HL7® FHIR® Te Aho o Te Kahu, Cancer Control Agency Implementation Guide
0.1.0 - CI Build

HL7® FHIR® Te Aho o Te Kahu, Cancer Control Agency Implementation Guide, published by Te Aho o Te Kahu, Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7NZ/cca/ and changes regularly. See the Directory of published versions

## Resource Profile: CcaPlanDefinition - Detailed Descriptions

Active as of 2026-05-21

Definitions for the CcaPlanDefinition resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. PlanDefinition
Definition | 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.
Short | The definition of a plan for a series of actions, independent of any specific patient or context
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) pdf-0: 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}')`) pdf-0: 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}'))
2. PlanDefinition.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. PlanDefinition.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `PlanDefinition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. PlanDefinition.extension:support-factor
Slice Name | support-factor
Definition | Support factors needed during treatment
Short | Extension
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(SupportFactor) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. PlanDefinition.extension:regimen-type
Slice Name | regimen-type
Definition | The overall type of the regimen - eg FOLFOX
Short | Regimen type
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Regimen type) (Extension Type: CodeableConcept)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. PlanDefinition.extension:replaced-by
Slice Name | replaced-by
Definition | When a Plan has been deprecated (superceeded or discontinued), refers to the one that replaces it, if any
Short | Replaced by
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Replaced by) (Extension Type: Reference(PlanDefinition))
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. PlanDefinition.extension:treatment-setting
Slice Name | treatment-setting
Definition | The setting of the regimen - what is its purpose
Short | Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(TreatmentSetting) (Extension Type: CodeableConcept)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. PlanDefinition.extension:offLabel
Slice Name | offLabel
Definition | Indicates that the medication is being used for a purpose for which it has not been specifically approved
Short | Off label
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Off label) (Extension Type: boolean)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. PlanDefinition.extension:plan-instructions
Slice Name | plan-instructions
Definition | Specific instructions for use of the regimen overall, or for the individual cycles
Short | Instructions for use
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Instructions for use) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. PlanDefinition.extension:disclaimer
Slice Name | disclaimer
Definition | A disclaimer for use of this Plan
Short | Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Disclaimer) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. PlanDefinition.extension:additionalDetails
Slice Name | additionalDetails
Definition | Allows additional information to be added to a regimen such as dosing modification details
Short | Extension
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(AdditionalDetails) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. PlanDefinition.extension:esmo-score
Slice Name | esmo-score
Definition | The ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS) score for the regimen
Short | ESMO-MCBS Score
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ESMO-MCBS Score) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. PlanDefinition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. PlanDefinition.type
Definition | A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.
Short | order-set | clinical-protocol | eca-rule | workflow-definition
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from PlanDefinitionType http://hl7.org/fhir/ValueSet/plan-definition-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/plan-definition-type|4.0.1` ) The type of PlanDefinition.
Type | CodeableConcept
Is Modifier | false
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type", "code" : "clinical-protocol" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. PlanDefinition.status
Definition | The status of this plan definition. Enables tracking the life-cycle of the content.
Short | draft | active | retired | unknown
Comments | Allows filtering of plan definitions that are appropriate for use versus not.
Control | 1..1
Binding | The codes SHALL be taken from PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/publication-status|4.0.1` ) The lifecycle status of an artifact.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. PlanDefinition.status.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `PlanDefinition.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. PlanDefinition.status.extension:additional-status
Slice Name | additional-status
Definition | Additional status values for PlanDefinition. Currently only a single value - review - indicating that a regimen is published and available to be used, but there is still a review being performed, so could change. In most situations the value of the status element itself will be 'active'
Short | Regimen under review
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Regimen under review) (Extension Type: code)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. PlanDefinition.useContext
Definition | 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.
Short | The context that the content is intended to support
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Control | 0..*
Type | UsageContext
Is Modifier | false
Summary | true
Requirements | Assist in searching for appropriate content.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `PlanDefinition.useContext`. The slices areUnordered and Open at End, and can be differentiated using the following discriminators: value @ code
36. PlanDefinition.useContext.code
Definition | A code that identifies the type of context being specified by this usage context.
Short | Type of context being specified
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from UsageContextType http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1` ) A code that specifies a type of context being specified by a usage context.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. PlanDefinition.useContext.value[x]
Definition | A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.
Short | Value that defines the context
Control | 1..1
Binding | For example codes, see Context of Use ValueSet http://hl7.org/fhir/ValueSet/use-context|4.0.1 (example to `http://hl7.org/fhir/ValueSet/use-context|4.0.1` ) A code that defines the specific value for the context being specified.
Type | CodeableConcept, Reference(PlanDefinition, ResearchStudy, InsurancePlan, HealthcareService, Group, Location, Organization), Quantity, Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. PlanDefinition.useContext:cancer-type
Slice Name | cancer-type
Definition | The type of cancer 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.
Short | The type of cancerThe context that the content is intended to support
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Control | 0..*
Type | UsageContext
Is Modifier | false
Must Support | true
Summary | true
Requirements | Assist in searching for appropriate content.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. PlanDefinition.useContext:cancer-type.code
Definition | A code that identifies the type of context being specified by this usage context.
Short | Type of context being specified
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from UsageContextType http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1` ) A code that specifies a type of context being specified by a usage context.
Type | Coding
Is Modifier | false
Summary | true
Pattern Value | `{ "code" : "focus" }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. PlanDefinition.useContext:cancer-type.value[x]
Definition | A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.
