Introduction

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.

Scope and Usage

In scope of the eHealth infrastructure, PlanDefinitions are used for defining tele-medicine plans. A PlanDefinition is comprised by potentially a number of subplans (each also represented as a PlanDefinition), and a number of activities each represented by an ActivityDefinition instance. These in turn can specify an activity to be performed, for instance measuring of a measure or answering of a Questionnaire.

Once a PlanDefinition and all the PlanDefinition, ActivityDefinition, and Questionnaire instances comprising it has a status set to other than draft, it can be itself be set to active. With that status it can be used as a template for applying it into a CarePlan bound to a specific Patient. The CarePlan then references the PlanDefinition as its definition.

Governance principles

PlanDefinitions (subplans), Questionnaires and ActivityDefinitions can be modified independently. Often by people in different organisations. PlanDefinitions (subplans), Questionnaires and ActivityDefinitions, can all be reused in different top level PlanDefinitions.

The following principles ensures that the owner of a resource can make controlled updates when resources maintained by other organisations are updated.

These principles are valid for PlanDefinitions, ActivityDefinitions, and Questionnaires. Plan is used as an example in the following principles:

• Each plan has a version and a status
• While a plan version is being worked on it shall be in status: draft
• When a plan version is approved it changes status to active and is now ready to be used by CarePlans or as a subplan in another plan.
• A plan with status: active can be retired, but cannot otherwise change. Status retired means that new references to the plan cannot be created. Existing plans may still continue to use the retired version.
• If a plan needs to be updated, a new version must be created with status: draft. The new version will be a separate resource with a new id and version, but the same name as the previous version.
• References to plans in FHIR are always to a specific resource id. In practice this means that a reference will identify a specific (Name, Version) combination.
• If a subplan is available in a new active version, that the parent plan wants to use, then a new version of the parent plan must be created and then the reference can be updated to the new subplan.

Example: A new ActivityDefinition should be added to an existing PlanDefinition.

1. Read the existing PlanDefinition (Version: 1)
2. Bump the version to 2, change the status to draft, remove the id.
3. Add a reference to the new ActivityDefinition in action.definition
4. Call Create with the modified plan. This will create a new version of the plan in the database with the new ActivityDefinition added.

Update restrictions

The element ehealth-modifier-role specifies one or more Organization and each Organization’s role in maintaining the PlanDefinition:

• ehealth-modifier-role.reference references the Organization
• ehealth-modifier-role.role set to owner means that the referenced Organization can update the resource and alter the entities referenced by ehealth-modifier-role, for instance, by adding more co-authors.
• ehealth-modifier-role.role set to co-author means that the referenced Organization can update the resource but not alter the element ehealth-modifier-role.

Setting up an action trigger

An action in the plan can be set up with an action trigger that depend on one or more other actions in the plan. Although set up in the PlanDefinition and ActivityDefinition plane, the conditions are event driven and take place in the CarePlan and ServiceRequest plane, that is in the Patient specific use of the PlanDefinition.

An example use is a PlanDefinition with two actions: answering of an initial Questionnaire and answering of a follow-up Questionnaire. The PlanDefinition.action specifying answering of the follow-up Questionnaire can be set up with an action trigger with a trigger condition specifying a number of measurement submissions (in this case, submission of QuestionnaireResponse) of the first action, answering of the initial Questionnaire. In the action trigger, it is also specified what reaction is to be performed on the depending action once the conditions are met. An example reaction is activation. This way, an action trigger defined in a PlanDefinition can be used such that submitted measurements on one or more activities can trigger activation of another activity in the Patient specific CarePlan.

