PackagesCanonicalsLogsProblems
    Packages
    de.netzwerk-universitaetsmedizin.ebm-cpg@0.10.0
    https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan
description: Definition of an activity that is part of an intervention in the context of a clinical practice guideline recommendation.
package_name: de.netzwerk-universitaetsmedizin.ebm-cpg
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: 4
    index: 3
    slicing:
      slices:
        knowledgeCapability:
          match: {}
          schema:
            _required: true
            index: 4
            extensions: {}
            elements:
              extension: {index: 5}
              value:
                pattern: {type: Code, value: computable}
                choices: []
                index: 7
            required: [value]
        knowledgeRepresentationLevel:
          match: {}
          schema:
            _required: true
            index: 8
            extensions: {}
            elements:
              extension: {index: 9}
              value:
                pattern: {type: Code, value: structured}
                choices: []
                index: 11
            required: [value]
        partOf:
          match: {}
          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]
        combinationMethod:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method', index: 17}
          min: 1
          max: 1
  name: {index: 18}
  subject:
    choices: [subjectCanonical]
    index: 20
  subjectCanonical: {type: canonical, choiceOf: subject, index: 21}
  date: {index: 22}
  goal:
    mustSupport: true
    index: 23
    elements:
      id: {mustSupport: true, index: 24}
      category:
        mustSupport: true
        index: 25
        elements:
          coding:
            index: 26
            elements:
              system: {index: 27}
              code: {index: 28}
            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: 29
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '385857005', system: 'http://snomed.info/sct', display: Ventilator care and adjustment (regime/therapy)}
                index: 30
              target:
                index: 31
                elements:
                  measure:
                    binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/ValueSet/Code-Observation-Beatmung-LOINC'}
                    mustSupport: true
                    index: 32
                  detail:
                    mustSupport: true
                    choices: []
                    index: 34
                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: 35
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '410394004', system: 'http://snomed.info/sct', display: Lab findings surveillance (regime/therapy)}
                index: 36
              target:
                index: 37
                elements:
                  measure:
                    mustSupport: true
                    index: 38
                    elements:
                      coding:
                        pattern:
                          type: Coding
                          value: {system: 'http://loinc.org'}
                        index: 39
                        elements:
                          system: {mustSupport: true, index: 40}
                          code: {mustSupport: true, index: 41}
                        required: [system, code]
                  detail:
                    mustSupport: true
                    choices: []
                    index: 43
                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: 44
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '273249006', system: 'http://snomed.info/sct', display: Assessment scales (assessment scale)}
                index: 45
              target:
                index: 46
                elements:
                  measure:
                    binding: {strength: extensible, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-assessment-scales'}
                    mustSupport: true
                    index: 47
                  detail:
                    mustSupport: true
                    choices: []
                    index: 49
                required: [measure, detail]
            required: [target]
        other:
          match:
            category:
              coding:
              - {code: '74964007', system: 'http://snomed.info/sct', display: Other (qualifier value)}
          schema:
            array: true
            index: 50
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '74964007', system: 'http://snomed.info/sct', display: Other (qualifier value)}
                index: 51
              target:
                index: 52
                elements:
                  measure: {mustSupport: true, index: 53}
                  detail:
                    mustSupport: true
                    choices: []
                    index: 55
                required: [measure, detail]
            required: [target]
  action:
    index: 56
    extensions:
      timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 57}
    elements:
      extension:
        type: Extension
        url: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time
        index: 57
        slicing:
          slices:
            timingRelativeTime:
              match: {}
              schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 57}
              min: 0
      code:
        index: 58
        elements:
          coding:
            index: 59
            elements:
              system: {index: 60}
              code: {index: 61}
            required: [system, code]
        required: [coding]
    required: [code]
    slicing:
      rules: closed
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        sedationManagement:
          match:
            code:
              coding:
              - {code: '406187008', system: 'http://snomed.info/sct', display: Sedation management (regime/therapy)}
          schema:
            array: true
            index: 165
            extensions:
              strengthOfRecommendation: {url: null, index: 166}
              directionOfRecommendation: {url: null, index: 167}
              qualityOfEvidence: {url: null, index: 168}
              timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 169}
            elements:
              extension:
                index: 166
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 166}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 167}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 168}
                    timingRelativeTime:
                      match: {}
                      schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 169}
                      min: 0
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '406187008', system: 'http://snomed.info/sct', display: Sedation management (regime/therapy)}
                index: 170
              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}
                mustSupport: true
                index: 171
              definition:
                choices: [definitionCanonical]
                index: 173
              definitionCanonical: {type: canonical, choiceOf: definition, index: 174}
            required: [goalId]
        other:
          match:
            code:
              coding:
              - {code: '74964007', system: 'http://snomed.info/sct', display: Other (qualifier value)}
          schema:
            array: true
            index: 204
            extensions:
              strengthOfRecommendation: {url: null, index: 205}
              directionOfRecommendation: {url: null, index: 206}
              qualityOfEvidence: {url: null, index: 207}
              timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 208}
            elements:
              extension:
                index: 205
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 205}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 206}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 207}
                    timingRelativeTime:
                      match: {}
                      schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 208}
                      min: 0
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '74964007', system: 'http://snomed.info/sct', display: Other (qualifier value)}
                index: 209
              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: 210
              definition:
                choices: [definitionCanonical]
                index: 212
              definitionCanonical: {type: canonical, choiceOf: definition, index: 213}
        procedure:
          match:
            code:
              coding:
              - {code: '71388002', system: 'http://snomed.info/sct', display: Procedure (procedure)}
          schema:
            array: true
            index: 195
            extensions:
              strengthOfRecommendation: {url: null, index: 196}
              directionOfRecommendation: {url: null, index: 197}
              qualityOfEvidence: {url: null, index: 198}
              timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 199}
            elements:
              extension:
                index: 196
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 196}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 197}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 198}
                    timingRelativeTime:
                      match: {}
                      schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 199}
                      min: 0
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '71388002', system: 'http://snomed.info/sct', display: Procedure (procedure)}
                index: 200
              definition:
                choices: [definitionCanonical]
                index: 202
              definitionCanonical: {type: canonical, choiceOf: definition, index: 203}
        ventilatorManagement:
          match:
            code:
              coding:
              - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
          schema:
            array: true
            index: 145
            extensions:
              strengthOfRecommendation: {url: null, index: 146}
              directionOfRecommendation: {url: null, index: 147}
              qualityOfEvidence: {url: null, index: 148}
              timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 149}
            elements:
              extension:
                index: 146
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 146}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 147}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 148}
                    timingRelativeTime:
                      match: {}
                      schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 149}
                      min: 0
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
                index: 150
              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}
                mustSupport: true
                index: 151
              definition:
                choices: [definitionCanonical]
                index: 153
              definitionCanonical: {type: canonical, choiceOf: definition, index: 154}
            required: [goalId]
        assessment:
          match:
            code:
              coding:
              - {code: '386053000', system: 'http://snomed.info/sct', display: Evaluation procedure (procedure)}
          schema:
            array: true
            index: 185
            extensions:
              strengthOfRecommendation: {url: null, index: 186}
              directionOfRecommendation: {url: null, index: 187}
              qualityOfEvidence: {url: null, index: 188}
              timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 189}
            elements:
              extension:
                index: 186
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 186}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 187}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 188}
                    timingRelativeTime:
                      match: {}
                      schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 189}
                      min: 0
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '386053000', system: 'http://snomed.info/sct', display: Evaluation procedure (procedure)}
                index: 190
              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: 191
              definition:
                choices: [definitionCanonical]
                index: 193
              definitionCanonical: {type: canonical, choiceOf: definition, index: 194}
        combination:
          match:
            code:
              coding:
              - {code: '89780004', system: 'http://snomed.info/sct', display: Combined (qualifier value)}
          schema:
            constraint:
              nested-action-requires-combination-method: {human: 'If a nested action is present, a combination method must be present.', source: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan', severity: error, expression: 'action.exists() implies extension(''https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method'').exists()'}
            array: true
            index: 62
            extensions:
              strengthOfRecommendation: {url: null, index: 64}
              directionOfRecommendation: {url: null, index: 65}
              qualityOfEvidence: {url: null, index: 66}
              timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 67}
              combinationMethod: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method', min: 1, max: 1, type: Extension, mustSupport: true, index: 68}
            elements:
              extension:
                index: 63
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 64}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 65}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 66}
                    timingRelativeTime:
                      match: {}
                      schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 67}
                      min: 0
                    combinationMethod:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method', index: 68}
                      min: 1
                      max: 1
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '89780004', system: 'http://snomed.info/sct', display: Combined (qualifier value)}
                index: 69
              goalId: {index: 70}
              definition:
                choices: []
                index: 72
              action:
                type: BackboneElement
                index: 73
                extensions:
                  timingRelativeTime: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', min: 0, type: Extension, index: 75}
                elements:
                  extension:
                    index: 74
                    slicing:
                      rules: open
                      ordered: false
                      discriminator:
                      - {path: url, type: value}
                      min: null
                      slices:
                        timingRelativeTime:
                          match: {url: null}
                          schema: {type: Extension, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/relative-time', index: 75}
                          min: 0
                  code:
                    mustSupport: true