Short | Value that defines the context
Control | 1..1
Binding | The codes SHALL be taken from For example codes, see Cancer type http://hl7.org/fhir/ValueSet/use-context|4.0.1 (required to `https://standards.digital.health.nz/fhir/ValueSet/cancer-type-code` )
Type | CodeableConcept, Reference(PlanDefinition, ResearchStudy, InsurancePlan, HealthcareService, Group, Location, Organization), Quantity, Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. PlanDefinition.reviewer
Definition | An individual or organization primarily responsible for review of some aspect of the content.
Short | Who reviewed the content
Control | 0..0*
Type | ContactDetail
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. PlanDefinition.endorser
Definition | An individual or organization responsible for officially endorsing the content for use in some setting.
Short | Who endorsed the content
Control | 0..0*
Type | ContactDetail
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. PlanDefinition.library
Definition | A reference to a Library resource containing any formal logic used by the plan definition.
Short | Logic used by the plan definition
Control | 0..0*
Type | canonical(Library)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. PlanDefinition.goal
Definition | 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.
Short | What the plan is trying to accomplish
Control | 0..0*
Type | BackboneElement
Is Modifier | false
Summary | false
Requirements | Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. PlanDefinition.action
Definition | An action or group of actions to be taken as part of the plan.
Short | Action defined by the plan
Comments | Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.
Control | 10..1*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. PlanDefinition.action.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `PlanDefinition.action.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
60. PlanDefinition.action.extension:action-instructions
Slice Name | action-instructions
Definition | Specific instructions for use of the regimen overall, or for the individual cycles
Short | Instructions for use
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Instructions for use) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
62. PlanDefinition.action.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. PlanDefinition.action.priority
Definition | Indicates how quickly the action should be addressed with respect to other actions.
Short | routine | urgent | asap | stat
Control | 0..01
Binding | The codes SHALL be taken from RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. PlanDefinition.action.code
Definition | A code that provides meaning for the action or action group. For example, a section may have a LOINC code for the section of a documentation template.
Short | Code representing the meaning of the action or sub-actions
Control | 0..0*
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. PlanDefinition.action.reason
Definition | A description of why this action is necessary or appropriate.
Short | Why the action should be performed
Comments | This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.
Control | 0..0*
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. PlanDefinition.action.subject[x]
Definition | A code or group definition that describes the intended subject of the action and its children, if any.
Short | Type of individual the action is focused on
Comments | The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified. In addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).
Control | 0..01
Binding | Unless not suitable, these codes SHALL be taken from SubjectType http://hl7.org/fhir/ValueSet/subject-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/subject-type|4.0.1` ) The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
Type | Choice of: CodeableConcept, Reference(Group)
Is Modifier | false
Summary | false
Requirements | Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.
Meaning if Missing | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. PlanDefinition.action.trigger
Definition | A description of when the action should be triggered.
Short | When the action should be triggered
Control | 0..0*
Type | TriggerDefinition
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. PlanDefinition.action.condition
Definition | An expression that describes applicability criteria or start/stop conditions for the action.
Short | Whether or not the action is applicable
Comments | When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.
Control | 0..0*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. PlanDefinition.action.input
Definition | Defines input data requirements for the action.
Short | Input data requirements
Control | 0..0*
Type | DataRequirement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. PlanDefinition.action.output
Definition | Defines the outputs of the action, if any.
Short | Output data definition
Control | 0..0*
Type | DataRequirement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. PlanDefinition.action.timing[x]
Definition | An optional value describing when the action should be performed.
Short | When the action should take place
Control | 0..1
Type | Timing, dateTime, Period, Duration, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. PlanDefinition.action.type
Definition | The type of action to perform (create, update, remove).
Short | create | update | remove | fire-event
Control | 0..01
Binding | Unless not suitable, these codes SHALL be taken from ActionType http://hl7.org/fhir/ValueSet/action-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/action-type|4.0.1` ) The type of action to be performed.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. PlanDefinition.action.precheckBehavior
Definition | Defines whether the action should usually be preselected.
Short | yes | no
Control | 0..01
Binding | The codes SHALL be taken from ActionPrecheckBehavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 (required to `http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1` ) Defines selection frequency behavior for an action or group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. PlanDefinition.action.cardinalityBehavior
Definition | Defines whether the action can be selected multiple times.
Short | single | multiple
Control | 0..01
Binding | The codes SHALL be taken from ActionCardinalityBehavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 (required to `http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1` ) Defines behavior for an action or a group for how many times that item may be repeated.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. PlanDefinition.action.transform
Definition | 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.
Short | Transform to apply the template
Comments | Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.
Control | 0..01
Type | canonical(StructureMap)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. PlanDefinition.action.dynamicValue
Definition | 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.
Short | Dynamic aspects of the definition
Comments | Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.
Control | 0..0*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
95. PlanDefinition.action.action
Definition | 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.
