        fhir:PlanDefinition.goal.target.detailRange [ Range ]
        fhir:PlanDefinition.goal.target.detailCodeableConcept [ CodeableConcept ]

      fhir:PlanDefinition.goal.target.due [ Duration ]; # 0..1 Reach goal within
    ], ...;
  ], ...;
  fhir:
    fhir:

  fhir:PlanDefinition.action [ # 0..* Action defined by the plan
    fhir:PlanDefinition.action.prefix [ string ]; # 0..1 User-visible prefix for the action (e.g. 1. or A.)

    fhir:PlanDefinition.action.title [ string ]; # 0..1 User-visible title
    fhir:
    fhir:
    fhir:

    fhir:PlanDefinition.action.description [ string ]; # 0..1 Brief description of the action
    fhir:PlanDefinition.action.textEquivalent [ string ]; # 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
    fhir:PlanDefinition.action.priority [ code ]; # 0..1 routine | urgent | asap | stat
    fhir:PlanDefinition.action.code [ CodeableConcept ], ... ; # 0..* Code representing the meaning of the action or sub-actions

    fhir:PlanDefinition.action.reason [ CodeableConcept ], ... ; # 0..* Why the action should be performed
    fhir:PlanDefinition.action.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the intended performer of the action
    fhir:PlanDefinition.action.goalId [ id ], ... ; # 0..* What goals this action supports
    fhir:
    fhir:

    # PlanDefinition.action.subject[x] : 0..1 Type of individual the action is focused on. One of these 2
      fhir:PlanDefinition.action.subjectCodeableConcept [ CodeableConcept ]
      fhir:PlanDefinition.action.subjectReference [ Reference(Group) ]
    fhir:PlanDefinition.action.trigger [ TriggerDefinition ], ... ; # 0..* When the action should be triggered
    fhir:PlanDefinition.action.condition [ # 0..* Whether or not the action is applicable

      fhir:PlanDefinition.action.condition.kind [ code ]; # 1..1 applicability | start | stop
      fhir:
      fhir:
      fhir:

      fhir:PlanDefinition.action.condition.expression [ Expression ]; # 0..1 Boolean-valued expression

    ], ...;
    fhir:PlanDefinition.action.input [ DataRequirement ], ... ; # 0..* Input data requirements
    fhir:PlanDefinition.action.output [ DataRequirement ], ... ; # 0..* Output data definition
    fhir:PlanDefinition.action.relatedAction [ # 0..* Relationship to another action
      fhir:PlanDefinition.action.relatedAction.actionId [ id ]; # 1..1 What action is this related to
      fhir:PlanDefinition.action.relatedAction.relationship [ code ]; # 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
      # PlanDefinition.action.relatedAction.offset[x] : 0..1 Time offset for the relationship. One of these 2
        fhir:PlanDefinition.action.relatedAction.offsetDuration [ Duration ]
        fhir:PlanDefinition.action.relatedAction.offsetRange [ Range ]
    ], ...;
    # . One of these 5

    # PlanDefinition.action.timing[x] : 0..1 When the action should take place. One of these 6

      fhir:PlanDefinition.action.timingDateTime [ dateTime ]
      fhir:PlanDefinition.action.timingAge [ Age ]

      fhir:PlanDefinition.action.timingPeriod [ Period ]
      fhir:PlanDefinition.action.timingDuration [ Duration ]
      fhir:PlanDefinition.action.timingRange [ Range ]
      fhir:PlanDefinition.action.timingTiming [ Timing ]
    fhir:PlanDefinition.action.participant [ # 0..* Who should participate in the action
      fhir:
      fhir:

      fhir:PlanDefinition.action.participant.type [ code ]; # 1..1 patient | practitioner | related-person | device
      fhir:PlanDefinition.action.participant.role [ CodeableConcept ]; # 0..1 E.g. Nurse, Surgeon, Parent

    ], ...;
    fhir:

    fhir:PlanDefinition.action.type [ CodeableConcept ]; # 0..1 create | update | remove | fire-event

    fhir:PlanDefinition.action.groupingBehavior [ code ]; # 0..1 visual-group | logical-group | sentence-group
    fhir:PlanDefinition.action.selectionBehavior [ code ]; # 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more
    fhir:

    fhir:PlanDefinition.action.requiredBehavior [ code ]; # 0..1 must | could | must-unless-documented

    fhir:PlanDefinition.action.precheckBehavior [ code ]; # 0..1 yes | no
    fhir:PlanDefinition.action.cardinalityBehavior [ code ]; # 0..1 single | multiple
    fhir:
    fhir:

    # PlanDefinition.action.definition[x] : 0..1 Description of the activity to be performed. One of these 2
      fhir:PlanDefinition.action.definitionCanonical [ canonical(ActivityDefinition|PlanDefinition|Questionnaire) ]
      fhir:PlanDefinition.action.definitionUri [ uri ]
    fhir:PlanDefinition.action.transform [ canonical(StructureMap) ]; # 0..1 Transform to apply the template

    fhir:PlanDefinition.action.dynamicValue [ # 0..* Dynamic aspects of the definition
      fhir:
      fhir:
      fhir:
      fhir:

      fhir:PlanDefinition.action.dynamicValue.path [ string ]; # 0..1 The path to the element to be set dynamically
      fhir:PlanDefinition.action.dynamicValue.expression [ Expression ]; # 0..1 An expression that provides the dynamic value for the customization

    ], ...;
    fhir:PlanDefinition.action.action [ See PlanDefinition.action ], ... ; # 0..* A sub-action
  ], ...;
]

Changes since DSTU2 R3

PlanDefinition
PlanDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.1.0
PlanDefinition.action.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.1.0
PlanDefinition.action.condition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0
PlanDefinition.action.relatedAction.relationship
  • Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0
PlanDefinition.action.participant.type
  • Change value set from http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0
PlanDefinition.action.groupingBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0
PlanDefinition.action.selectionBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0
PlanDefinition.action.requiredBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0
PlanDefinition.action.precheckBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0
PlanDefinition.action.cardinalityBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0

This resource did not exist in Release 2 See the Full Difference for further information

This analysis is available as XML or JSON .

See R3 <--> R4 Conversion Maps (status = 11 tests of which 6 fail to execute . All tests pass round-trip testing and 5 r3 resources are invalid (0 errors). )