An action trigger is defined in the element action.ehealth-actionTrigger with contents as follows:

• ehealth-triggerCondition is a list of the conditions. Each trigger condition has contents:
  • actionID contains the actionID of the triggering action which shall be another action in the same PlanDefinition. It follows that actions intended to be used as trigger conditions must be given an actionID for the triggerCondition and the actionTrigger to function.
  • count specifies the number of measurements that must be submitted before the particular trigger condition is fulfilled.
• triggerBehavior specifies whether all or at least one of the trigger conditions must be met
• offset the offset applied to timing bounds of the depending action when trigger conditions are met and the reaction is performed.
• action specifies what reaction shall be performed when trigger conditions are met. For now, activation of paused activity, that is change of ServiceRequest status from on-hold to active, is the only reaction defined.

Referencing information material

PlanDefinitions can reference information material intended for Practitioner, Patient or RelatedPerson. The material can be in the form of embedded material (of reasonable size) or referenced videos, PDF-files or printed material. Information material is contained or referenced using a DocumentReference resource and referenced from the PlanDefinition using the relatedArtifact element.

Title and description

A PlanDefinition has two sets of titles and desriptions. title and description are intended for the citizens and should be of a natural language. Whereas ehealth-employee-title and usage are intended for clinicians and should be of a specific and professional language.

Actions and Timing

Each action element must either have sub-actions or an action.definition. This makes it possible to create top-level group-actions that functions as containers for a number of related sub-actions.

It is possible to specify timing for each action in the action.timing[x] element. When the PlanDefiniton is applied to a Patient this will override any timing specified on the related ActivityDefinition.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from PlanDefinition

Name	Flags	Card.	Type	Description & Constraints
PlanDefinition		0..*	PlanDefinition	The definition of a plan for a series of actions, independent of any specific patient or context
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recommendation		0..1	CodeableConcept	Recommendation state of the plan definition URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation Binding: PlanDefinition Recommendation (required)
intendedAudience		0..*	Reference(ehealth-organization) {r}	The intended audience of the resource URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
modifierRole		1..*	(Complex)	Modifier role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
employeeTitle		0..1	string	Title for clinicians URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
predecessor		0..1	Identifier	Predecessor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
base		0..1	Identifier	Base URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
baseEnvironment		0..1	Identifier	Base environment URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
version		1..1	string	Business version of the plan definition
jurisdiction		0..*	CodeableConcept	Intended jurisdiction for plan definition (if applicable) Binding: Jurisdiction (required)
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment Binding: Topic Type (required)
library		0..*	canonical(ehealth-library)	Logic used by the plan definition
action
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
overviewUsageMode		0..*	CodeableConcept	Identifies whether the specified element and/or results of the element should appear in overview or table presentation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-overviewUsageMode Binding: Overview Usage Mode (required)
ehealth-actionTrigger		0..1	(Complex)	Reaction and trigger conditions URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionTrigger
definition[x]		0..1	canonical(ehealth-activitydefinition | ehealth-plandefinition)	Description of the activity to be performed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
PlanDefinition.jurisdiction	required	Jurisdiction http://ehealth.sundhed.dk/vs/jurisdiction from this IG
PlanDefinition.topic	required	TopicType http://ehealth.sundhed.dk/vs/topic-type from this IG

Name	Flags	Card.	Type	Description & Constraints
PlanDefinition	C	0..*	PlanDefinition	The definition of a plan for a series of actions, independent of any specific patient or context pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recommendation		0..1	CodeableConcept	Recommendation state of the plan definition URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation Binding: PlanDefinition Recommendation (required)
intendedAudience		0..*	Reference(ehealth-organization) {r}	The intended audience of the resource URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
modifierRole		1..*	(Complex)	Modifier role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
employeeTitle		0..1	string	Title for clinicians URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
predecessor		0..1	Identifier	Predecessor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
base		0..1	Identifier	Base URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
baseEnvironment		0..1	Identifier	Base environment URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
version	Σ	1..1	string	Business version of the plan definition
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for plan definition (if applicable) Binding: Jurisdiction (required)
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment Binding: Topic Type (required)
library		0..*	canonical(ehealth-library)	Logic used by the plan definition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PlanDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
PlanDefinition.jurisdiction	required	Jurisdiction http://ehealth.sundhed.dk/vs/jurisdiction from this IG
PlanDefinition.topic	required	TopicType http://ehealth.sundhed.dk/vs/topic-type from this IG