Short | A sub-action
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
97. PlanDefinition.action.action.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `PlanDefinition.action.action.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
99. PlanDefinition.action.action.extension:action-instructions
Slice Name | action-instructions
Definition | Specific instructions for use of the regimen overall, or for the individual cycles
Short | Instructions for use
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Instructions for use) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
101. PlanDefinition.action.action.extension:timing-of-days
Slice Name | timing-of-days
Definition | Allows specific days to be indicated in a component of a regimen cycle. extends the idea of UV extension: http://hl7.org/fhir/extension-timing-daysofcycle.html by adding instructions
Short | Extension
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(TimingOfDays) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
103. PlanDefinition.action.action.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

Guidance on how to interpret the contents of this table can be foundhere

0. PlanDefinition
2. PlanDefinition.extension
Slicing | This element introduces a set of slices on `PlanDefinition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. PlanDefinition.extension:support-factor
Slice Name | support-factor
Control | 0..*
Type | Extension(SupportFactor) (Complex Extension)
6. PlanDefinition.extension:regimen-type
Slice Name | regimen-type
Control | 0..1
Type | Extension(Regimen type) (Extension Type: CodeableConcept)
8. PlanDefinition.extension:replaced-by
Slice Name | replaced-by
Control | 0..1
Type | Extension(Replaced by) (Extension Type: Reference(PlanDefinition))
10. PlanDefinition.extension:treatment-setting
Slice Name | treatment-setting
Control | 0..1
Type | Extension(TreatmentSetting) (Extension Type: CodeableConcept)
12. PlanDefinition.extension:offLabel
Slice Name | offLabel
Control | 0..1
Type | Extension(Off label) (Extension Type: boolean)
14. PlanDefinition.extension:plan-instructions
Slice Name | plan-instructions
Control | 0..1
Type | Extension(Instructions for use) (Extension Type: markdown)
16. PlanDefinition.extension:disclaimer
Slice Name | disclaimer
Control | 0..1
Type | Extension(Disclaimer) (Extension Type: markdown)
18. PlanDefinition.extension:additionalDetails
Slice Name | additionalDetails
Control | 0..*
Type | Extension(AdditionalDetails) (Complex Extension)
20. PlanDefinition.extension:esmo-score
Slice Name | esmo-score
Control | 0..1
Type | Extension(ESMO-MCBS Score) (Complex Extension)
22. PlanDefinition.type
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type", "code" : "clinical-protocol" }] }`
24. PlanDefinition.status
26. PlanDefinition.status.extension
Slicing | This element introduces a set of slices on `PlanDefinition.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
28. PlanDefinition.status.extension:additional-status
Slice Name | additional-status
Control | 0..1
Type | Extension(Regimen under review) (Extension Type: code)
30. PlanDefinition.useContext
Slicing | This element introduces a set of slices on `PlanDefinition.useContext`. The slices areUnordered and Open at End, and can be differentiated using the following discriminators: value @ code
32. PlanDefinition.useContext.value[x]
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
34. PlanDefinition.useContext:cancer-type
Slice Name | cancer-type
Definition | The type of cancer
Short | The type of cancer
Control | 0..*
Must Support | true
36. PlanDefinition.useContext:cancer-type.code
Pattern Value | `{ "code" : "focus" }`
38. PlanDefinition.useContext:cancer-type.value[x]
Binding | The codes SHALL be taken from Cancer type (required to `https://standards.digital.health.nz/fhir/ValueSet/cancer-type-code` )
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
40. PlanDefinition.reviewer
Control | 0..0
42. PlanDefinition.endorser
Control | 0..0
44. PlanDefinition.library
Control | 0..0
46. PlanDefinition.goal
Control | 0..0
48. PlanDefinition.action
Control | 1..1
50. PlanDefinition.action.extension
Slicing | This element introduces a set of slices on `PlanDefinition.action.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
52. PlanDefinition.action.extension:action-instructions
Slice Name | action-instructions
Control | 0..1
Type | Extension(Instructions for use) (Extension Type: markdown)
54. PlanDefinition.action.priority
Control | 0..0
56. PlanDefinition.action.code
Control | 0..0
58. PlanDefinition.action.reason
Control | 0..0
60. PlanDefinition.action.subject[x]
Control | 0..0
62. PlanDefinition.action.trigger
Control | 0..0
64. PlanDefinition.action.condition
Control | 0..0
66. PlanDefinition.action.input
Control | 0..0
68. PlanDefinition.action.output
Control | 0..0
70. PlanDefinition.action.timing[x]
Type | Timing, dateTime, Period, Duration, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
72. PlanDefinition.action.type
Control | 0..0
74. PlanDefinition.action.precheckBehavior
Control | 0..0
76. PlanDefinition.action.cardinalityBehavior
Control | 0..0
78. PlanDefinition.action.transform
Control | 0..0
80. PlanDefinition.action.dynamicValue
Control | 0..0
82. PlanDefinition.action.action
Type | BackboneElement
84. PlanDefinition.action.action.extension
Slicing | This element introduces a set of slices on `PlanDefinition.action.action.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
86. PlanDefinition.action.action.extension:action-instructions
Slice Name | action-instructions
Control | 0..1
Type | Extension(Instructions for use) (Extension Type: markdown)
88. PlanDefinition.action.action.extension:timing-of-days
Slice Name | timing-of-days
Control | 0..*
Type | Extension(TimingOfDays) (Complex Extension)

Guidance on how to interpret the contents of this table can be foundhere

0. PlanDefinition
Definition | 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.