                    index: 76
                    elements:
                      coding:
                        index: 77
                        elements:
                          system: {index: 78}
                          code: {index: 79}
                        required: [system, code]
                    required: [coding]
                required: [code]
                slicing:
                  rules: closed
                  discriminator:
                  - {path: code, type: pattern}
                  min: 1
                  slices:
                    sedationManagement:
                      match:
                        code:
                          coding:
                          - {code: '406187008', system: 'http://snomed.info/sct', display: Sedation management (regime/therapy)}
                      schema:
                        type: BackboneElement
                        array: true
                        index: 104
                        elements:
                          code:
                            pattern:
                              type: CodeableConcept
                              value:
                                coding:
                                - {code: '406187008', system: 'http://snomed.info/sct', display: Sedation management (regime/therapy)}
                            index: 105
                          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}
                            mustSupport: true
                            index: 106
                          definition:
                            mustSupport: true
                            choices: [definitionCanonical]
                            index: 108
                          definitionCanonical: {type: canonical, mustSupport: true, choiceOf: definition, index: 109}
                        required: [goalId, code]
                    other:
                      match:
                        code:
                          coding:
                          - {code: '74964007', system: 'http://snomed.info/sct', display: Other (qualifier value)}
                      schema:
                        type: BackboneElement
                        array: true
                        index: 129
                        elements:
                          code:
                            pattern:
                              type: CodeableConcept
                              value:
                                coding:
                                - {code: '74964007', system: 'http://snomed.info/sct', display: Other (qualifier value)}
                            index: 130
                          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: 131
                          definition:
                            mustSupport: true
                            choices: [definitionCanonical]
                            index: 133
                          definitionCanonical: {type: canonical, mustSupport: true, choiceOf: definition, index: 134}
                        required: [code]
                    procedure:
                      match:
                        code:
                          coding:
                          - {code: '71388002', system: 'http://snomed.info/sct', display: Procedure (procedure)}
                      schema:
                        type: BackboneElement
                        array: true
                        index: 122
                        elements:
                          code:
                            pattern:
                              type: CodeableConcept
                              value:
                                coding:
                                - {code: '71388002', system: 'http://snomed.info/sct', display: Procedure (procedure)}
                            index: 123
                          definition:
                            choices: []
                            index: 125
                            slicing:
                              rules: open
                              ordered: false
                              discriminator:
                              - {path: $this, type: type}
                              min: null
                              slices:
                                definitionCanonical:
                                  match: {}
                                  schema:
                                    choices: [definitionCanonical]
                                    index: 127
                                  min: 0
                                  max: 1
                          definitionCanonical:
                            type: canonical
                            choiceOf: definition
                            index: 128
                            slicing:
                              slices:
                                definitionCanonical:
                                  match: {}
                                  schema: {type: canonical, choiceOf: definition, index: 128}
                                  min: 0
                                  max: 1
                        required: [code]
                    ventilatorManagement:
                      match:
                        code:
                          coding:
                          - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
                      schema:
                        type: BackboneElement
                        array: true
                        index: 92
                        elements:
                          code:
                            pattern:
                              type: CodeableConcept
                              value:
                                coding:
                                - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
                            index: 93
                          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}
                            mustSupport: true
                            index: 94
                          definition:
                            mustSupport: true
                            choices: [definitionCanonical]
                            index: 96
                          definitionCanonical: {type: canonical, mustSupport: true, choiceOf: definition, index: 97}
                        required: [goalId, code]
                    assessment:
                      match:
                        code:
                          coding:
                          - {code: '386053000', system: 'http://snomed.info/sct', display: Evaluation procedure (procedure)}
                      schema:
                        type: BackboneElement
                        array: true
                        index: 116
                        elements:
                          code:
                            pattern:
                              type: CodeableConcept
                              value:
                                coding:
                                - {code: '386053000', system: 'http://snomed.info/sct', display: Evaluation procedure (procedure)}
                            index: 117
                          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: 118
                          definition:
                            mustSupport: true
                            choices: [definitionCanonical]
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extensions:
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    extensions: {}
    elements:
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class: profile
kind: resource
url: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan
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