Name	Flags	Card.	Type	Description & Constraints
PlanDefinition	C	0..*	PlanDefinition	The definition of a plan for a series of actions, independent of any specific patient or context pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recommendation		0..1	CodeableConcept	Recommendation state of the plan definition URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation Binding: PlanDefinition Recommendation (required)
intendedAudience		0..*	Reference(ehealth-organization) {r}	The intended audience of the resource URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
modifierRole		1..*	(Complex)	Modifier role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
employeeTitle		0..1	string	Title for clinicians URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
predecessor		0..1	Identifier	Predecessor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
base		0..1	Identifier	Base URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
baseEnvironment		0..1	Identifier	Base environment URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this plan definition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Additional identifier for the plan definition
version	Σ	1..1	string	Business version of the plan definition
name	ΣC	0..1	string	Name for this plan definition (computer friendly)
title	Σ	0..1	string	Name for this plan definition (human friendly)
subtitle		0..1	string	Subordinate title of the plan definition
type	Σ	0..1	CodeableConcept	order-set | clinical-protocol | eca-rule | workflow-definition Binding: PlanDefinitionType (extensible): The type of PlanDefinition.
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]		0..1		Type of individual the plan definition is focused on Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	Σ	0..1	dateTime	Date last changed
publisher	Σ	0..1	string	Name of the publisher (organization or individual)
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	Σ	0..1	markdown	Natural language description of the plan definition
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for plan definition (if applicable) Binding: Jurisdiction (required)
purpose		0..1	markdown	Why this plan definition is defined
usage		0..1	string	Describes the clinical usage of the plan
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the plan definition was approved by publisher
lastReviewDate		0..1	date	When the plan definition was last reviewed
effectivePeriod	Σ	0..1	Period	When the plan definition is expected to be used
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment Binding: Topic Type (required)
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations
library		0..*	canonical(ehealth-library)	Logic used by the plan definition
goal		0..*	BackboneElement	What the plan is trying to accomplish
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category		0..1	CodeableConcept	E.g. Treatment, dietary, behavioral Binding: GoalCategory (example): Example codes for grouping goals for filtering or presentation.
description		1..1	CodeableConcept	Code or text describing the goal Binding: SNOMEDCTClinicalFindings (example): Describes goals that can be achieved.
priority		0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): Indicates the level of importance associated with reaching or sustaining a goal.
start		0..1	CodeableConcept	When goal pursuit begins Binding: GoalStartEvent (example): Identifies the types of events that might trigger the start of a goal.
addresses		0..*	CodeableConcept	What does the goal address Binding: Condition/Problem/DiagnosisCodes (example): Identifies problems, conditions, issues, or concerns that goals may address.
documentation		0..*	RelatedArtifact	Supporting documentation for the goal
target		0..*	BackboneElement	Target outcome for the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure		0..1	CodeableConcept	The parameter whose value is to be tracked Binding: LOINCCodes (example): Identifies types of parameters that can be tracked to determine goal achievement.
detail[x]		0..1		The target value to be achieved
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
due		0..1	Duration	Reach goal within
action		0..*	BackboneElement	Action defined by the plan
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
overviewUsageMode		0..*	CodeableConcept	Identifies whether the specified element and/or results of the element should appear in overview or table presentation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-overviewUsageMode Binding: Overview Usage Mode (required)
ehealth-actionTrigger		0..1	(Complex)	Reaction and trigger conditions URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionTrigger
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
prefix		0..1	string	User-visible prefix for the action (e.g. 1. or A.)
title		0..1	string	User-visible title
description		0..1	string	Brief description of the action
textEquivalent		0..1	string	Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
priority		0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code		0..*	CodeableConcept	Code representing the meaning of the action or sub-actions
reason		0..*	CodeableConcept	Why the action should be performed
documentation		0..*	RelatedArtifact	Supporting documentation for the intended performer of the action
goalId		0..*	id	What goals this action supports
subject[x]		0..1		Type of individual the action is focused on Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