Structure

Name Flags Card. Type Description & Constraints doco
. . PlanDefinition I TU DomainResource The definition of a plan for a series of actions, independent of any specific patient or context
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . url Σ 0..1 uri Logical URI to reference Canonical identifier for this plan definition definition, represented as a URI (globally unique)
. . . identifier Σ 0..* Identifier Additional identifier for the plan definition
. . . version Σ 0..1 string Business version of the plan definition
. . . name Σ I 0..1 string Name for this plan definition (computer friendly)
. . . title Σ 0..1 string Name for this plan definition (human friendly)
. . . subtitle 0..1 string Subordinate title of the plan definition
.. . type Σ 0..1 CodeableConcept order-set | protocol clinical-protocol | eca-rule | workflow-definition
PlanDefinitionType ( Extensible )
. . . status ?! Σ 1..1 code draft | active | retired | unknown
PublicationStatus ( Required )
. . . experimental ?! Σ 0..1 boolean For testing purposes, not real usage
. . . subject[x] 0..1 Type of individual the plan definition is focused on
Subject type ( Extensible )
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference ( Group )
. . . date Σ 0..1 dateTime Date this was last changed
. . . publisher Σ 0..1 string Name of the publisher (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
.. . description Σ 0..1 markdown Natural language description of the plan definition
. . . useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable)
Jurisdiction ( Extensible )
.. . purpose 0..1 markdown Why this plan definition is defined
. . . usage 0..1 string Describes the clinical usage of the asset plan
... copyright 0..1 markdown Use and/or publishing restrictions
. . . approvalDate 0..1 date When the plan definition was approved by publisher
. . . lastReviewDate 0..1 date When the plan definition was last reviewed
. . . effectivePeriod Σ 0..1 Period When the plan definition is expected to be used
. . . useContext Σ 0..* UsageContext Context the content is intended to support jurisdiction topic Σ 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable) E.g. Education, Treatment, Assessment
Jurisdiction ValueSet DefinitionTopic ( Extensible Example )
. . . topic author 0..* CodeableConcept ContactDetail E.g. Education, Treatment, Assessment, etc DefinitionTopic ( Example ) Who authored the content
. . . contributor editor 0..* Contributor ContactDetail A Who edited the content contributor
. . . contact reviewer Σ 0..* ContactDetail Contact details for Who reviewed the publisher content
. . copyright . endorser 0..1 0..* markdown ContactDetail Use and/or publishing restrictions Who endorsed the content
. . . relatedArtifact 0..* RelatedArtifact Related artifacts for the asset Additional documentation, citations
. . . library 0..* Reference canonical ( Library ) Logic used by the plan definition
. . . goal 0..* BackboneElement What the plan is trying to accomplish
. . . . category 0..1 CodeableConcept E.g. Treatment, dietary, behavioral, etc behavioral
GoalCategory Goal category ( Example )
. . . . description 1..1 CodeableConcept Code or text describing the goal
SNOMED CT Clinical Findings ( Example )
. . . . priority 0..1 CodeableConcept high-priority | medium-priority | low-priority
GoalPriority Goal priority ( Preferred )
. . . . start 0..1 CodeableConcept When goal pursuit begins
GoalStartEvent Goal start event ( Example )
. . . . addresses 0..* CodeableConcept What does the goal address
Condition/Problem/Diagnosis Codes ( Example )
. . . . documentation 0..* RelatedArtifact Supporting documentation for the goal
. . . . target 0..* BackboneElement Target outcome for the goal
. . . . . measure 0..1 CodeableConcept The parameter whose value is to be tracked
LOINC Codes ( Example )
. . . . . detail[x] 0..1 The target value to be achieved
. . . . . . detailQuantity Quantity
. . . . . . detailRange Range
. . . . . . detailCodeableConcept CodeableConcept
. . . . . due 0..1 Duration Reach goal within
. . . action 0..* BackboneElement Action defined by the plan
. . . . label prefix 0..1 string User-visible label prefix for the action (e.g. 1. or A.)
. . . . title 0..1 string User-visible title
. . . . description 0..1 string Short Brief description of the action
. . . . textEquivalent 0..1 string Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
. . . . priority 0..1 code routine | urgent | asap | stat
Request priority ( Required )
... . code 0..* CodeableConcept Code representing the meaning of the action or sub-actions
. . . . reason 0..* CodeableConcept Why the action should be performed
. . . . documentation 0..* RelatedArtifact Supporting documentation for the intended performer of the action
. . . . goalId 0..* id What goals this action supports
. . . triggerDefinition . subject[x] 0..* 0..1 TriggerDefinition When Type of individual the action should be triggered is focused on
Subject type ( Extensible )
. . . condition . . subjectCodeableConcept 0..* BackboneElement CodeableConcept Whether or not the action is applicable
. . . . . subjectReference Reference ( Group )
.. . kind . trigger 1..1 0..* code TriggerDefinition applicability | start | stop When the action should be triggered
ActionConditionKind ( Required )
. . . description . condition 0..1 0..* string BackboneElement Natural language description of Whether or not the condition action is applicable
. . . . . language kind 0..1 1..1 string code Language of the expression applicability | start | stop
ActionConditionKind ( Required )
. . . . . expression 0..1 string Expression Boolean-valued expression
. . . . input 0..* DataRequirement Input data requirements
. . . . output 0..* DataRequirement Output data definition
. . . . relatedAction 0..* BackboneElement Relationship to another action
. . . . . actionId 1..1 id What action is this related to
. . . . . relationship 1..1 code before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
ActionRelationshipType ( Required )
. . . . . offset[x] 0..1 Time offset for the relationship
. . . . . . offsetDuration Duration
. . . . . . offsetRange Range
. . . . timing[x] 0..1 When the action should take place
. . . . . timingDateTime dateTime
. . . . . timingAge Age
..... timingPeriod Period
. . . . . timingDuration Duration
. . . . . timingRange Range
. . . . . timingTiming Timing
. . . . participant 0..* BackboneElement Who should participate in the action
. . . . . type 1..1 code patient | practitioner | related-person | device
ActionParticipantType ( Required )
. . . . . role 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent, etc Parent
ActionParticipantRole Action participant role ( Example )
. . . . type 0..1 Coding CodeableConcept create | update | remove | fire-event
ActionType ( Required Extensible )
. . . . groupingBehavior 0..1 code visual-group | logical-group | sentence-group
ActionGroupingBehavior ( Required )
. . . . selectionBehavior 0..1 code any | all | all-or-none | exactly-one | at-most-one | one-or-more
ActionSelectionBehavior ( Required )
. . . . requiredBehavior 0..1 code must | could | must-unless-documented
ActionRequiredBehavior ( Required )
. . . . precheckBehavior 0..1 code yes | no
ActionPrecheckBehavior ( Required )
. . . . cardinalityBehavior 0..1 code single | multiple
ActionCardinalityBehavior ( Required )
. . . definition . definition[x] 0..1 Reference ( ActivityDefinition | PlanDefinition ) Description of the activity to be performed
. . . . . transform definitionCanonical 0..1 Reference canonical ( StructureMap ActivityDefinition | PlanDefinition | Questionnaire ) Transform to apply the template
. . . dynamicValue . . definitionUri 0..* BackboneElement uri Dynamic aspects of the definition
. . . description . transform 0..1 string canonical ( StructureMap ) Natural language description of Transform to apply the dynamic value template
. . . path . dynamicValue 0..1 0..* string BackboneElement The path to Dynamic aspects of the element to be set dynamically definition
. . . . . language path 0..1 string Language of The path to the expression element to be set dynamically
. . . . . expression 0..1 string Expression An expression that provides the dynamic value for the customization
. . . . action 0..* see action A sub-action

doco Documentation for this format

UML Diagram ( Legend )

