description: Definition of an activity that is part of an intervention in the context of a clinical practice guideline recommendation.
package_name: de.netzwerk
derivation: constraint
name: RecommendationPlan
type: PlanDefinition
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      source: {mustSupport: true, index: 1}
      profile: {mustSupport: true, index: 2}
    required: [profile]
  extension:
    array: true
    min: 3
    index: 3
    slicing:
      slices:
        knowledgeCapability:
          match: {}
          schema:
            _required: true
            index: 4
            extensions: {}
            elements:
              extension: {index: 5}
              value:
                pattern: {type: Code, value: computable}
                choices: []
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            required: [value]
        knowledgeRepresentationLevel:
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          schema:
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            extensions: {}
            elements:
              extension: {index: 9}
              value:
                pattern: {type: Code, value: structured}
                choices: []
                index: 11
            required: [value]
        partOf:
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          schema:
            _required: true
            index: 12
            extensions: {}
            elements:
              extension: {index: 13}
              value:
                mustSupport: true
                choices: [valueCanonical]
                index: 15
              valueCanonical: {type: canonical, mustSupport: true, choiceOf: value, index: 16}
            required: [valueCanonical, value]
  name: {index: 17}
  subject:
    choices: [subjectCanonical]
    index: 19
  subjectCanonical: {type: canonical, choiceOf: subject, index: 20}
  date: {index: 21}
  goal:
    mustSupport: true
    index: 22
    elements:
      id: {mustSupport: true, index: 23}
      category:
        mustSupport: true
        index: 24
        elements:
          coding:
            index: 25
            elements:
              system: {index: 26}
              code: {index: 27}
            required: [system, code]
        required: [coding]
    required: [id, category]
    slicing:
      rules: closed
      discriminator:
      - {path: category, type: pattern}
      min: null
      slices:
        ventilatorManagement:
          match:
            category:
              coding:
              - {code: '385857005', system: 'http://snomed.info/sct', display: Ventilator care and adjustment (regime/therapy)}
          schema:
            array: true
            index: 28
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '385857005', system: 'http://snomed.info/sct', display: Ventilator care and adjustment (regime/therapy)}
                index: 29
              target:
                index: 30
                elements:
                  measure:
                    binding: {strength: extensible, valueSet: 'https://medizininformatik-initiative.de/fhir/ext/modul-icu/ValueSet/Code-Observation-Beatmung-LOINC'}
                    mustSupport: true
                    index: 31
                  detail:
                    mustSupport: true
                    choices: []
                    index: 33
                required: [measure, detail]
            required: [target]
        laboratoryValue:
          match:
            category:
              coding:
              - {code: '410394004', system: 'http://snomed.info/sct', display: Lab findings surveillance (regime/therapy)}
          schema:
            array: true
            index: 34
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '410394004', system: 'http://snomed.info/sct', display: Lab findings surveillance (regime/therapy)}
                index: 35
              target:
                index: 36
                elements:
                  measure:
                    mustSupport: true
                    index: 37
                    elements:
                      coding:
                        pattern:
                          type: Coding
                          value: {system: 'http://loinc.org'}
                        index: 38
                        elements:
                          system: {mustSupport: true, index: 39}
                          code: {mustSupport: true, index: 40}
                        required: [system, code]
                  detail:
                    mustSupport: true
                    choices: []
                    index: 42
                required: [measure, detail]
            required: [target]
        assessmentScale:
          match:
            category:
              coding:
              - {code: '273249006', system: 'http://snomed.info/sct', display: Assessment scales (assessment scale)}
          schema:
            array: true
            index: 43
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '273249006', system: 'http://snomed.info/sct', display: Assessment scales (assessment scale)}
                index: 44
              target:
                index: 45
                elements:
                  measure:
                    binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-assessment-scales'}
                    mustSupport: true
                    index: 46
                  detail:
                    mustSupport: true
                    choices: []
                    index: 48
                required: [measure, detail]
            required: [target]
  action:
    index: 49
    elements:
      code:
        index: 50
        elements:
          coding:
            index: 51
            elements:
              system: {index: 52}
              code: {index: 53}
            required: [system, code]
        required: [coding]
      goalId:
        constraint:
          goal-must-be-linked: {human: The goal linked by goalId is not defined, source: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan', severity: error, expression: $this in %resource.goal.id}
        index: 54
      selectionBehavior:
        binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-action-selection-behavior-required'}
        index: 55
      definition:
        choices: [definitionCanonical]
        index: 57
      definitionCanonical: {type: canonical, choiceOf: definition, index: 58}
    required: [code]
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        drugAdministration:
          match:
            code:
              coding:
              - {code: '432102000', system: 'http://snomed.info/sct', display: Administration of substance (procedure)}
          schema:
            array: true
            index: 59
            extensions:
              strengthOfRecommendation: {url: null, index: 60}
              directionOfRecommendation: {url: null, index: 61}
              qualityOfEvidence: {url: null, index: 62}
            elements:
              extension:
                index: 60