Short | The definition of a plan for a series of actions, independent of any specific patient or context
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) pdf-0: 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}')`)
2. PlanDefinition.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. PlanDefinition.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. PlanDefinition.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. PlanDefinition.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. PlanDefinition.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. PlanDefinition.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. PlanDefinition.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `PlanDefinition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. PlanDefinition.extension:support-factor
Slice Name | support-factor
Definition | Support factors needed during treatment
Short | Extension
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(SupportFactor) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. PlanDefinition.extension:regimen-type
Slice Name | regimen-type
Definition | The overall type of the regimen - eg FOLFOX
Short | Regimen type
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Regimen type) (Extension Type: CodeableConcept)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. PlanDefinition.extension:replaced-by
Slice Name | replaced-by
Definition | When a Plan has been deprecated (superceeded or discontinued), refers to the one that replaces it, if any
Short | Replaced by
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Replaced by) (Extension Type: Reference(PlanDefinition))
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. PlanDefinition.extension:treatment-setting
Slice Name | treatment-setting
Definition | The setting of the regimen - what is its purpose
Short | Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(TreatmentSetting) (Extension Type: CodeableConcept)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. PlanDefinition.extension:offLabel
Slice Name | offLabel
Definition | Indicates that the medication is being used for a purpose for which it has not been specifically approved
Short | Off label
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Off label) (Extension Type: boolean)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
26. PlanDefinition.extension:plan-instructions
Slice Name | plan-instructions
Definition | Specific instructions for use of the regimen overall, or for the individual cycles
Short | Instructions for use
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Instructions for use) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
28. PlanDefinition.extension:disclaimer
Slice Name | disclaimer
Definition | A disclaimer for use of this Plan
Short | Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Disclaimer) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
30. PlanDefinition.extension:additionalDetails
Slice Name | additionalDetails
Definition | Allows additional information to be added to a regimen such as dosing modification details
Short | Extension
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(AdditionalDetails) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. PlanDefinition.extension:esmo-score
Slice Name | esmo-score
Definition | The ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS) score for the regimen
Short | ESMO-MCBS Score
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ESMO-MCBS Score) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. PlanDefinition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
36. PlanDefinition.url
Definition | An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers.
Short | Canonical identifier for this plan definition, represented as a URI (globally unique)
Comments | Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions. In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the plan definition to be referenced by a single globally unique identifier.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. PlanDefinition.identifier
Definition | 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.
Short | Additional identifier for the plan definition
Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this plan definition outside of FHIR, where it is not possible to use the logical URI.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. PlanDefinition.version
Definition | 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.
Short | Business version of the plan definition
Comments | There may be different plan definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version].
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. PlanDefinition.name
Definition | 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.
Short | Name for this plan definition (computer friendly)
Comments | The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
Control | 0..1 This element is affected by the following invariants: inv-0
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Support human navigation and code generation.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. PlanDefinition.title
Definition | A short, descriptive, user-friendly title for the plan definition.
Short | Name for this plan definition (human friendly)
Comments | This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. PlanDefinition.subtitle
Definition | An explanatory or alternate title for the plan definition giving additional information about its content.
Short | Subordinate title of the plan definition
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. PlanDefinition.type
Definition | A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.
Short | order-set | clinical-protocol | eca-rule | workflow-definition
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from PlanDefinitionType (extensible to `http://hl7.org/fhir/ValueSet/plan-definition-type|4.0.1` ) The type of PlanDefinition.
Type | CodeableConcept
Is Modifier | false
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type", "code" : "clinical-protocol" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. PlanDefinition.status
Definition | The status of this plan definition. Enables tracking the life-cycle of the content.
Short | draft | active | retired | unknown
Comments | Allows filtering of plan definitions that are appropriate for use versus not.
Control | 1..1
Binding | The codes SHALL be taken from PublicationStatus (required to `http://hl7.org/fhir/ValueSet/publication-status|4.0.1` ) The lifecycle status of an artifact.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. PlanDefinition.status.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
54. PlanDefinition.status.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `PlanDefinition.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
56. PlanDefinition.status.extension:additional-status
Slice Name | additional-status
Definition | Additional status values for PlanDefinition. Currently only a single value - review - indicating that a regimen is published and available to be used, but there is still a review being performed, so could change. In most situations the value of the status element itself will be 'active'
Short | Regimen under review
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Regimen under review) (Extension Type: code)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
58. PlanDefinition.status.value
Definition | Primitive value for code
Short | Primitive value for code
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
60. PlanDefinition.experimental
Definition | A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.
Short | For testing purposes, not real usage
Comments | Allows filtering of plan definitions that are appropriate for use versus not.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. PlanDefinition.subject[x]
Definition | A code or group definition that describes the intended subject of the plan definition.
Short | Type of individual the plan definition is focused on
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from SubjectType (extensible to `http://hl7.org/fhir/ValueSet/subject-type|4.0.1` ) The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
Type | Choice of: CodeableConcept, Reference(Group)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Meaning if Missing | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. PlanDefinition.date
Definition | The date (and optionally time) when the plan definition was published. The date must change 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.
Short | Date last changed
Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | Revision Date
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. PlanDefinition.publisher
Definition | The name of the organization or individual that published the plan definition.
Short | Name of the publisher (organization or individual)
Comments | Usually an organization but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Helps establish the "authority/credibility" of the plan definition. May also allow for contact.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. PlanDefinition.contact
Definition | Contact details to assist a user in finding and communicating with the publisher.
Short | Contact details for the publisher
Comments | May be a web site, an email address, a telephone number, etc.
Control | 0..*
Type | ContactDetail
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. PlanDefinition.description
Definition | A free text natural language description of the plan definition from a consumer's perspective.
Short | Natural language description of the plan definition
Comments | This description can be used to capture details such as why the plan definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the plan definition is presumed to be the predominant language in the place the plan definition was created).