PlanDefinition ( DomainResource ) An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance. instance; also called its canonical identifier. This SHALL be a URL, SHOULD be globally unique, unique and SHOULD be an a literal address at which at which an authoritative instance of this plan definition is (or will be) published. The This URL SHOULD include can be the major version target of a canonical reference. It SHALL remain the same when the plan definition. For more information see [Technical and Business Versions](resource.html#versions) definition is stored on different servers url : uri [0..1] A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance identifier : Identifier [0..*] The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts version : string [0..1] A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation name : string [0..1] A short, descriptive, user-friendly title for the plan definition title : string [0..1] The type An explanatory or alternate title for the plan definition giving additional information about its content subtitle : string [0..1] A high-level category for the plan definition that distinguishes the kinds of asset systems that would be interested in the plan definition represents, e.g. an order set, protocol, or event-condition-action rule type : CodeableConcept [0..1] « The type of PlanDefinition PlanDefinition. (Strength=Extensible) PlanDefinitionType + » The status of this plan definition. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements) status : code [1..1] « The lifecycle status of a Value Set or Concept Map. an artifact. (Strength=Required) PublicationStatus ! » A boolean Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing), education/evaluation/marketing) and is not intended to be used for genuine usage (this element modifies the meaning of other elements) experimental : boolean [0..1] A code or group definition that describes the intended subject of the plan definition subject[x] : Type [0..1] « CodeableConcept | Reference ( Group ); The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.). (Strength=Extensible) SubjectType + » The date (and optionally time) when the plan definition was published. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes date : dateTime [0..1] The name of the individual or organization or individual that published the plan definition publisher : string [0..1] Contact details to assist a user in finding and communicating with the publisher contact : ContactDetail [0..*] A free text natural language description of the plan definition from a consumer's perspective description : markdown [0..1] Explaination The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances useContext : UsageContext [0..*] A legal or geographic region in which the plan definition is intended to be used jurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use. (Strength=Extensible) Jurisdiction ValueSet + » Explanation of why this plan definition is needed and why it has been designed as it has purpose : markdown [0..1] A detailed description of how the asset plan definition is used from a clinical perspective usage : string [0..1] A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition copyright : markdown [0..1] The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage approvalDate : date [0..1] The date on which the resource content was last reviewed. Review happens periodically after approval, approval but doesn't does not change the original approval date lastReviewDate : date [0..1] The period during which the plan definition content was or is planned to be in active use effectivePeriod : Period [0..1] The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate plan definition instances useContext : UsageContext [0..*] A legal or geographic region in which the plan definition is intended to be used jurisdiction : CodeableConcept [0..*] Countries and regions within which this artifact is targeted for use (Strength=Extensible) Jurisdiction ValueSet + Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching topic : CodeableConcept [0..*] « High-level categorization of the definition, used for searching, sorting, and filtering filtering. (Strength=Example) DefinitionTopic ?? » A contributor to An individiual or organization primarily involved in the content creation and maintenance of the asset, including authors, editors, reviewers, and endorsers content contributor author : Contributor ContactDetail [0..*] Contact details to assist a user in finding and communicating with An individual or organization primarily responsible for internal coherence of the publisher content contact editor : ContactDetail [0..*] A copyright statement relating to An individual or organization primarily responsible for review of some aspect of the plan definition and/or its contents. Copyright statements are generally legal restrictions on content reviewer : ContactDetail [0..*] An individual or organization responsible for officially endorsing the content for use and publishing of the plan definition in some setting copyright endorser : markdown ContactDetail [0..1] [0..*] Related artifacts such as additional documentation, justification, or bibliographic references relatedArtifact : RelatedArtifact [0..*] A reference to a Library resource containing any formal logic used by the plan definition library : Reference canonical [0..*] « Library » Goal Indicates a category the goal falls within category : CodeableConcept [0..1] « Example codes for grouping goals for filtering or presentation presentation. (Strength=Example) GoalCategory ?? » Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding" description : CodeableConcept [1..1] « Describes goals that can be achieved achieved. (Strength=Example) SNOMED CT Clinical Findings SNOMEDCTClinicalFindings ?? » Identifies the expected level of importance associated with reaching/sustaining the defined goal priority : CodeableConcept [0..1] « Indicates the level of importance associated with reaching or sustaining a goal goal. (Strength=Preferred) GoalPriority ? » The event after which the goal should begin being pursued start : CodeableConcept [0..1] « Identifies the types of events that might trigger the start of a goal goal. (Strength=Example) GoalStartEvent ?? » Identifies problems, conditions, issues, or concerns the goal is intended to address addresses : CodeableConcept [0..*] « Identifies problems, conditions, issues, or concerns that goals may address address. (Strength=Example) Condition/Problem/Diagnosis Condition/Problem/DiagnosisCo... ?? » Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources documentation : RelatedArtifact [0..*] Target The parameter whose value is to be tracked, e.g. body weigth, weight, blood pressure, or hemoglobin A1c level measure : CodeableConcept [0..1] « Identifies types of parameters that can be tracked to determine goal achievement achievement. (Strength=Example) LOINC LOINCCodes ?? » The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%. Either the high or low or both values of the range can be specified. Whan When a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value detail[x] : Type [0..1] « Quantity | Range | CodeableConcept » Indicates the timeframe after the start of the goal in which the goal should be met due : Duration [0..1] Action A user-visible label prefix for the action label prefix : string [0..1] The title of the action displayed to a user title : string [0..1] A short brief description of the action used to provide a summary to display to the user description : string [0..1] A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that may might not be capable of interpreting it dynamically textEquivalent : string [0..1] Indicates how quickly the action should be addressed with respect to other actions priority : code [0..1] « Identifies the level of importance to be assigned to actioning the request. (Strength=Required) RequestPriority ! » A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a the section of a documentation template code : CodeableConcept [0..*] A description of why this action is necessary or appropriate reason : CodeableConcept [0..*] Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources documentation : RelatedArtifact [0..*] Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition goalId : id [0..*] A code or group definition that describes the intended subject of the action and its children, if any subject[x] : Type [0..1] « CodeableConcept | Reference ( Group ); The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.). (Strength=Extensible) SubjectType + » A description of when the action should be triggered triggerDefinition trigger : TriggerDefinition [0..*] Defines input data requirements for the action input : DataRequirement [0..*] Defines the outputs of the action, if any output : DataRequirement [0..*] An optional value describing when the action should be performed timing[x] : Type [0..1] « dateTime | Age | Period | Duration | Range | Timing » The type of action to perform (create, update, remove) type : Coding CodeableConcept [0..1] « The type of action to be performed (Strength=Required) performed. (Strength=Extensible) ActionType ! + » Defines the grouping behavior for the action and its children groupingBehavior : code [0..1] « Defines organization behavior of a group group. (Strength=Required) ActionGroupingBehavior ! » Defines the selection behavior for the action and its children selectionBehavior : code [0..1] « Defines selection behavior of a group group. (Strength=Required) ActionSelectionBehavior ! » Defines the requiredness required behavior for the action requiredBehavior : code [0..1] « Defines requiredness behavior for selecting expectations around whether an action or an action group is required. (Strength=Required) ActionRequiredBehavior ! » Defines whether the action should usually be preselected precheckBehavior : code [0..1] « Defines selection frequency behavior for an action or group group. (Strength=Required) ActionPrecheckBehavior ! » Defines whether the action can be selected multiple times cardinalityBehavior : code [0..1] « Defines behavior for an action or a group for how many times that item may be repeated repeated. (Strength=Required) ActionCardinalityBehavior ! » A reference to an ActivityDefinition that describes the action to be taken in detail, or a PlanDefinition that describes a series of actions to be taken definition definition[x] : Reference Type [0..1] « canonical ( ActivityDefinition | PlanDefinition | Questionnaire )| uri » A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input transform : Reference canonical [0..1] « StructureMap » Condition The kind of condition kind : code [1..1] « Defines the kinds of conditions that can appear on actions actions. (Strength=Required) ActionConditionKind ! » A brief, natural language description of the condition that effectively communicates the intended semantics description : string [0..1] The media type of the language for the expression language : string [0..1] An expression that returns true or false, indicating whether or not the condition is satisfied expression : string Expression [0..1] RelatedAction The element id of the related action actionId : id [1..1] The relationship of this action to the related action relationship : code [1..1] « Defines the types of relationships between actions actions. (Strength=Required) ActionRelationshipType ! » A duration or range of durations to apply to the relationship. For example, 30-60 minutes before offset[x] : Type [0..1] « Duration | Range » Participant The type of participant in the action type : code [1..1] « The type of participant for the action action. (Strength=Required) ActionParticipantType ! » The role the participant should play in performing the described action role : CodeableConcept [0..1] « Defines roles played by participants for the action action. (Strength=Example) ActionParticipantRole ?? » DynamicValue A brief, natural language description of the intended semantics of the dynamic value description : string [0..1] The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression path : string [0..1] expression. The media specified path SHALL be a FHIRPath resolveable on the specified target type of the language for ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the expression [Simple FHIRPath Profile](fhirpath.html#simple) for full details) language path : string [0..1] An expression specifying the value of the customized element expression : string Expression [0..1] Indicates what should be done and within what timeframe target [0..*] Goals that describe what the activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc goal [0..*] An expression that describes applicability criteria, criteria or start/stop conditions for the action condition [0..*] A relationship to another action such as "before" or "30-60 minutes after start of" relatedAction [0..*] Indicates who should participate in performing the action described participant [0..*] Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result dynamicValue [0..*] Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition action [0..*] An action or group of actions to be taken as part of the plan action [0..*]