trigger		0..*	TriggerDefinition	When the action should be triggered
condition		0..*	BackboneElement	Whether or not the action is applicable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		1..1	code	applicability | start | stop Binding: ActionConditionKind (required): Defines the kinds of conditions that can appear on actions.
expression		0..1	Expression	Boolean-valued expression
input		0..*	DataRequirement	Input data requirements
output		0..*	DataRequirement	Output data definition
relatedAction		0..*	BackboneElement	Relationship to another action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actionId		1..1	id	What action is this related to
relationship		1..1	code	before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
offset[x]		0..1		Time offset for the relationship
offsetDuration			Duration
offsetRange			Range
timing[x]		0..1		When the action should take place
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingDuration			Duration
timingRange			Range
timingTiming			Timing
participant		0..*	BackboneElement	Who should participate in the action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	patient | practitioner | related-person | device Binding: ActionParticipantType (required): The type of participant for the action.
role		0..1	CodeableConcept	E.g. Nurse, Surgeon, Parent Binding: ActionParticipantRole (example): Defines roles played by participants for the action.
type		0..1	CodeableConcept	create | update | remove | fire-event Binding: ActionType (extensible): The type of action to be performed.
groupingBehavior		0..1	code	visual-group | logical-group | sentence-group Binding: ActionGroupingBehavior (required): Defines organization behavior of a group.
selectionBehavior		0..1	code	any | all | all-or-none | exactly-one | at-most-one | one-or-more Binding: ActionSelectionBehavior (required): Defines selection behavior of a group.
requiredBehavior		0..1	code	must | could | must-unless-documented Binding: ActionRequiredBehavior (required): Defines expectations around whether an action or action group is required.
precheckBehavior		0..1	code	yes | no Binding: ActionPrecheckBehavior (required): Defines selection frequency behavior for an action or group.
cardinalityBehavior		0..1	code	single | multiple Binding: ActionCardinalityBehavior (required): Defines behavior for an action or a group for how many times that item may be repeated.
definition[x]		0..1	canonical(ehealth-activitydefinition | ehealth-plandefinition)	Description of the activity to be performed
transform		0..1	canonical(StructureMap)	Transform to apply the template
dynamicValue		0..*	BackboneElement	Dynamic aspects of the definition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
path		0..1	string	The path to the element to be set dynamically
expression		0..1	Expression	An expression that provides the dynamic value for the customization
action		0..*	See action (PlanDefinition)	A sub-action
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PlanDefinition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
PlanDefinition.type	extensible	PlanDefinitionType http://hl7.org/fhir/ValueSet/plan-definition-type from the FHIR Standard
PlanDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
PlanDefinition.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
PlanDefinition.jurisdiction	required	Jurisdiction http://ehealth.sundhed.dk/vs/jurisdiction from this IG
PlanDefinition.topic	required	TopicType http://ehealth.sundhed.dk/vs/topic-type from this IG
PlanDefinition.goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
PlanDefinition.goal.description	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
PlanDefinition.goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
PlanDefinition.goal.start	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
PlanDefinition.goal.addresses	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
PlanDefinition.goal.target.measure	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
PlanDefinition.action.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
PlanDefinition.action.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
PlanDefinition.action.condition.kind	required	ActionConditionKind http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 from the FHIR Standard
PlanDefinition.action.relatedAction.relationship	required	ActionRelationshipType http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1 from the FHIR Standard
PlanDefinition.action.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 from the FHIR Standard
PlanDefinition.action.participant.role	example	ActionParticipantRole http://hl7.org/fhir/ValueSet/action-participant-role from the FHIR Standard
PlanDefinition.action.type	extensible	ActionType http://hl7.org/fhir/ValueSet/action-type from the FHIR Standard
PlanDefinition.action.groupingBehavior	required	ActionGroupingBehavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.selectionBehavior	required	ActionSelectionBehavior http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.requiredBehavior	required	ActionRequiredBehavior http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.precheckBehavior	required	ActionPrecheckBehavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.cardinalityBehavior	required	ActionCardinalityBehavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 from the FHIR Standard