Control | 0..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. PlanDefinition.useContext
Definition | 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.
Short | The context that the content is intended to support
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Control | 0..*
Type | UsageContext
Is Modifier | false
Summary | true
Requirements | Assist in searching for appropriate content.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `PlanDefinition.useContext`. The slices areUnordered and Open at End, and can be differentiated using the following discriminators: value @ code
74. PlanDefinition.useContext.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
76. PlanDefinition.useContext.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `PlanDefinition.useContext.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
78. PlanDefinition.useContext.code
Definition | A code that identifies the type of context being specified by this usage context.
Short | Type of context being specified
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from UsageContextType (extensible to `http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1` ) A code that specifies a type of context being specified by a usage context.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. PlanDefinition.useContext.value[x]
Definition | A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.
Short | Value that defines the context
Control | 1..1
Binding | For example codes, see Context of Use ValueSet (example to `http://hl7.org/fhir/ValueSet/use-context|4.0.1` ) A code that defines the specific value for the context being specified.
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. PlanDefinition.useContext:cancer-type
Slice Name | cancer-type
Definition | The type of cancer
Short | The type of cancer
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Control | 0..*
Type | UsageContext
Is Modifier | false
Must Support | true
Summary | true
Requirements | Assist in searching for appropriate content.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. PlanDefinition.useContext:cancer-type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
86. PlanDefinition.useContext:cancer-type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `PlanDefinition.useContext.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
88. PlanDefinition.useContext:cancer-type.code
Definition | A code that identifies the type of context being specified by this usage context.
Short | Type of context being specified
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from UsageContextType (extensible to `http://hl7.org/fhir/ValueSet/usage-context-type|4.0.1` ) A code that specifies a type of context being specified by a usage context.
Type | Coding
Is Modifier | false
Summary | true
Pattern Value | `{ "code" : "focus" }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. PlanDefinition.useContext:cancer-type.value[x]
Definition | A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.
Short | Value that defines the context
Control | 1..1
Binding | The codes SHALL be taken from Cancer type (required to `https://standards.digital.health.nz/fhir/ValueSet/cancer-type-code` )
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. PlanDefinition.jurisdiction
Definition | A legal or geographic region in which the plan definition is intended to be used.
Short | Intended jurisdiction for plan definition (if applicable)
Comments | It may be possible for the plan definition to be used in jurisdictions other than those for which it was originally designed or intended.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from Jurisdiction ValueSet (extensible to `http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1` ) Countries and regions within which this artifact is targeted for use.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. PlanDefinition.purpose
Definition | Explanation of why this plan definition is needed and why it has been designed as it has.
Short | Why this plan definition is defined
Comments | This element does not describe the usage of the plan definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this plan definition.
Control | 0..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. PlanDefinition.usage
Definition | A detailed description of how the plan definition is used from a clinical perspective.
Short | Describes the clinical usage of the plan
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. PlanDefinition.copyright
Definition | 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.
Short | Use and/or publishing restrictions
Control | 0..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content.
Alternate Names | License, Restrictions
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. PlanDefinition.approvalDate
Definition | The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.
Short | When the plan definition was approved by publisher
Comments | The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. PlanDefinition.lastReviewDate
Definition | The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.
Short | When the plan definition was last reviewed
Comments | If specified, this date follows the original approval date.
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. PlanDefinition.effectivePeriod
Definition | The period during which the plan definition content was or is planned to be in active use.
Short | When the plan definition is expected to be used
Comments | The effective period for a plan definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the plan definition are or are expected to be used instead.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. PlanDefinition.topic
Definition | 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.
Short | E.g. Education, Treatment, Assessment
Control | 0..*
Binding | For example codes, see DefinitionTopic (example to `http://hl7.org/fhir/ValueSet/definition-topic|4.0.1` ) High-level categorization of the definition, used for searching, sorting, and filtering.
Type | CodeableConcept
Is Modifier | false
Summary | false
Requirements | Repositories must be able to determine how to categorize the plan definition so that it can be found by topical searches.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. PlanDefinition.author
Definition | An individiual or organization primarily involved in the creation and maintenance of the content.
Short | Who authored the content
Control | 0..*
Type | ContactDetail
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. PlanDefinition.editor
Definition | An individual or organization primarily responsible for internal coherence of the content.
Short | Who edited the content
Control | 0..*
Type | ContactDetail
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. PlanDefinition.reviewer
Definition | An individual or organization primarily responsible for review of some aspect of the content.
Short | Who reviewed the content
Control | 0..0
Type | ContactDetail
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. PlanDefinition.endorser
Definition | An individual or organization responsible for officially endorsing the content for use in some setting.
Short | Who endorsed the content
Control | 0..0
Type | ContactDetail
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. PlanDefinition.relatedArtifact
Definition | Related artifacts such as additional documentation, justification, or bibliographic references.
Short | Additional documentation, citations
Comments | Each related artifact is either an attachment, or a reference to another resource, but not both.
Control | 0..*
Type | RelatedArtifact
Is Modifier | false
Summary | false
Requirements | Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. PlanDefinition.library
Definition | A reference to a Library resource containing any formal logic used by the plan definition.
Short | Logic used by the plan definition
Control | 0..0
Type | canonical(Library)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. PlanDefinition.goal
Definition | 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.
Short | What the plan is trying to accomplish
Control | 0..0
Type | BackboneElement
Is Modifier | false
Summary | false
Requirements | Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. PlanDefinition.action
Definition | An action or group of actions to be taken as part of the plan.