XML Template 

<PlanDefinition xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <

 <url value="[uri]"/><!-- 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique) -->

 <identifier><!-- 0..* Identifier Additional identifier for the plan definition --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the plan definition -->
 <

 <name value="[string]"/><!-- ?? 0..1 Name for this plan definition (computer friendly) -->

 <title value="[string]"/><!-- 0..1 Name for this plan definition (human friendly) -->
 <</type>

 <subtitle value="[string]"/><!-- 0..1 Subordinate title of the plan definition -->
 <type><!-- 0..1 CodeableConcept order-set | clinical-protocol | eca-rule | workflow-definition --></type>

 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <
 <
 <

 <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage -->
 <subject[x]><!-- 0..1 CodeableConcept|Reference(Group) Type of individual the plan definition is focused on --></subject[x]>
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>

 <description value="[markdown]"/><!-- 0..1 Natural language description of the plan definition -->
 <
 <
 <
 <
 <</effectivePeriod>
 <</useContext>

 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>

 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for plan definition (if applicable) --></jurisdiction>
 <</topic>
 <</contributor>
 <</contact>

 <purpose value="[markdown]"/><!-- 0..1 Why this plan definition is defined -->
 <usage value="[string]"/><!-- 0..1 Describes the clinical usage of the plan -->

 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <</relatedArtifact>
 <</library>

 <approvalDate value="[date]"/><!-- 0..1 When the plan definition was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the plan definition was last reviewed -->
 <effectivePeriod><!-- 0..1 Period When the plan definition is expected to be used --></effectivePeriod>
 <topic><!-- 0..* CodeableConcept E.g. Education, Treatment, Assessment --></topic>
 <author><!-- 0..* ContactDetail Who authored the content --></author>
 <editor><!-- 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact Additional documentation, citations --></relatedArtifact>
 <library><!-- 0..* canonical(Library) Logic used by the plan definition --></library>

 <goal>  <!-- 0..* What the plan is trying to accomplish -->
  <</category>

  <category><!-- 0..1 CodeableConcept E.g. Treatment, dietary, behavioral --></category>

  <description><!-- 1..1 CodeableConcept Code or text describing the goal --></description>
  <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority>
  <start><!-- 0..1 CodeableConcept When goal pursuit begins --></start>
  <addresses><!-- 0..* CodeableConcept What does the goal address --></addresses>
  <documentation><!-- 0..* RelatedArtifact Supporting documentation for the goal --></documentation>
  <target>  <!-- 0..* Target outcome for the goal -->
   <</measure>
   <</detail[x]>

   <measure><!-- 0..1 CodeableConcept The parameter whose value is to be tracked --></measure>
   <detail[x]><!-- 0..1 Quantity|Range|CodeableConcept The target value to be achieved --></detail[x]>

   <due><!-- 0..1 Duration Reach goal within --></due>
  </target>
 </goal>
 <
  <

 <action>  <!-- 0..* Action defined by the plan -->
  <prefix value="[string]"/><!-- 0..1 User-visible prefix for the action (e.g. 1. or A.) -->

  <title value="[string]"/><!-- 0..1 User-visible title -->
  <
  <
  <</code>

  <description value="[string]"/><!-- 0..1 Brief description of the action -->
  <textEquivalent value="[string]"/><!-- 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system -->
  <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->
  <code><!-- 0..* CodeableConcept Code representing the meaning of the action or sub-actions --></code>

  <reason><!-- 0..* CodeableConcept Why the action should be performed --></reason>
  <documentation><!-- 0..* RelatedArtifact Supporting documentation for the intended performer of the action --></documentation>
  <goalId value="[id]"/><!-- 0..* What goals this action supports -->
  <</triggerDefinition>
  <

  <subject[x]><!-- 0..1 CodeableConcept|Reference(Group) Type of individual the action is focused on --></subject[x]>
  <trigger><!-- 0..* TriggerDefinition When the action should be triggered --></trigger>
  <condition>  <!-- 0..* Whether or not the action is applicable -->

   <kind value="[code]"/><!-- 1..1 applicability | start | stop -->
   <
   <
   <

   <expression><!-- 0..1 Expression Boolean-valued expression --></expression>

  </condition>
  <input><!-- 0..* DataRequirement Input data requirements --></input>
  <output><!-- 0..* DataRequirement Output data definition --></output>
  <relatedAction>  <!-- 0..* Relationship to another action -->
   <actionId value="[id]"/><!-- 1..1 What action is this related to -->
   <relationship value="[code]"/><!-- 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end -->
   <offset[x]><!-- 0..1 Duration|Range Time offset for the relationship --></offset[x]>
  </relatedAction>
  <</timing[x]>

  <timing[x]><!-- 0..1 dateTime|Age|Period|Duration|Range|Timing When the action should take place --></timing[x]>

  <participant>  <!-- 0..* Who should participate in the action -->
   <
   <</role>

   <type value="[code]"/><!-- 1..1 patient | practitioner | related-person | device -->
   <role><!-- 0..1 CodeableConcept E.g. Nurse, Surgeon, Parent --></role>

  </participant>
  <</type>

  <type><!-- 0..1 CodeableConcept create | update | remove | fire-event --></type>

  <groupingBehavior value="[code]"/><!-- 0..1 visual-group | logical-group | sentence-group -->
  <selectionBehavior value="[code]"/><!-- 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more -->
  <