Differential View

This structure is derived from PlanDefinition

Name	Flags	Card.	Type	Description & Constraints
PlanDefinition		0..*	PlanDefinition	The definition of a plan for a series of actions, independent of any specific patient or context
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recommendation		0..1	CodeableConcept	Recommendation state of the plan definition URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation Binding: PlanDefinition Recommendation (required)
intendedAudience		0..*	Reference(ehealth-organization) {r}	The intended audience of the resource URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
modifierRole		1..*	(Complex)	Modifier role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
employeeTitle		0..1	string	Title for clinicians URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
predecessor		0..1	Identifier	Predecessor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
base		0..1	Identifier	Base URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
baseEnvironment		0..1	Identifier	Base environment URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
version		1..1	string	Business version of the plan definition
jurisdiction		0..*	CodeableConcept	Intended jurisdiction for plan definition (if applicable) Binding: Jurisdiction (required)
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment Binding: Topic Type (required)
library		0..*	canonical(ehealth-library)	Logic used by the plan definition
action
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
overviewUsageMode		0..*	CodeableConcept	Identifies whether the specified element and/or results of the element should appear in overview or table presentation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-overviewUsageMode Binding: Overview Usage Mode (required)
ehealth-actionTrigger		0..1	(Complex)	Reaction and trigger conditions URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionTrigger
definition[x]		0..1	canonical(ehealth-activitydefinition | ehealth-plandefinition)	Description of the activity to be performed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
PlanDefinition.jurisdiction	required	Jurisdiction http://ehealth.sundhed.dk/vs/jurisdiction from this IG
PlanDefinition.topic	required	TopicType http://ehealth.sundhed.dk/vs/topic-type from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
PlanDefinition	C	0..*	PlanDefinition	The definition of a plan for a series of actions, independent of any specific patient or context pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recommendation		0..1	CodeableConcept	Recommendation state of the plan definition URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation Binding: PlanDefinition Recommendation (required)
intendedAudience		0..*	Reference(ehealth-organization) {r}	The intended audience of the resource URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
modifierRole		1..*	(Complex)	Modifier role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
employeeTitle		0..1	string	Title for clinicians URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
predecessor		0..1	Identifier	Predecessor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
base		0..1	Identifier	Base URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
baseEnvironment		0..1	Identifier	Base environment URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
version	Σ	1..1	string	Business version of the plan definition
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for plan definition (if applicable) Binding: Jurisdiction (required)
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment Binding: Topic Type (required)
library		0..*	canonical(ehealth-library)	Logic used by the plan definition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PlanDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
PlanDefinition.jurisdiction	required	Jurisdiction http://ehealth.sundhed.dk/vs/jurisdiction from this IG
PlanDefinition.topic	required	TopicType http://ehealth.sundhed.dk/vs/topic-type from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
PlanDefinition	C	0..*	PlanDefinition	The definition of a plan for a series of actions, independent of any specific patient or context pdf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
recommendation		0..1	CodeableConcept	Recommendation state of the plan definition URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation Binding: PlanDefinition Recommendation (required)
intendedAudience		0..*	Reference(ehealth-organization) {r}	The intended audience of the resource URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
modifierRole		1..*	(Complex)	Modifier role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
employeeTitle		0..1	string	Title for clinicians URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
predecessor		0..1	Identifier	Predecessor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
base		0..1	Identifier	Base URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
baseEnvironment		0..1	Identifier	Base environment URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this plan definition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Additional identifier for the plan definition
version	Σ	1..1	string	Business version of the plan definition