Short | Action defined by the plan
Comments | Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.
Control | 1..1
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. PlanDefinition.action.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
142. PlanDefinition.action.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `PlanDefinition.action.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
144. PlanDefinition.action.extension:action-instructions
Slice Name | action-instructions
Definition | Specific instructions for use of the regimen overall, or for the individual cycles
Short | Instructions for use
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Instructions for use) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
146. PlanDefinition.action.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
148. PlanDefinition.action.prefix
Definition | A user-visible prefix for the action.
Short | User-visible prefix for the action (e.g. 1. or A.)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. PlanDefinition.action.title
Definition | The title of the action displayed to a user.
Short | User-visible title
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. PlanDefinition.action.description
Definition | A brief description of the action used to provide a summary to display to the user.
Short | Brief description of the action
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. PlanDefinition.action.textEquivalent
Definition | 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 might not be capable of interpreting it dynamically.
Short | Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. PlanDefinition.action.priority
Definition | Indicates how quickly the action should be addressed with respect to other actions.
Short | routine | urgent | asap | stat
Control | 0..0
Binding | The codes SHALL be taken from RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. PlanDefinition.action.code
Definition | A code that provides meaning for the action or action group. For example, a section may have a LOINC code for the section of a documentation template.
Short | Code representing the meaning of the action or sub-actions
Control | 0..0
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. PlanDefinition.action.reason
Definition | A description of why this action is necessary or appropriate.
Short | Why the action should be performed
Comments | This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.
Control | 0..0
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. PlanDefinition.action.documentation
Definition | 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.
Short | Supporting documentation for the intended performer of the action
Control | 0..*
Type | RelatedArtifact
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. PlanDefinition.action.goalId
Definition | Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition.
Short | What goals this action supports
Control | 0..*
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. PlanDefinition.action.subject[x]
Definition | A code or group definition that describes the intended subject of the action and its children, if any.
Short | Type of individual the action is focused on
Comments | The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified. In addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).
Control | 0..0
Binding | Unless not suitable, these codes SHALL be taken from SubjectType (extensible to `http://hl7.org/fhir/ValueSet/subject-type|4.0.1` ) The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
Type | Choice of: CodeableConcept, Reference(Group)
Is Modifier | false
Summary | false
Requirements | Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.
Meaning if Missing | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. PlanDefinition.action.trigger
Definition | A description of when the action should be triggered.
Short | When the action should be triggered
Control | 0..0
Type | TriggerDefinition
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. PlanDefinition.action.condition
Definition | An expression that describes applicability criteria or start/stop conditions for the action.
Short | Whether or not the action is applicable
Comments | When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.
Control | 0..0
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
177. PlanDefinition.action.input
Definition | Defines input data requirements for the action.
Short | Input data requirements
Control | 0..0
Type | DataRequirement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
179. PlanDefinition.action.output
Definition | Defines the outputs of the action, if any.
Short | Output data definition
Control | 0..0
Type | DataRequirement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
181. PlanDefinition.action.relatedAction
Definition | A relationship to another action such as "before" or "30-60 minutes after start of".
Short | Relationship to another action
Comments | When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
183. PlanDefinition.action.relatedAction.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
185. PlanDefinition.action.relatedAction.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
187. PlanDefinition.action.relatedAction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
189. PlanDefinition.action.relatedAction.actionId
Definition | The element id of the related action.
Short | What action is this related to
Control | 1..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
191. PlanDefinition.action.relatedAction.relationship
Definition | The relationship of this action to the related action.
Short | before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
Control | 1..1
Binding | The codes SHALL be taken from ActionRelationshipType (required to `http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1` ) Defines the types of relationships between actions.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
193. PlanDefinition.action.relatedAction.offset[x]
Definition | A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.
Short | Time offset for the relationship
Control | 0..1
Type | Choice of: Duration, Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
195. PlanDefinition.action.timing[x]
Definition | An optional value describing when the action should be performed.
Short | When the action should take place
Control | 0..1
Type | Timing
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
197. PlanDefinition.action.participant
Definition | Indicates who should participate in performing the action described.
Short | Who should participate in the action
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
199. PlanDefinition.action.participant.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
201. PlanDefinition.action.participant.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
203. PlanDefinition.action.participant.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
205. PlanDefinition.action.participant.type
Definition | The type of participant in the action.
Short | patient | practitioner | related-person | device
Control | 1..1
Binding | The codes SHALL be taken from ActionParticipantType (required to `http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1` ) The type of participant for the action.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
207. PlanDefinition.action.participant.role
Definition | The role the participant should play in performing the described action.
Short | E.g. Nurse, Surgeon, Parent
Control | 0..1
Binding | For example codes, see ActionParticipantRole (example to `http://hl7.org/fhir/ValueSet/action-participant-role|4.0.1` ) Defines roles played by participants for the action.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
209. PlanDefinition.action.type
Definition | The type of action to perform (create, update, remove).
Short | create | update | remove | fire-event
Control | 0..0
Binding | Unless not suitable, these codes SHALL be taken from ActionType (extensible to `http://hl7.org/fhir/ValueSet/action-type|4.0.1` ) The type of action to be performed.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
211. PlanDefinition.action.groupingBehavior
Definition | Defines the grouping behavior for the action and its children.