  <requiredBehavior value="[code]"/><!-- 0..1 must | could | must-unless-documented -->

  <precheckBehavior value="[code]"/><!-- 0..1 yes | no -->
  <cardinalityBehavior value="[code]"/><!-- 0..1 single | multiple -->
  <</definition>
  <</transform>

  <definition[x]><!-- 0..1 canonical(ActivityDefinition|PlanDefinition|
    Questionnaire)|uri Description of the activity to be performed --></definition[x]>
  <transform><!-- 0..1 canonical(StructureMap) Transform to apply the template --></transform>

  <dynamicValue>  <!-- 0..* Dynamic aspects of the definition -->
   <
   <
   <
   <

   <path value="[string]"/><!-- 0..1 The path to the element to be set dynamically -->
   <expression><!-- 0..1 Expression An expression that provides the dynamic value for the customization --></expression>

  </dynamicValue>
  <action><!-- 0..* Content as for PlanDefinition.action A sub-action --></action>
 </action>
</PlanDefinition>

JSON Template 

{doco
  "resourceType" : "PlanDefinition",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "

  "url" : "<uri>", // Canonical identifier for this plan definition, represented as a URI (globally unique)

  "identifier" : [{ Identifier }], // Additional identifier for the plan definition
  "version" : "<string>", // Business version of the plan definition
  "

  "name" : "<string>", // C? Name for this plan definition (computer friendly)

  "title" : "<string>", // Name for this plan definition (human friendly)
  "

  "subtitle" : "<string>", // Subordinate title of the plan definition
  "type" : { CodeableConcept }, // order-set | clinical-protocol | eca-rule | workflow-definition

  "status" : "<code>", // R!  draft | active | retired | unknown
  "
  "
  "

  "experimental" : <boolean>, // For testing purposes, not real usage
  // subject[x]: Type of individual the plan definition is focused on. One of these 2:
  "subjectCodeableConcept" : { CodeableConcept },
  "subjectReference" : { Reference(Group) },
  "date" : "<dateTime>", // Date last changed
  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher

  "description" : "<markdown>", // Natural language description of the plan definition
  "
  "
  "
  "
  "
  "

  "useContext" : [{ UsageContext }], // The context that the content is intended to support

  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for plan definition (if applicable)
  "
  "
  "

  "purpose" : "<markdown>", // Why this plan definition is defined
  "usage" : "<string>", // Describes the clinical usage of the plan

  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "
  "

  "approvalDate" : "<date>", // When the plan definition was approved by publisher
  "lastReviewDate" : "<date>", // When the plan definition was last reviewed
  "effectivePeriod" : { Period }, // When the plan definition is expected to be used
  "topic" : [{ CodeableConcept }], // E.g. Education, Treatment, Assessment
  "author" : [{ ContactDetail }], // Who authored the content
  "editor" : [{ ContactDetail }], // Who edited the content
  "reviewer" : [{ ContactDetail }], // Who reviewed the content
  "endorser" : [{ ContactDetail }], // Who endorsed the content
  "relatedArtifact" : [{ RelatedArtifact }], // Additional documentation, citations
  "library" : [{ canonical(Library) }], // Logic used by the plan definition

  "goal" : [{ // What the plan is trying to accomplish
    "

    "category" : { CodeableConcept }, // E.g. Treatment, dietary, behavioral

    "description" : { CodeableConcept }, // R!  Code or text describing the goal
    "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
    "start" : { CodeableConcept }, // When goal pursuit begins
    "addresses" : [{ CodeableConcept }], // What does the goal address
    "documentation" : [{ RelatedArtifact }], // Supporting documentation for the goal
    "target" : [{ // Target outcome for the goal
      "

      "measure" : { CodeableConcept }, // The parameter whose value is to be tracked

      // detail[x]: The target value to be achieved. One of these 3:
      " },
      " },
      " },

      "detailQuantity" : { Quantity },
      "detailRange" : { Range },
      "detailCodeableConcept" : { CodeableConcept },

      "due" : { Duration } // Reach goal within
    }]
  }],
  "
    "

  "action" : [{ // Action defined by the plan
    "prefix" : "<string>", // User-visible prefix for the action (e.g. 1. or A.)

    "title" : "<string>", // User-visible title
    "
    "
    "

    "description" : "<string>", // Brief description of the action
    "textEquivalent" : "<string>", // Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
    "priority" : "<code>", // routine | urgent | asap | stat
    "code" : [{ CodeableConcept }], // Code representing the meaning of the action or sub-actions

    "reason" : [{ CodeableConcept }], // Why the action should be performed
    "documentation" : [{ RelatedArtifact }], // Supporting documentation for the intended performer of the action
    "goalId" : ["<id>"], // What goals this action supports
    "
    "

    // subject[x]: Type of individual the action is focused on. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept },
    "subjectReference" : { Reference(Group) },
    "trigger" : [{ TriggerDefinition }], // When the action should be triggered
    "condition" : [{ // Whether or not the action is applicable

      "kind" : "<code>", // R!  applicability | start | stop
      "
      "
      "

      "expression" : { Expression } // Boolean-valued expression

    }],
    "input" : [{ DataRequirement }], // Input data requirements
    "output" : [{ DataRequirement }], // Output data definition
    "relatedAction" : [{ // Relationship to another action
      "actionId" : "<id>", // R!  What action is this related to
      "relationship" : "<code>", // R!  before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
      // offset[x]: Time offset for the relationship. One of these 2:
      "offsetDuration" : { Duration }
      "offsetRange" : { Range }
    }],
    

    // timing[x]: When the action should take place. One of these 6:
    "timingDateTime" : "<dateTime>",
    "timingAge" : { Age },

    "timingPeriod" : { Period },
    "timingDuration" : { Duration },
    "timingRange" : { Range },
    "timingTiming" : { Timing },
    "participant" : [{ // Who should participate in the action
      "
      "

      "type" : "<code>", // R!  patient | practitioner | related-person | device
      "role" : { CodeableConcept } // E.g. Nurse, Surgeon, Parent

    }],
    "

    "type" : { CodeableConcept }, // create | update | remove | fire-event

    "groupingBehavior" : "<code>", // visual-group | logical-group | sentence-group
    "selectionBehavior" : "<code>", // any | all | all-or-none | exactly-one | at-most-one | one-or-more
    "

    "requiredBehavior" : "<code>", // must | could | must-unless-documented

    "precheckBehavior" : "<code>", // yes | no
    "cardinalityBehavior" : "<code>", // single | multiple
    "
    "

    // definition[x]: Description of the activity to be performed. One of these 2:
    "definitionCanonical" : { canonical(ActivityDefinition|PlanDefinition|
    Questionnaire) },
    "definitionUri" : "<uri>",
    "transform" : { canonical(StructureMap) }, // Transform to apply the template

    "dynamicValue" : [{ // Dynamic aspects of the definition
      "
      "
      "
      "

      "path" : "<string>", // The path to the element to be set dynamically
      "expression" : { Expression } // An expression that provides the dynamic value for the customization

