description: Definition of an activity that is part of an intervention in the context of a clinical practice guideline recommendation.
package_name: ebm
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:
                choices: []
                index: 7
              valueCode:
                pattern: {type: Code, value: computable}
                index: 8
            required: [valueCode, value]
        knowledgeRepresentationLevel:
          match: {}
          schema:
            _required: true
            index: 9
            extensions: {}
            elements:
              extension: {index: 10}
              value:
                choices: []
                index: 12
              valueCode:
                pattern: {type: Code, value: structured}
                index: 13
            required: [valueCode, value]
        partOf:
          match: {}
          schema:
            _required: true
            index: 14
            extensions: {}
            elements:
              extension: {index: 15}
              value:
                choices: []
                index: 17
              valueCanonical: {type: canonical, mustSupport: true, index: 18}
            required: [valueCanonical, value]
  name: {index: 19}
  subject:
    choices: [subjectCanonical]
    index: 21
  subjectCanonical: {type: canonical, choiceOf: subject, index: 22}
  date: {index: 24}
  goal:
    mustSupport: true
    index: 25
    elements:
      id: {mustSupport: true, index: 26}
      category:
        mustSupport: true
        index: 27
        elements:
          coding:
            index: 28
            elements:
              system: {index: 29}
              code: {index: 30}
            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: 31
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '385857005', system: 'http://snomed.info/sct', display: Ventilator care and adjustment (regime/therapy)}
                index: 32
              target:
                index: 33
                elements:
                  measure:
                    binding: {strength: extensible, valueSet: 'https://medizininformatik-initiative.de/fhir/ext/modul-icu/ValueSet/Code-Observation-Beatmung-LOINC'}
                    mustSupport: true
                    index: 34
                  detail:
                    mustSupport: true
                    choices: []
                    index: 36
                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: 37
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '410394004', system: 'http://snomed.info/sct', display: Lab findings surveillance (regime/therapy)}
                index: 38
              target:
                index: 39
                elements:
                  measure:
                    mustSupport: true
                    index: 40
                    elements:
                      coding:
                        pattern:
                          type: Coding
                          value: {system: 'http://loinc.org'}
                        index: 41
                        elements:
                          system: {mustSupport: true, index: 42}
                          code: {mustSupport: true, index: 43}
                        required: [system, code]
                  detail:
                    mustSupport: true
                    choices: []
                    index: 45
                required: [measure, detail]
            required: [target]
  action:
    index: 46
    elements:
      code:
        index: 47
        elements:
          coding:
            index: 48
            elements:
              system: {index: 49}
              code: {index: 50}
            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: 51
      selectionBehavior:
        binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-action-selection-behavior-required'}
        index: 52
      definitionCanonical: {type: canonical, index: 53}
    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: 54
            extensions:
              strengthOfRecommendation: {url: null, index: 55}
              directionOfRecommendation: {url: null, index: 56}
              qualityOfEvidence: {url: null, index: 57}
            elements:
              extension:
                index: 55
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 55}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 56}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 57}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '432102000', system: 'http://snomed.info/sct', display: Administration of substance (procedure)}
                index: 58
              definitionCanonical: {type: canonical, index: 59}
        ventilatorManagement:
          match:
            code:
              coding:
              - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
          schema:
            array: true
            index: 60
            extensions:
              strengthOfRecommendation: {url: null, index: 61}
              directionOfRecommendation: {url: null, index: 62}
              qualityOfEvidence: {url: null, index: 63}
            elements:
              extension:
                index: 61
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 61}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 62}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 63}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '410210009', system: 'http://snomed.info/sct', display: Ventilator care management (procedure)}
                index: 64
              goalId: {mustSupport: true, index: 65}
            required: [goalId]
        bodyPositioning:
          match:
            code:
              coding:
              - {code: '229824005', system: 'http://snomed.info/sct', display: Positioning patient (procedure)}
          schema:
            array: true
            index: 66
            extensions:
              strengthOfRecommendation: {url: null, index: 67}
              directionOfRecommendation: {url: null, index: 68}
              qualityOfEvidence: {url: null, index: 69}
            elements:
              extension:
                index: 67
                slicing:
                  slices:
                    strengthOfRecommendation:
                      match: {}
                      schema: {index: 67}
                    directionOfRecommendation:
                      match: {}
                      schema: {index: 68}
                    qualityOfEvidence:
                      match: {}
                      schema: {index: 69}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '229824005', system: 'http://snomed.info/sct', display: Positioning patient (procedure)}
                index: 70
              definitionCanonical: {type: canonical, index: 71}
package_version: cpg.netzwerk-universitaetsmedizin.de-0.6.0
extensions:
  knowledgeCapability:
    url: null
    _required: true
    index: 4
    extensions: {}
    elements:
      extension: {index: 5}
      value:
        choices: []
        index: 7
      valueCode:
        pattern: {type: Code, value: computable}
        index: 8
    required: [valueCode, value]
  knowledgeRepresentationLevel:
    url: null
    _required: true
    index: 9
    extensions: {}
    elements:
      extension: {index: 10}
      value:
        choices: []
        index: 12
      valueCode:
        pattern: {type: Code, value: structured}
        index: 13
    required: [valueCode, value]
  partOf:
    url: null
    _required: true
    index: 14
    extensions: {}
    elements:
      extension: {index: 15}
      value:
        choices: []
        index: 17
      valueCanonical: {type: canonical, mustSupport: true, index: 18}
    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]