Short | visual-group | logical-group | sentence-group
Control | 0..1
Binding | The codes SHALL be taken from ActionGroupingBehavior (required to `http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1` ) Defines organization behavior of a group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
213. PlanDefinition.action.selectionBehavior
Definition | Defines the selection behavior for the action and its children.
Short | any | all | all-or-none | exactly-one | at-most-one | one-or-more
Control | 0..1
Binding | The codes SHALL be taken from ActionSelectionBehavior (required to `http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1` ) Defines selection behavior of a group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
215. PlanDefinition.action.requiredBehavior
Definition | Defines the required behavior for the action.
Short | must | could | must-unless-documented
Control | 0..1
Binding | The codes SHALL be taken from ActionRequiredBehavior (required to `http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1` ) Defines expectations around whether an action or action group is required.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
217. PlanDefinition.action.precheckBehavior
Definition | Defines whether the action should usually be preselected.
Short | yes | no
Control | 0..0
Binding | The codes SHALL be taken from ActionPrecheckBehavior (required to `http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1` ) Defines selection frequency behavior for an action or group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
219. PlanDefinition.action.cardinalityBehavior
Definition | Defines whether the action can be selected multiple times.
Short | single | multiple
Control | 0..0
Binding | The codes SHALL be taken from ActionCardinalityBehavior (required to `http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1` ) Defines behavior for an action or a group for how many times that item may be repeated.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
221. PlanDefinition.action.definition[x]
Definition | 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.
Short | Description of the activity to be performed
Comments | Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.
Control | 0..1
Type | Choice of: canonical(ActivityDefinition, PlanDefinition, Questionnaire), uri
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
223. PlanDefinition.action.transform
Definition | 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.
Short | Transform to apply the template
Comments | Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.
Control | 0..0
Type | canonical(StructureMap)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
225. PlanDefinition.action.dynamicValue
Definition | 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.
Short | Dynamic aspects of the definition
Comments | Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.
Control | 0..0
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. PlanDefinition.action.action
Definition | 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.
Short | A sub-action
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. PlanDefinition.action.action.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
236. PlanDefinition.action.action.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `PlanDefinition.action.action.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
238. PlanDefinition.action.action.extension:action-instructions
Slice Name | action-instructions
Definition | Specific instructions for use of the regimen overall, or for the individual cycles
Short | Instructions for use
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Instructions for use) (Extension Type: markdown)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
240. PlanDefinition.action.action.extension:timing-of-days
Slice Name | timing-of-days
Definition | Allows specific days to be indicated in a component of a regimen cycle. extends the idea of UV extension: http://hl7.org/fhir/extension-timing-daysofcycle.html by adding instructions
Short | Extension
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(TimingOfDays) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
242. PlanDefinition.action.action.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
244. PlanDefinition.action.action.prefix
Definition | A user-visible prefix for the action.
Short | User-visible prefix for the action (e.g. 1. or A.)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. PlanDefinition.action.action.title
Definition | The title of the action displayed to a user.
Short | User-visible title
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
248. PlanDefinition.action.action.description
Definition | A brief description of the action used to provide a summary to display to the user.
Short | Brief description of the action
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
250. PlanDefinition.action.action.textEquivalent
Definition | 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 might not be capable of interpreting it dynamically.
Short | Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. PlanDefinition.action.action.priority
Definition | Indicates how quickly the action should be addressed with respect to other actions.
Short | routine | urgent | asap | stat
Control | 0..1
Binding | The codes SHALL be taken from RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
254. PlanDefinition.action.action.code
Definition | A code that provides meaning for the action or action group. For example, a section may have a LOINC code for the section of a documentation template.
Short | Code representing the meaning of the action or sub-actions
Control | 0..*
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
256. PlanDefinition.action.action.reason
Definition | A description of why this action is necessary or appropriate.
Short | Why the action should be performed
Comments | This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.
Control | 0..*
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. PlanDefinition.action.action.documentation
Definition | 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.
Short | Supporting documentation for the intended performer of the action
Control | 0..*
Type | RelatedArtifact
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
260. PlanDefinition.action.action.goalId
Definition | Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition.
Short | What goals this action supports
Control | 0..*
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
262. PlanDefinition.action.action.subject[x]
Definition | A code or group definition that describes the intended subject of the action and its children, if any.
Short | Type of individual the action is focused on
Comments | The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified. In addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from SubjectType (extensible to `http://hl7.org/fhir/ValueSet/subject-type|4.0.1` ) The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
Type | Choice of: CodeableConcept, Reference(Group)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Requirements | Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.
Meaning if Missing | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
264. PlanDefinition.action.action.trigger
Definition | A description of when the action should be triggered.
Short | When the action should be triggered
Control | 0..*
Type | TriggerDefinition
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. PlanDefinition.action.action.condition
Definition | An expression that describes applicability criteria or start/stop conditions for the action.
Short | Whether or not the action is applicable
Comments | When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. PlanDefinition.action.action.condition.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
270. PlanDefinition.action.action.condition.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
272. PlanDefinition.action.action.condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
274. PlanDefinition.action.action.condition.kind
Definition | The kind of condition.
Short | applicability | start | stop
Comments | Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.
Control | 1..1
Binding | The codes SHALL be taken from ActionConditionKind (required to `http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1` ) Defines the kinds of conditions that can appear on actions.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
276. PlanDefinition.action.action.condition.expression
Definition | An expression that returns true or false, indicating whether the condition is satisfied.
