{
  "description": "An example MedMorph PlanDefinition",
  "_filename": "example/PlanDefinition-medmorph-plandefinition-example.json",
  "package_name": "hl7.fhir.us.medmorph",
  "date": "2020-07-31T12:32:29.858-05:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-plandefinition", "http://hl7.org/fhir/us/medmorph/StructureDefinition/medmorph-plandefinition" ]
  },
  "publisher": "HL7 International - Public Health Work Group",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "MedMorphPlanDefinitionExample",
  "type": "{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/plan-definition-type\\\", :code \\\"workflow-definition\\\", :display \\\"Workflow Definition\\\"}]}",
  "experimental": "true",
  "resourceType": "PlanDefinition",
  "title": "MedMorph PlanDefinition Example",
  "package_version": "1.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-receiver-jwks-url",
    "valueUrl": "http://example.org/jwks/123"
  }, {
    "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-data-encryption-algorithm",
    "valueCode": "RSA384"
  } ],
  "status": "active",
  "id": "2a70af4b-4562-444f-ba03-96fa15a33758",
  "kind": null,
  "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/medmorph-plandefinition-example",
  "action": [ {
    "id": "start-workflow",
    "code": [ {
      "coding": [ {
        "code": "initiate-reporting-workflow",
        "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions",
        "display": "Initiate a reporting workflow"
      } ]
    } ],
    "input": [ {
      "id": "patient",
      "type": "Patient",
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
        "valueString": "Patient/{{context.patientId}}"
      } ]
    }, {
      "id": "encounter",
      "type": "Encounter",
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
        "valueString": "Encounter/{{context.encounterId}}"
      } ]
    } ],
    "trigger": [ {
      "id": "encounter-start",
      "name": "encounter-start",
      "type": "named-event",
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-named-eventtype",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "encounter-start",
            "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents",
            "display": "Indicates the start of an encounter"
          } ]
        }
      } ]
    } ],
    "description": "This action represents the start of the reporting workflow in response to the encounter-start event. Other named events can be used instead of encounter-start.",
    "relatedAction": [ {
      "actionId": "check-reportability",
      "relationship": "before-start",
      "offsetDuration": {
        "code": "s",
        "value": 60,
        "system": "http://unitsofmeasure.org"
      }
    } ],
    "textEquivalent": "Start the reporting workflow in response to an encounter-start event"
  }, {
    "id": "check-reportability",
    "code": [ {
      "coding": [ {
        "code": "execute-reporting-workflow",
        "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"
      } ]
    } ],
    "action": [ {
      "id": "is-encounter-reportable",
      "code": [ {
        "coding": [ {
          "code": "check-trigger-codes",
          "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"
        } ]
      } ],
      "input": [ {
        "id": "conditions",
        "type": "Condition",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "Condition?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "encounters",
        "type": "Encounter",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
          "valueString": "encounter"
        } ],
        "codeFilter": [ {
          "path": "reasonCode",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "immunizations",
        "type": "Immunization",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "Immunization?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "vaccineCode",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "labOrders",
        "type": "ServiceRequest",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "ServiceRequest?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "labTests",
        "type": "Observation",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "Observation?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "diagnosticOrders",
        "type": "DiagnosticReport",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "DiagnosticReport?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "procedureOrders",
        "type": "ServiceRequest",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "ServiceRequest?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "procedures",
        "type": "Procedure",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "Procedure?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "medicationOrders",
        "type": "MedicationRequest",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "MedicationRequest?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "medication",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "medicationDispenses",
        "type": "MedicationDispense",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "MedicationDispense?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "medication",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "medicationAdministrations",
        "type": "MedicationAdministration",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension",
          "valueString": "MedicationAdministration?patient=Patient/{{context.patientId}}"
        } ],
        "codeFilter": [ {
          "path": "medication",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "labResults",
        "type": "Observation",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
          "valueString": "labTests"
        } ],
        "codeFilter": [ {
          "path": "value",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      }, {
        "id": "diagnosticResults",
        "type": "DiagnosticReport",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
          "valueString": "diagnosticOrders"
        } ],
        "codeFilter": [ {
          "path": "code",
          "valueSet": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
        } ]
      } ],
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/fhirpath",
          "expression": "%encounter.where(%encounterStartDate + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists())"
        }
      } ],
      "description": "This action represents the check for reportability to create the Report.",
      "relatedAction": [ {
        "actionId": "create-report",
        "relationship": "before-start"
      } ],
      "textEquivalent": "Check Trigger Codes based on Value sets."