    }],
    "action" : [{ Content as for PlanDefinition.action }] // A sub-action
  }]
}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:PlanDefinition;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:

  fhir:PlanDefinition.url [ uri ]; # 0..1 Canonical identifier for this plan definition, represented as a URI (globally unique)

  fhir:PlanDefinition.identifier [ Identifier ], ... ; # 0..* Additional identifier for the plan definition
  fhir:PlanDefinition.version [ string ]; # 0..1 Business version of the plan definition
  fhir:PlanDefinition.name [ string ]; # 0..1 Name for this plan definition (computer friendly)
  fhir:PlanDefinition.title [ string ]; # 0..1 Name for this plan definition (human friendly)
  fhir:

  fhir:PlanDefinition.subtitle [ string ]; # 0..1 Subordinate title of the plan definition
  fhir:PlanDefinition.type [ CodeableConcept ]; # 0..1 order-set | clinical-protocol | eca-rule | workflow-definition

  fhir:PlanDefinition.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:
  fhir:
  fhir:

  fhir:PlanDefinition.experimental [ boolean ]; # 0..1 For testing purposes, not real usage
  # PlanDefinition.subject[x] : 0..1 Type of individual the plan definition is focused on. One of these 2
    fhir:PlanDefinition.subjectCodeableConcept [ CodeableConcept ]
    fhir:PlanDefinition.subjectReference [ Reference(Group) ]
  fhir:PlanDefinition.date [ dateTime ]; # 0..1 Date last changed
  fhir:PlanDefinition.publisher [ string ]; # 0..1 Name of the publisher (organization or individual)
  fhir:PlanDefinition.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher

  fhir:PlanDefinition.description [ markdown ]; # 0..1 Natural language description of the plan definition
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:

  fhir:PlanDefinition.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support

  fhir:PlanDefinition.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for plan definition (if applicable)
  fhir:
  fhir:
  fhir:

  fhir:PlanDefinition.purpose [ markdown ]; # 0..1 Why this plan definition is defined
  fhir:PlanDefinition.usage [ string ]; # 0..1 Describes the clinical usage of the plan

  fhir:PlanDefinition.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions
  fhir:
  fhir:

  fhir:PlanDefinition.approvalDate [ date ]; # 0..1 When the plan definition was approved by publisher
  fhir:PlanDefinition.lastReviewDate [ date ]; # 0..1 When the plan definition was last reviewed
  fhir:PlanDefinition.effectivePeriod [ Period ]; # 0..1 When the plan definition is expected to be used
  fhir:PlanDefinition.topic [ CodeableConcept ], ... ; # 0..* E.g. Education, Treatment, Assessment
  fhir:PlanDefinition.author [ ContactDetail ], ... ; # 0..* Who authored the content
  fhir:PlanDefinition.editor [ ContactDetail ], ... ; # 0..* Who edited the content
  fhir:PlanDefinition.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content
  fhir:PlanDefinition.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content
  fhir:PlanDefinition.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Additional documentation, citations
  fhir:PlanDefinition.library [ canonical(Library) ], ... ; # 0..* Logic used by the plan definition

  fhir:PlanDefinition.goal [ # 0..* What the plan is trying to accomplish
    fhir:

    fhir:PlanDefinition.goal.category [ CodeableConcept ]; # 0..1 E.g. Treatment, dietary, behavioral

    fhir:PlanDefinition.goal.description [ CodeableConcept ]; # 1..1 Code or text describing the goal
    fhir:PlanDefinition.goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority
    fhir:PlanDefinition.goal.start [ CodeableConcept ]; # 0..1 When goal pursuit begins
    fhir:PlanDefinition.goal.addresses [ CodeableConcept ], ... ; # 0..* What does the goal address
    fhir:PlanDefinition.goal.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the goal
    fhir:PlanDefinition.goal.target [ # 0..* Target outcome for the goal
      fhir:
      # . One of these 3
        fhir: ]
        fhir: ]
        fhir: ]

      fhir:PlanDefinition.goal.target.measure [ CodeableConcept ]; # 0..1 The parameter whose value is to be tracked
      # PlanDefinition.goal.target.detail[x] : 0..1 The target value to be achieved. One of these 3
        fhir:PlanDefinition.goal.target.detailQuantity [ Quantity ]
        fhir:PlanDefinition.goal.target.detailRange [ Range ]
        fhir:PlanDefinition.goal.target.detailCodeableConcept [ CodeableConcept ]

      fhir:PlanDefinition.goal.target.due [ Duration ]; # 0..1 Reach goal within
    ], ...;
  ], ...;
  fhir:
    fhir:

  fhir:PlanDefinition.action [ # 0..* Action defined by the plan
    fhir:PlanDefinition.action.prefix [ string ]; # 0..1 User-visible prefix for the action (e.g. 1. or A.)

    fhir:PlanDefinition.action.title [ string ]; # 0..1 User-visible title
    fhir:
    fhir:
    fhir:

    fhir:PlanDefinition.action.description [ string ]; # 0..1 Brief description of the action
    fhir:PlanDefinition.action.textEquivalent [ string ]; # 0..1 Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
    fhir:PlanDefinition.action.priority [ code ]; # 0..1 routine | urgent | asap | stat
    fhir:PlanDefinition.action.code [ CodeableConcept ], ... ; # 0..* Code representing the meaning of the action or sub-actions

    fhir:PlanDefinition.action.reason [ CodeableConcept ], ... ; # 0..* Why the action should be performed
    fhir:PlanDefinition.action.documentation [ RelatedArtifact ], ... ; # 0..* Supporting documentation for the intended performer of the action
    fhir:PlanDefinition.action.goalId [ id ], ... ; # 0..* What goals this action supports
    fhir:
    fhir:

    # PlanDefinition.action.subject[x] : 0..1 Type of individual the action is focused on. One of these 2
      fhir:PlanDefinition.action.subjectCodeableConcept [ CodeableConcept ]
      fhir:PlanDefinition.action.subjectReference [ Reference(Group) ]
    fhir:PlanDefinition.action.trigger [ TriggerDefinition ], ... ; # 0..* When the action should be triggered
    fhir:PlanDefinition.action.condition [ # 0..* Whether or not the action is applicable

      fhir:PlanDefinition.action.condition.kind [ code ]; # 1..1 applicability | start | stop
      fhir:
      fhir:
      fhir:

      fhir:PlanDefinition.action.condition.expression [ Expression ]; # 0..1 Boolean-valued expression

    ], ...;
    fhir:PlanDefinition.action.input [ DataRequirement ], ... ; # 0..* Input data requirements
    fhir:PlanDefinition.action.output [ DataRequirement ], ... ; # 0..* Output data definition
    fhir:PlanDefinition.action.relatedAction [ # 0..* Relationship to another action
      fhir:PlanDefinition.action.relatedAction.actionId [ id ]; # 1..1 What action is this related to
      fhir:PlanDefinition.action.relatedAction.relationship [ code ]; # 1..1 before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
      # PlanDefinition.action.relatedAction.offset[x] : 0..1 Time offset for the relationship. One of these 2
        fhir:PlanDefinition.action.relatedAction.offsetDuration [ Duration ]
        fhir:PlanDefinition.action.relatedAction.offsetRange [ Range ]
    ], ...;
    # . One of these 5

    # PlanDefinition.action.timing[x] : 0..1 When the action should take place. One of these 6

      fhir:PlanDefinition.action.timingDateTime [ dateTime ]
      fhir:PlanDefinition.action.timingAge [ Age ]

      fhir:PlanDefinition.action.timingPeriod [ Period ]
      fhir:PlanDefinition.action.timingDuration [ Duration ]
      fhir:PlanDefinition.action.timingRange [ Range ]
      fhir:PlanDefinition.action.timingTiming [ Timing ]
    fhir:PlanDefinition.action.participant [ # 0..* Who should participate in the action
      fhir:
      fhir:

      fhir:PlanDefinition.action.participant.type [ code ]; # 1..1 patient | practitioner | related-person | device
      fhir:PlanDefinition.action.participant.role [ CodeableConcept ]; # 0..1 E.g. Nurse, Surgeon, Parent

    ], ...;
    fhir:

    fhir:PlanDefinition.action.type [ CodeableConcept ]; # 0..1 create | update | remove | fire-event

    fhir:PlanDefinition.action.groupingBehavior [ code ]; # 0..1 visual-group | logical-group | sentence-group
    fhir:PlanDefinition.action.selectionBehavior [ code ]; # 0..1 any | all | all-or-none | exactly-one | at-most-one | one-or-more
    fhir:

    fhir:PlanDefinition.action.requiredBehavior [ code ]; # 0..1 must | could | must-unless-documented

    fhir:PlanDefinition.action.precheckBehavior [ code ]; # 0..1 yes | no
    fhir:PlanDefinition.action.cardinalityBehavior [ code ]; # 0..1 single | multiple
    fhir:
    fhir:

    # PlanDefinition.action.definition[x] : 0..1 Description of the activity to be performed. One of these 2
      fhir:PlanDefinition.action.definitionCanonical [ canonical(ActivityDefinition|PlanDefinition|Questionnaire) ]
      fhir:PlanDefinition.action.definitionUri [ uri ]
    fhir:PlanDefinition.action.transform [ canonical(StructureMap) ]; # 0..1 Transform to apply the template

    fhir:PlanDefinition.action.dynamicValue [ # 0..* Dynamic aspects of the definition
      fhir:
      fhir:
      fhir:
      fhir:

      fhir:PlanDefinition.action.dynamicValue.path [ string ]; # 0..1 The path to the element to be set dynamically
      fhir:PlanDefinition.action.dynamicValue.expression [ Expression ]; # 0..1 An expression that provides the dynamic value for the customization

    ], ...;
    fhir:PlanDefinition.action.action [ See PlanDefinition.action ], ... ; # 0..* A sub-action
  ], ...;
]

Changes since DSTU2 Release 3

PlanDefinition
PlanDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.1.0
PlanDefinition.action.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.1.0
PlanDefinition.action.condition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0
PlanDefinition.action.relatedAction.relationship
  • Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0
PlanDefinition.action.participant.type
  • Change value set from http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0
PlanDefinition.action.groupingBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0
PlanDefinition.action.selectionBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0
PlanDefinition.action.requiredBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0
PlanDefinition.action.precheckBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0
PlanDefinition.action.cardinalityBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0

This resource did not exist in Release 2 See the Full Difference for further information

This analysis is available as XML or JSON .

See R3 <--> R4 Conversion Maps (status = 11 tests of which 6 fail to execute . All tests pass round-trip testing and 5 r3 resources are invalid (0 errors). )

 

Alternate See the Profiles & Extensions and the alternate definitions: Master Definition ( XML , + JSON ), , XML Schema / Schematron (for ) + JSON Schema , ShEx (for Turtle ) + see the extensions , the spreadsheet version & the dependency analysis a

12.19.3.1 12.21.4.1 Terminology Bindings

Path Definition Type Reference
PlanDefinition.type The type of PlanDefinition PlanDefinition. Extensible PlanDefinitionType
PlanDefinition.status The lifecycle status of a Value Set or Concept Map. an artifact. Required PublicationStatus
PlanDefinition.subject[x]
PlanDefinition.action.subject[x] 		The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.). Extensible SubjectType
PlanDefinition.jurisdiction Countries and regions within which this artifact is targeted for use use. Extensible Jurisdiction ValueSet
PlanDefinition.topic High-level categorization of the definition, used for searching, sorting, and filtering filtering. Example DefinitionTopic
PlanDefinition.goal.category Example codes for grouping goals for filtering or presentation presentation. Example GoalCategory
PlanDefinition.goal.description Describes goals that can be achieved achieved. Example SNOMED CT Clinical Findings SNOMEDCTClinicalFindings
PlanDefinition.goal.priority Indicates the level of importance associated with reaching or sustaining a goal goal. Preferred GoalPriority
PlanDefinition.goal.start Identifies the types of events that might trigger the start of a goal goal. Example GoalStartEvent
PlanDefinition.goal.addresses Identifies problems, conditions, issues, or concerns that goals may address address. Example Condition/Problem/Diagnosis Codes Condition/Problem/DiagnosisCodes
PlanDefinition.goal.target.measure Identifies types of parameters that can be tracked to determine goal achievement achievement. Example LOINC Codes LOINCCodes
PlanDefinition.action.priority Identifies the level of importance to be assigned to actioning the request. Required RequestPriority
PlanDefinition.action.condition.kind Defines the kinds of conditions that can appear on actions actions. Required ActionConditionKind
PlanDefinition.action.relatedAction.relationship Defines the types of relationships between actions actions. Required ActionRelationshipType
PlanDefinition.action.participant.type The type of participant for the action action. Required ActionParticipantType
PlanDefinition.action.participant.role Defines roles played by participants for the action action. Example ActionParticipantRole
PlanDefinition.action.type The type of action to be performed performed. Required Extensible ActionType
PlanDefinition.action.groupingBehavior Defines organization behavior of a group group. Required ActionGroupingBehavior
PlanDefinition.action.selectionBehavior Defines selection behavior of a group group. Required ActionSelectionBehavior
PlanDefinition.action.requiredBehavior Defines requiredness behavior for selecting expectations around whether an action or an action group is required. Required ActionRequiredBehavior
PlanDefinition.action.precheckBehavior Defines selection frequency behavior for an action or group group. Required ActionPrecheckBehavior
PlanDefinition.action.cardinalityBehavior Defines behavior for an action or a group for how many times that item may be repeated repeated. Required ActionCardinalityBehavior

12.21.4.2 Constraints

id Level Location Description Expression
pdf-0 Warning (base) Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

12.21.4.3 Applying a PlanDefinition

The following diagram illustrates the relationship between the PlanDefinition and ActivityDefinition resources, as well as a typical application to CarePlan, RequestGroup, and Request resources. The resources depicted on the left side of the arrow are definition resources, while the ones on the right side of the arrow are request resources, with the arrow representing the $apply operation:

relationship-between-action-and-activity-definition

The PlanDefinition and ActivityDefinition resources support the representation of a broad range of use cases including order sets, flow sheets, event-condition-action rules, clinical protocols, and research trials. To support this range of use cases, as well as the variability in capabilities of systems that use these types of artifacts, this specification is not prescriptive about exactly how these definitions are applied to produce request and event resources. However, the approach depicted above provides a general framework for the process, and the following steps provide more detail on the potential approach:

  1. Create a CarePlan resource focused on the Patient in context and linked to the PlanDefinition using the instantiates element
  2. Create goal elements in the CarePlan based on the goal definitions in the plan
  3. Create a RequestGroup resource focused on the Patient in context and linked to the PlanDefinition using the instantiatesCanonical element
  4. Create an activity in the CarePlan to reference the RequestGroup
  5. Process each action element of the PlanDefinition