Short | Boolean-valued expression
Comments | The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control | 0..1
Type | Expression
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. PlanDefinition.action.action.input
Definition | Defines input data requirements for the action.
Short | Input data requirements
Control | 0..*
Type | DataRequirement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
280. PlanDefinition.action.action.output
Definition | Defines the outputs of the action, if any.
Short | Output data definition
Control | 0..*
Type | DataRequirement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. PlanDefinition.action.action.relatedAction
Definition | A relationship to another action such as "before" or "30-60 minutes after start of".
Short | Relationship to another action
Comments | When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
284. PlanDefinition.action.action.relatedAction.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
286. PlanDefinition.action.action.relatedAction.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
288. PlanDefinition.action.action.relatedAction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
290. PlanDefinition.action.action.relatedAction.actionId
Definition | The element id of the related action.
Short | What action is this related to
Control | 1..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
292. PlanDefinition.action.action.relatedAction.relationship
Definition | The relationship of this action to the related action.
Short | before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
Control | 1..1
Binding | The codes SHALL be taken from ActionRelationshipType (required to `http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1` ) Defines the types of relationships between actions.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
294. PlanDefinition.action.action.relatedAction.offset[x]
Definition | A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.
Short | Time offset for the relationship
Control | 0..1
Type | Choice of: Duration, Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
296. PlanDefinition.action.action.timing[x]
Definition | An optional value describing when the action should be performed.
Short | When the action should take place
Control | 0..1
Type | Choice of: dateTime, Age, Period, Duration, Range, Timing
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
298. PlanDefinition.action.action.participant
Definition | Indicates who should participate in performing the action described.
Short | Who should participate in the action
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
300. PlanDefinition.action.action.participant.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
302. PlanDefinition.action.action.participant.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
304. PlanDefinition.action.action.participant.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
306. PlanDefinition.action.action.participant.type
Definition | The type of participant in the action.
Short | patient | practitioner | related-person | device
Control | 1..1
Binding | The codes SHALL be taken from ActionParticipantType (required to `http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1` ) The type of participant for the action.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
308. PlanDefinition.action.action.participant.role
Definition | The role the participant should play in performing the described action.
Short | E.g. Nurse, Surgeon, Parent
Control | 0..1
Binding | For example codes, see ActionParticipantRole (example to `http://hl7.org/fhir/ValueSet/action-participant-role|4.0.1` ) Defines roles played by participants for the action.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
310. PlanDefinition.action.action.type
Definition | The type of action to perform (create, update, remove).
Short | create | update | remove | fire-event
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from ActionType (extensible to `http://hl7.org/fhir/ValueSet/action-type|4.0.1` ) The type of action to be performed.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
312. PlanDefinition.action.action.groupingBehavior
Definition | Defines the grouping behavior for the action and its children.
Short | visual-group | logical-group | sentence-group
Control | 0..1
Binding | The codes SHALL be taken from ActionGroupingBehavior (required to `http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1` ) Defines organization behavior of a group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
314. PlanDefinition.action.action.selectionBehavior
Definition | Defines the selection behavior for the action and its children.
Short | any | all | all-or-none | exactly-one | at-most-one | one-or-more
Control | 0..1
Binding | The codes SHALL be taken from ActionSelectionBehavior (required to `http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1` ) Defines selection behavior of a group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
316. PlanDefinition.action.action.requiredBehavior
Definition | Defines the required behavior for the action.
Short | must | could | must-unless-documented
Control | 0..1
Binding | The codes SHALL be taken from ActionRequiredBehavior (required to `http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1` ) Defines expectations around whether an action or action group is required.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
318. PlanDefinition.action.action.precheckBehavior
Definition | Defines whether the action should usually be preselected.
Short | yes | no
Control | 0..1
Binding | The codes SHALL be taken from ActionPrecheckBehavior (required to `http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1` ) Defines selection frequency behavior for an action or group.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
320. PlanDefinition.action.action.cardinalityBehavior
Definition | Defines whether the action can be selected multiple times.
Short | single | multiple
Control | 0..1
Binding | The codes SHALL be taken from ActionCardinalityBehavior (required to `http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1` ) Defines behavior for an action or a group for how many times that item may be repeated.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
322. PlanDefinition.action.action.definition[x]
Definition | 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.
Short | Description of the activity to be performed
Comments | Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.
Control | 0..1
Type | Choice of: canonical(ActivityDefinition, PlanDefinition, Questionnaire), uri
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
324. PlanDefinition.action.action.transform
Definition | 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.
Short | Transform to apply the template
Comments | Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.
Control | 0..1
Type | canonical(StructureMap)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
326. PlanDefinition.action.action.dynamicValue
Definition | 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.
Short | Dynamic aspects of the definition
Comments | Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
328. PlanDefinition.action.action.dynamicValue.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
330. PlanDefinition.action.action.dynamicValue.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
332. PlanDefinition.action.action.dynamicValue.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
334. PlanDefinition.action.action.dynamicValue.path
Definition | 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. The specified path SHALL be a FHIRPath resolveable on the specified target type of the 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 Simple FHIRPath Profile for full details).
Short | The path to the element to be set dynamically
Comments | To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
336. PlanDefinition.action.action.dynamicValue.expression
Definition | An expression specifying the value of the customized element.
Short | An expression that provides the dynamic value for the customization
Comments | The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
Control | 0..1
Type | Expression
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
338. PlanDefinition.action.action.action
Definition | 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.
Short | A sub-action
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/PlanDefinition#PlanDefinition.action
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)