name	ΣC	0..1	string	Name for this plan definition (computer friendly)
title	Σ	0..1	string	Name for this plan definition (human friendly)
subtitle		0..1	string	Subordinate title of the plan definition
type	Σ	0..1	CodeableConcept	order-set | clinical-protocol | eca-rule | workflow-definition Binding: PlanDefinitionType (extensible): The type of PlanDefinition.
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]		0..1		Type of individual the plan definition is focused on Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	Σ	0..1	dateTime	Date last changed
publisher	Σ	0..1	string	Name of the publisher (organization or individual)
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	Σ	0..1	markdown	Natural language description of the plan definition
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for plan definition (if applicable) Binding: Jurisdiction (required)
purpose		0..1	markdown	Why this plan definition is defined
usage		0..1	string	Describes the clinical usage of the plan
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the plan definition was approved by publisher
lastReviewDate		0..1	date	When the plan definition was last reviewed
effectivePeriod	Σ	0..1	Period	When the plan definition is expected to be used
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment Binding: Topic Type (required)
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations
library		0..*	canonical(ehealth-library)	Logic used by the plan definition
goal		0..*	BackboneElement	What the plan is trying to accomplish
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category		0..1	CodeableConcept	E.g. Treatment, dietary, behavioral Binding: GoalCategory (example): Example codes for grouping goals for filtering or presentation.
description		1..1	CodeableConcept	Code or text describing the goal Binding: SNOMEDCTClinicalFindings (example): Describes goals that can be achieved.
priority		0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): Indicates the level of importance associated with reaching or sustaining a goal.
start		0..1	CodeableConcept	When goal pursuit begins Binding: GoalStartEvent (example): Identifies the types of events that might trigger the start of a goal.
addresses		0..*	CodeableConcept	What does the goal address Binding: Condition/Problem/DiagnosisCodes (example): Identifies problems, conditions, issues, or concerns that goals may address.
documentation		0..*	RelatedArtifact	Supporting documentation for the goal
target		0..*	BackboneElement	Target outcome for the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure		0..1	CodeableConcept	The parameter whose value is to be tracked Binding: LOINCCodes (example): Identifies types of parameters that can be tracked to determine goal achievement.
detail[x]		0..1		The target value to be achieved
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
due		0..1	Duration	Reach goal within
action		0..*	BackboneElement	Action defined by the plan
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
overviewUsageMode		0..*	CodeableConcept	Identifies whether the specified element and/or results of the element should appear in overview or table presentation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-overviewUsageMode Binding: Overview Usage Mode (required)
ehealth-actionTrigger		0..1	(Complex)	Reaction and trigger conditions URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionTrigger
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
prefix		0..1	string	User-visible prefix for the action (e.g. 1. or A.)
title		0..1	string	User-visible title
description		0..1	string	Brief description of the action
textEquivalent		0..1	string	Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
priority		0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code		0..*	CodeableConcept	Code representing the meaning of the action or sub-actions
reason		0..*	CodeableConcept	Why the action should be performed
documentation		0..*	RelatedArtifact	Supporting documentation for the intended performer of the action
goalId		0..*	id	What goals this action supports
subject[x]		0..1		Type of individual the action is focused on Binding: SubjectType (extensible): The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
trigger		0..*	TriggerDefinition	When the action should be triggered
condition		0..*	BackboneElement	Whether or not the action is applicable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		1..1	code	applicability | start | stop Binding: ActionConditionKind (required): Defines the kinds of conditions that can appear on actions.
expression		0..1	Expression	Boolean-valued expression
input		0..*	DataRequirement	Input data requirements
output		0..*	DataRequirement	Output data definition
relatedAction		0..*	BackboneElement	Relationship to another action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actionId		1..1	id	What action is this related to
relationship		1..1	code	before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
offset[x]		0..1		Time offset for the relationship
offsetDuration			Duration
offsetRange			Range
timing[x]		0..1		When the action should take place
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingDuration			Duration
timingRange			Range
timingTiming			Timing