Processing for each action proceeds according to the following steps:

  1. Determine applicability by evaluating the applicability conditions defined for the element
  2. If the action is applicable, determine whether the action is a group or a single, atomic activity (does the action have child actions?)
  3. If the action is atomic, process according to the following steps:
    • Create an action element in the RequestGroup with the same id as the action being processed
    • Apply the elements of the action to the corresponding elements of the newly created action in the RequestGroup such as title , description , textEquivalent , timing , and so on
    • Carry any start and stop conditions defined in the plan action forward to the request group action.
    • There are three possibilities for the definition element:
      • ActivityDefinition:
        1. Create the target resource as described in the Applying an ActivityDefinition topic
        2. Reference the resulting resource in the resource element of the action. Note that the target resource can be set as a contained resource in the RequestGroup, or it can be persisted independently, as appropriate for the environment
        3. Set the status of the target resource to option so that it is clearly indicated as part of a RequestGroup. Note that the ActivityDefinition/$apply operation will not necessarily produce resource with this status, so this is an important step.
        4. Apply any overrides based on the elements of the action (see the section on Overlap below for details)
      • PlanDefinition:
        1. Create a CarePlan by applying the target PlanDefinition
        2. Reference the resulting resource in the resource element of the action. Note that the resulting CarePlan can be set as a contained resource in the RequestGroup, but doing so would require expanding any potentially contained resources.
        3. Set the status of the CarePlan to option so that it is clearly indicated as part of a RequestGroup.
        4. Apply any overrides based on the elements of the action such as title , description , and dynamicValue .
      • Questionnaire: Set the resource element of the action to the Questionnaire, indicating that the activity to be performed is filling out the given questionnaire.
  4. If the action is a group, determine which actions to process based on the behaviors specified in the group. Note that this aspect of the process may require input from a user. In these cases, either the choices made by the user can be provided as input to the process, or the process can be performed as part of a user-entry workflow that enables user input to be provided as necessary.

The parameters to the $apply operation are available within dynamicValue CQL and FHIRPath expressions as context variables, accessible by the name of the parameter prefixed with a percent (%) symbol. For example, to access the subject given to the apply, use the expression %subject . The value of the %subject context variable in a dynamicValue expression is determined using the current subject , as specified by the subject element on the PlanDefinition, current PlanDefinition.action, or ActivityDefinition.

In addition to the $apply operation parameters, the context variable %action can be used within the path element of a dynamicValue to specify the current action target. For example, to specify the path to the description element of the current action, use %action.description .

12.21.4.4 Overlap with ActivityDefinition

As noted in the Boundaries section, there is some overlap between the content that can be represented within the action element of a PlanDefinition, and the elements of the ActivityDefinition resource. This overlap allows for both resources to be used independently, as well as in combination. For example, a PlanDefinition may be used without any supporting ActivityDefinitions to describe a particular workflow, where it is sufficient to describe the actions simply as textual descriptions of what needs to take place. On the other hand, the PlanDefinition may be used together with ActivityDefinition to provide a detailed structural representation of the activities to be performed.

In general, where there is overlap, the elements from the PlanDefinition provide overriding behavior. Specifically, the following elements of action overlap with ActivityDefinition:

Element Behavior
title The title element in ActivityDefinition is the title of the activity "as defined", where the title element in PlanDefinition reflects the title in the scope of the plan.
description The description element in ActivityDefinition is the description of the activity "as defined", where the description element in PlanDefinition reflects the description in the scope of the plan.
code The code element in ActivityDefinition represents the meaning of the activity "as defined", where the code element in PlanDefinition represents the meaning in the scope of the plan.
documentation The documentation element in PlanDefinition represents additional documentation for the action specific to the scope of the plan, where the relatedArtifact element in ActivityDefinition provides documentation specific to the activity itself.
timing The timing element in ActivityDefinition represents timings associated within the activity itself, where the timing element in PlanDefinition represents the timing of the activity with respect to the plan and its other actions. When a timing is provided on both, the timing defined in the plan generally takes precedence.
participant The participant element in ActivityDefinition represents what type of actor is expected to perform the activity generally, where the participant element in PlanDefinition represents the type of actor that is expected to perform the activity in the context of the plan.
transform The transform element in ActivityDefinition describes the transformation of the definition to a request or event resource in general, where the transform element in PlanDefinition describes the transformation within the scope of the plan. When a transform is present in both, the transform in the plan takes precedence.
dynamicValue The dynamicValue element in ActivityDefinition defines values for elements of the target request or event resource in general, where the dynamicValue element in PlanDefinition defines values within the scope of the plan. When dynamic values are present in both, the dynamic values from the ActivityDefinition are applied first (in the order in which they appear on the ActivityDefinition), followed by the dynamic values from the PlanDefinition (in the order in which they appear on the PlanDefinition).

12.19.4 12.21.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
composed-of reference What resource is being referenced PlanDefinition.relatedArtifact.where(type='composed-of').resource
(Any)
context token A use context assigned to the plan definition (PlanDefinition.useContext.value as CodeableConcept)
context-quantity quantity A quantity- or range-valued use context assigned to the plan definition (PlanDefinition.useContext.value as Quantity) | (PlanDefinition.useContext.value as Range)
context-type token A type of use context assigned to the plan definition PlanDefinition.useContext.code
context-type-quantity composite A use context type and quantity- or range-based value assigned to the plan definition On PlanDefinition.useContext:
  context-type: code
  context-quantity: value.as(Quantity) | value.as(Range)
context-type-value composite A use context type and value assigned to the plan definition On PlanDefinition.useContext:
  context-type: code
  context: value.as(CodeableConcept)
date date The plan definition publication date PlanDefinition.date
definition reference Activity or plan definitions used by plan definition PlanDefinition.action.definition
( Questionnaire , PlanDefinition , ActivityDefinition )
depends-on reference What resource is being referenced PlanDefinition.relatedArtifact.where(type='depends-on').resource | PlanDefinition.library
( Library , Any)
derived-from reference What resource is being referenced PlanDefinition.relatedArtifact.where(type='derived-from').resource
(Any)
description string The description of the plan definition PlanDefinition.description
effective date The time during which the plan definition is intended to be in use PlanDefinition.effectivePeriod
identifier token External identifier for the plan definition PlanDefinition.identifier
jurisdiction token Intended jurisdiction for the plan definition PlanDefinition.jurisdiction
name string Computationally friendly name of the plan definition PlanDefinition.name
predecessor reference What resource is being referenced PlanDefinition.relatedArtifact.where(type='predecessor').resource
(Any)
publisher string Name of the publisher of the plan definition PlanDefinition.publisher
status token The current status of the plan definition PlanDefinition.status
successor reference What resource is being referenced PlanDefinition.relatedArtifact.where(type='successor').resource
(Any)
title string The human-friendly name of the plan definition PlanDefinition.title
topic token Topics associated with the module PlanDefinition.topic
type token The type of artifact the plan (e.g. order-set, eca-rule, protocol) PlanDefinition.type
url uri The uri that identifies the plan definition PlanDefinition.url
version token The business version of the plan definition PlanDefinition.version