    } ],
    "description": "This action represents the start of the check for reportable conditions in response to the encounter-start event. This is an example of executing a reporting workflow with other actions.",
    "textEquivalent": "Check Reportability and setup jobs for future reportability checks."
  }, {
    "id": "create-report",
    "code": [ {
      "coding": [ {
        "code": "create-report",
        "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"
      } ]
    } ],
    "input": [ {
      "id": "patientdata",
      "type": "Patient",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "patient"
      } ]
    }, {
      "id": "conditiondata",
      "type": "Condition",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "conditions"
      } ]
    }, {
      "id": "encounterdata",
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "encounter"
      } ]
    }, {
      "id": "mrdata",
      "type": "MedicationRequest",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "medicationOrders"
      } ]
    }, {
      "id": "immzdata",
      "type": "Immunization",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "immunizations"
      } ]
    }, {
      "id": "procdata",
      "type": "Procedure",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "procedures"
      } ]
    }, {
      "id": "labResultdata",
      "type": "Observation",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "labResults"
      } ]
    }, {
      "id": "labOrderdata",
      "type": "ServiceRequest",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "labOrders"
      } ]
    }, {
      "id": "diagnosticResultdata",
      "type": "DiagnosticReport",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "diagnosticResults"
      } ]
    }, {
      "id": "diagnosticOrderdata",
      "type": "DiagnosticReport",
      "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "diagnosticOrders"
      } ]
    } ],
    "action": [ {
      "id": "anonymize-report",
      "code": [ {
        "coding": [ {
          "code": "anonymize-report",
          "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"
        } ]
      } ],
      "input": [ {
        "id": "report-to-be-anonymized",
        "type": "Bundle",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
          "valueString": "output-report"
        } ]
      } ],
      "output": [ {
        "id": "anonymized-report",
        "type": "Bundle",
        "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-trust-service-endpoint",
        "valueReference": {
          "reference": "Endpoint/example-ph-endpoint"
        }
      } ],
      "description": "This action is used to anonymize a identifiable report",
      "textEquivalent": "Anonymize the report."
    } ],
    "output": [ {
      "id": "output-report",
      "type": "Bundle",
      "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle" ]
    } ],
    "description": "This action represents the creation of the Report. It subsequently calls validate.",
    "relatedAction": [ {
      "actionId": "validate-report",
      "relationship": "before-start"
    } ],
    "textEquivalent": "Create Report"
  }, {
    "id": "validate-report",
    "code": [ {
      "coding": [ {
        "code": "validate-report",
        "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"
      } ]
    } ],
    "input": [ {
      "id": "generated-report",
      "type": "Bundle",
      "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "output-report"
      } ]
    } ],
    "output": [ {
      "id": "valid-report",
      "type": "Bundle",
      "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle" ]
    } ],
    "description": "This action represents the validation of the Report. It subsequently calls route-and-send.",
    "relatedAction": [ {
      "actionId": "route-and-send-report",
      "relationship": "before-start"
    } ],
    "textEquivalent": "Validate Report"
  }, {
    "id": "route-and-send-report",
    "code": [ {
      "coding": [ {
        "code": "submit-report",
        "system": "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"
      } ]
    } ],
    "input": [ {
      "id": "validated-report",
      "type": "Bundle",
      "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle" ],
      "extension": [ {
        "url": "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-relateddata-extension",
        "valueString": "valid-report"
      } ]
    } ],
    "output": [ {
      "id": "submitted-report",
      "type": "Bundle",
      "profile": [ "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle" ]
    } ],
    "description": "This action represents the routing and sending of the Report.",
    "textEquivalent": "Route and send Report"
  } ],
  "version": "1.0.0",
  "relatedArtifact": [ {
    "type": "depends-on",
    "label": "Value Set Library of Trigger Codes",
    "resource": "http://hl7.org/fhir/us/medmorph/ValueSet/valueset-cancer-trigger-codes-example"
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/Special/committees/pher",
      "system": "url"
    } ]
  } ],
  "effectivePeriod": {
    "start": "2020-12-01"
  }
}