participant		0..*	BackboneElement	Who should participate in the action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	patient | practitioner | related-person | device Binding: ActionParticipantType (required): The type of participant for the action.
role		0..1	CodeableConcept	E.g. Nurse, Surgeon, Parent Binding: ActionParticipantRole (example): Defines roles played by participants for the action.
type		0..1	CodeableConcept	create | update | remove | fire-event Binding: ActionType (extensible): The type of action to be performed.
groupingBehavior		0..1	code	visual-group | logical-group | sentence-group Binding: ActionGroupingBehavior (required): Defines organization behavior of a group.
selectionBehavior		0..1	code	any | all | all-or-none | exactly-one | at-most-one | one-or-more Binding: ActionSelectionBehavior (required): Defines selection behavior of a group.
requiredBehavior		0..1	code	must | could | must-unless-documented Binding: ActionRequiredBehavior (required): Defines expectations around whether an action or action group is required.
precheckBehavior		0..1	code	yes | no Binding: ActionPrecheckBehavior (required): Defines selection frequency behavior for an action or group.
cardinalityBehavior		0..1	code	single | multiple Binding: ActionCardinalityBehavior (required): Defines behavior for an action or a group for how many times that item may be repeated.
definition[x]		0..1	canonical(ehealth-activitydefinition | ehealth-plandefinition)	Description of the activity to be performed
transform		0..1	canonical(StructureMap)	Transform to apply the template
dynamicValue		0..*	BackboneElement	Dynamic aspects of the definition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
path		0..1	string	The path to the element to be set dynamically
expression		0..1	Expression	An expression that provides the dynamic value for the customization
action		0..*	See action (PlanDefinition)	A sub-action
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
PlanDefinition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
PlanDefinition.type	extensible	PlanDefinitionType http://hl7.org/fhir/ValueSet/plan-definition-type from the FHIR Standard
PlanDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
PlanDefinition.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
PlanDefinition.jurisdiction	required	Jurisdiction http://ehealth.sundhed.dk/vs/jurisdiction from this IG
PlanDefinition.topic	required	TopicType http://ehealth.sundhed.dk/vs/topic-type from this IG
PlanDefinition.goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
PlanDefinition.goal.description	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
PlanDefinition.goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
PlanDefinition.goal.start	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
PlanDefinition.goal.addresses	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
PlanDefinition.goal.target.measure	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
PlanDefinition.action.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
PlanDefinition.action.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
PlanDefinition.action.condition.kind	required	ActionConditionKind http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 from the FHIR Standard
PlanDefinition.action.relatedAction.relationship	required	ActionRelationshipType http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1 from the FHIR Standard
PlanDefinition.action.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 from the FHIR Standard
PlanDefinition.action.participant.role	example	ActionParticipantRole http://hl7.org/fhir/ValueSet/action-participant-role from the FHIR Standard
PlanDefinition.action.type	extensible	ActionType http://hl7.org/fhir/ValueSet/action-type from the FHIR Standard
PlanDefinition.action.groupingBehavior	required	ActionGroupingBehavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.selectionBehavior	required	ActionSelectionBehavior http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.requiredBehavior	required	ActionRequiredBehavior http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.precheckBehavior	required	ActionPrecheckBehavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 from the FHIR Standard
PlanDefinition.action.cardinalityBehavior	required	ActionCardinalityBehavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 from the FHIR Standard

This structure is derived from PlanDefinition

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

• ehealth-library (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-library)
• ehealth-activitydefinition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-activitydefinition)
• ehealth-plandefinition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-plandefinition)

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-recommendation
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-intendedAudience
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-modifier-role
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-employee-title
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-predecessor
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-base-environment
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-overviewUsageMode
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionTrigger