RIVO-Noord Zorgviewer Implementation Guide
1.11.0 - sprint49 Netherlands flag

This page is part of the RIVO-Noord Zorgviewer Implementation Guide (v1.11.0: Release) based on FHIR (HL7® FHIR® Standard) R3. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: PlanDefinition - Detailed Descriptions

Draft as of 2025-01-20

Definitions for the PlanDefinition resource profile.

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

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.

ShortThe definition of a plan for a series of actions, independent of any specific patient or context
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
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.

ShortA 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.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Control0..1
Typeuri
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
4. 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. Usually modifier elements provide negation or qualification. In order 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.

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Alternate Namesextensions, user content
6. PlanDefinition.status
Definition

The status of this plan definition. Enables tracking the life-cycle of the content.

Shortdraft | active | retired | unknown
Comments

Allows filtering of plan definitions that are appropriate for use vs. not.
This is labeled as "Is Modifier" because applications should not use a retired plan definition without due consideration.

Control1..1
BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status
(required to http://hl7.org/fhir/ValueSet/publication-status)

The lifecycle status of a Value Set or Concept Map.

Typecode
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
8. 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.

ShortFor testing purposes, not real usage
Comments

Allows filtering of plan definition that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental plan definition in production.

Control0..1
Typeboolean
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.

10. PlanDefinition.relatedArtifact
Definition

Related artifacts such as additional documentation, justification, or bibliographic references.

ShortRelated artifacts for the asset
Comments

Zet hier een link naar de 'officiele' specificaties van het Behandelplan.


Each related artifact is either an attachment, or a reference to another resource, but not both.

Control10..*
TypeRelatedArtifact
Must Supporttrue
Requirements

Assets 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.

12. PlanDefinition.action
Definition

An action to be taken as part of the plan.

ShortAction defined by the plan
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
14. 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
Summarytrue
Alternate Namesextensions, user content, modifiers
16. PlanDefinition.action.output
Definition

Defines the outputs of the action, if any.

ShortOutput data definition
Comments

Specificeer hier de zib FHIR resource en hun filters.

Control10..*
TypeDataRequirement
Must Supporttrue