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 60}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 61}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 62}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '432102000', system: 'http://snomed.info/sct', display: Administration of substance (procedure)}
                index: 63
              definition:
                choices: [definitionCanonical]
                index: 65
              definitionCanonical: {type: canonical, choiceOf: definition, index: 66}
        ventilatorManagement:
          match:
            code:
              coding:
              - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
          schema:
            array: true
            index: 67
            extensions:
              strengthOfRecommendation: {url: null, index: 68}
              directionOfRecommendation: {url: null, index: 69}
              qualityOfEvidence: {url: null, index: 70}
            elements:
              extension:
                index: 68
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 68}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 69}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 70}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
                index: 71
              goalId: {mustSupport: true, index: 72}
            required: [goalId]
        bodyPositioning:
          match:
            code:
              coding:
              - {code: '229824005', system: 'http://snomed.info/sct', display: Positioning patient (procedure)}
          schema:
            array: true
            index: 73
            extensions:
              strengthOfRecommendation: {url: null, index: 74}
              directionOfRecommendation: {url: null, index: 75}
              qualityOfEvidence: {url: null, index: 76}
            elements:
              extension:
                index: 74
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 74}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 75}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 76}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '229824005', system: 'http://snomed.info/sct', display: Positioning patient (procedure)}
                index: 77
              definition:
                choices: [definitionCanonical]
                index: 79
              definitionCanonical: {type: canonical, choiceOf: definition, index: 80}
        sedationManagement:
          match:
            code:
              coding:
              - {code: '406187008', system: 'http://snomed.info/sct', display: Sedation management (regime/therapy)}
          schema:
            array: true
            index: 81
            extensions:
              strengthOfRecommendation: {url: null, index: 82}
              directionOfRecommendation: {url: null, index: 83}
              qualityOfEvidence: {url: null, index: 84}
            elements:
              extension:
                index: 82
                slicing:
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                    strengthOfRecommendation:
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                      schema: {index: 82}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 83}
                    qualityOfEvidence:
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                      schema: {index: 84}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '406187008', system: 'http://snomed.info/sct', display: Sedation management (regime/therapy)}
                index: 85
              goalId: {mustSupport: true, index: 86}
            required: [goalId]
        painManagement:
          match:
            code:
              coding:
              - {code: '278414003', system: 'http://snomed.info/sct', display: Pain management (procedure)}
          schema:
            array: true
            index: 87
            extensions:
              strengthOfRecommendation: {url: null, index: 88}
              directionOfRecommendation: {url: null, index: 89}
              qualityOfEvidence: {url: null, index: 90}
            elements:
              extension:
                index: 88
                slicing:
                  slices:
                    strengthOfRecommendation:
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                    directionOfRecommendation:
                      match: {}
                      schema: {index: 89}
                    qualityOfEvidence:
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                      schema: {index: 90}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '278414003', system: 'http://snomed.info/sct', display: Pain management (procedure)}
                index: 91
              goalId: {mustSupport: true, index: 92}
            required: [goalId]
        assessment:
          match:
            code:
              coding:
              - {code: '386053000', system: 'http://snomed.info/sct', display: Evaluation procedure (procedure)}
          schema:
            array: true
            index: 93
            extensions:
              strengthOfRecommendation: {url: null, index: 94}
              directionOfRecommendation: {url: null, index: 95}
              qualityOfEvidence: {url: null, index: 96}
            elements:
              extension:
                index: 94
                slicing:
                  slices:
                    strengthOfRecommendation:
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                      schema: {index: 94}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 95}
                    qualityOfEvidence:
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                      schema: {index: 96}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '386053000', system: 'http://snomed.info/sct', display: Evaluation procedure (procedure)}
                index: 97
              definition:
                choices: [definitionCanonical]
                index: 99
              definitionCanonical: {type: canonical, choiceOf: definition, index: 100}
package_version: universitaetsmedizin.ebm-cpg-0.7.1-snapshot
extensions:
  knowledgeCapability:
    url: null
    _required: true
    index: 4
    extensions: {}
    elements:
      extension: {index: 5}
      value:
        pattern: {type: Code, value: computable}
        choices: []
        index: 7
    required: [value]
  knowledgeRepresentationLevel:
    url: null
    _required: true
    index: 8
    extensions: {}
    elements:
      extension: {index: 9}
      value:
        pattern: {type: Code, value: structured}
        choices: []
        index: 11
    required: [value]
  partOf:
    url: null
    _required: true
    index: 12
    extensions: {}
    elements:
      extension: {index: 13}
      value:
        mustSupport: true
        choices: [valueCanonical]
        index: 15
      valueCanonical: {type: canonical, mustSupport: true, choiceOf: value, index: 16}
    required: [valueCanonical, value]
class: profile
kind: resource
url: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan
base: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/cpg-recommendationdefinition
version: 0.3.0
required: [name, subject, meta, date, subjectCanonical]