<status value="active" /> <experimental value="false" /> <date value="2019-07-31T17:27:11.1686216+00:00" /> <publisher value="National Comprehensive Cancer Network, Inc." /> <contact> <telecom> <system value="url" /> <value value="https://www.nccn.org/about/contact.aspx" /> <use value="work" /> </telecom> </contact> <description value="An OrderTemplate is a profile of the PlanDefinition resource (http://hl7.org/fhir/plandefinition.html). With regard to NCCN's Chemotherapy Order Templates, this OrderTemplate profile contains the overall structure of the chemotherapy regimen, expressed through actions and sub-actions with relationships. The child-most action(s) defined by an OrderTemplate are internal references to a RegimenEntryTemplate (a profile of the ActivityDefinition resource at http://hl7.org/fhir/activitydefinition.html), which defines a single medication and its dosage instructions. The OrderTemplate profile also contains additional information regarding the safe use of drugs and biologics in cancer care, including notes about monitoring parameters, safety instructions, and more." /> <copyright value="National Comprehensive Cancer Network, Inc. (c) 2017. All right reserved." /> <fhirVersion value="3.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="PlanDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PlanDefinition" /> <derivation value="constraint" /> <differential> <element id="PlanDefinition.meta"> <path value="PlanDefinition.meta" /> <short value="Metadata about the template." /> <definition value="Metadata about the template that is maintained by the Chemotherapy Order Template Tool that NCCN authors use to create and manage templates." /> <min value="1" /> </element> <element id="PlanDefinition.meta.versionId"> <path value="PlanDefinition.meta.versionId" /> <short value="The (internal to NCCN) version of this template." /> <definition value="This will always be in a format like [external version].[internal version]. The external version matches PlanDefinition.version, and corresponds to a published version of the template. The internal version number will increment each time an NCCN author clicks the save button: it is solely intended for internal NCCN auditing and traceability purposes. Only published versions of a template will be available from the API." /> <comment value="External users/data consumers should use PlanDefinition.version as the sole source of version information and should not use PlanDefinition.meta.versionId." /> <min value="1" /> </element> <element id="PlanDefinition.meta.lastUpdated"> <path value="PlanDefinition.meta.lastUpdated" /> <short value="Last time the template was saved by an NCCN author." /> <definition value="When the template last changed - e.g. when the PlanDefinition.meta.versionId changed." /> <comment value="n/a" /> <min value="1" /> </element> <element id="PlanDefinition.meta.profile"> <path value="PlanDefinition.meta.profile" /> <short value="Profiles this resource claims to conform to." /> <min value="1" /> <max value="1" /> <fixedUri value="http://ots.nccn.org/hl7/fhir/StructureDefinition/OrderTemplate" /> <mustSupport value="false" /> </element> <element id="PlanDefinition.meta.security"> <path value="PlanDefinition.meta.security" /> <max value="0" /> </element> <element id="PlanDefinition.meta.tag"> <path value="PlanDefinition.meta.tag" /> <max value="0" /> </element> <element id="PlanDefinition.implicitRules"> <path value="PlanDefinition.implicitRules" /> <max value="0" /> </element> <element id="PlanDefinition.language"> <path value="PlanDefinition.language" /> <short value="Language of the resource content." /> <definition value="The language in which the resource is written." /> <comment value="Fixed to 'en-US', or English (United States)." /> <fixedCode value="en-US" /> </element> <element id="PlanDefinition.text"> <path value="PlanDefinition.text" /> <short value="Text-equivalent of the template, for human interpretation." /> <definition value="A human-readable narrative that contains a summary of the template, and may be used to represent the content of the resource to a human." /> <comment value="This is an HTML version of the template. It contains the same information as the .pdf and FHIR versions of the template, but in HTML. It can, for instance, be displayed in a browser for presentation to an end-user." /> <min value="1" /> <mustSupport value="false" /> </element> <element id="PlanDefinition.contained"> <path value="PlanDefinition.contained" /> <short value="Medication entries within the regimen." /> <definition value="The child-most action(s) defined by an OrderTemplate are contained references to a RegimenEntryTemplate (a profile of the ActivityDefinition resource at http://hl7.org/fhir/activitydefinition.html)." /> <comment value="The RegimenEntryTemplate defines a single medication and its dosage instructions. Because a RegimenEntryTemplate is so dependent on the OrderTemplate from which it comes, it is defined as an internal or contained resource within the OrderTemplate. Please see http://hl7.org/fhir/plandefinition.html for more information regarding the relationship between PlanDefinition and ActivityDefinition, and please see https://www.hl7.org/fhir/references.html for more information on contained resources. Note that the RegimenEntryTemplate is of kind (ActivityDefinition.kind) MedicationRequest (see http://hl7.org/fhir/medicationrequest.html)." /> <min value="1" /> <type> <code value="ActivityDefinition" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/RegimenEntryTemplate" /> </type> <mustSupport value="true" /> </element> <element id="PlanDefinition.extension"> <path value="PlanDefinition.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.extension:template-note"> <path value="PlanDefinition.extension" /> <sliceName value="template-note" /> <short value="A template note." /> <definition value="An informational note found on an NCCN Template." /> <comment value="An example template note is "Scheduled prophylactic antiemetic therapy should be given for prevention of acute and delayed nausea and vomiting based on the emetic risk of the chemotherapy regimen. This may include antiemetic therapy given on the days following chemotherapy. For more information on emetic prophylaxis, refer to the?NCCN Guidelines for Antiemesis and Appendix D to the NCCN Chemotherapy Order Templates."" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/template-note" /> </type> </element> <element id="PlanDefinition.extension:disclaimer"> <path value="PlanDefinition.extension" /> <sliceName value="disclaimer" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/disclaimer" /> </type> </element> <element id="PlanDefinition.url"> <path value="PlanDefinition.url" /> <max value="0" /> </element> <element id="PlanDefinition.identifier"> <path value="PlanDefinition.identifier" /> <short value="Template ID" /> <definition value="A unique identifier for this chemotherapy order template within the NCCN catalog." /> <comment value="This identifier persists across all versions of the template." /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="PlanDefinition.identifier.use"> <path value="PlanDefinition.identifier.use" /> <max value="0" /> </element> <element id="PlanDefinition.identifier.type"> <path value="PlanDefinition.identifier.type" /> <max value="0" /> </element> <element id="PlanDefinition.identifier.system"> <path value="PlanDefinition.identifier.system" /> <short value="The namespace for the identifier value." /> <definition value="According to the FHIR spec, 'If the system is a URL, it SHOULD resolve.' However, the URL supplied here does not resolve. NCCN is simply saying that the PlanDefinition.identifier.value is maintained by NCCN via NCCN's unique naming system." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedUri value="http://ots.nccn.org/hl7/fhir/ordertemplates/ID" /> </element> <element id="PlanDefinition.identifier.value"> <path value="PlanDefinition.identifier.value" /> <short value="Unique template identifier value, as a string." /> <definition value="NCCN Template ID nomenclature is to have the ID encoded as an alphanumeric string with the cancer type abbreviation followed by a number, and optionally followed by a letter to identify this template among related templates. For example, ALL12a, BRS23, or BON1." /> <comment value="For example, ALL12a is for the 12th Acute Lymphoblastic Leukemia template, and the "a" refers to the fact that this template is one of several related templates (generally for linker regimens, where in this case this is for the first course)." /> <min value="1" /> <example> <label value="NCCN Template ID" /> <valueString value="ALL12a" /> </example> <example> <label value="NCCN Template ID" /> <valueString value="BRS1" /> </example> <maxLength value="64" /> </element> <element id="PlanDefinition.identifier.period"> <path value="PlanDefinition.identifier.period" /> <max value="0" /> </element> <element id="PlanDefinition.identifier.assigner"> <path value="PlanDefinition.identifier.assigner" /> <max value="0" /> </element> <element id="PlanDefinition.version"> <path value="PlanDefinition.version" /> <short value="Published version of the template." /> <definition value="PlanDefinition.version is for external users, refers to published templates, and equates to an NCCN author having clicked ?update to new version? in the template authoring tool. From an implementer's perspective, only PlanDefinition.version is relevant in the sense that it controls what is seen (published) to external users (what would be posted on nccn.org), and thus what version of a template that an implementer should use. Even if a small typo was found in a published version of a template, NCCN would un-publish that template, update to a new version, then re-publish that template with the new version number. So, PlanDefinition.version increments each time a new version of the template is published." /> <comment value="There may be different plan definition instances that have the same identifier but different versions. For example, let's say the template BRS23 is published and has been posted to nccn.org, and is at version 3. Then a new drug indication comes out that affects this template. NCCN would un-publish the template (remove it from nccn.org), update the template to include the new drug indication, then re-publish the template (post to nccn.org). The PlanDefinition.version of the newly published version of this template is now 4." /> <min value="1" /> <example> <label value="Template version" /> <valueString value="4" /> </example> <mustSupport value="true" /> </element> <element id="PlanDefinition.name"> <path value="PlanDefinition.name" /> <max value="0" /> </element> <element id="PlanDefinition.title"> <path value="PlanDefinition.title" /> <short value="Name of the template." /> <definition value="The title of the NCCN Chemotherapy Order Template." /> <comment value="An example title for the Template ID AML6 is "High-Dose Cytarabine/Topotecan". Note that the .pdf version of certain (related) templates can have two titles: one for the regimen and one for the course. For example, ALL12a has a regimen title of "Linker Regimen" and a course title of "Course 1 ? Induction (1A) ? DAUNOrubicin/VinCRIStine/PredniSONE/Pegaspargase". In the FHIR version of the template, if a course title exists it is concatenated together with the regimen title using whitespace and a hyphen. Thus, the PlanDefinition.title of ALL12a is "Linker Regimen - Course 1 ? Induction (1A) ? DAUNOrubicin/VinCRIStine/PredniSONE/Pegaspargase"." /> <min value="1" /> <example> <label value="Template title" /> <valueString value="High-Dose Cytarabine/Topotecan" /> </example> <maxLength value="516" /> <mustSupport value="true" /> </element> <element id="PlanDefinition.type"> <path value="PlanDefinition.type" /> <short value="The type of PlanDefinition." /> <definition value="Fixed to a value of 'protocol' which is defined as "a set of activities that can be performed that have relationships in terms of order, pre-conditions, etc."" /> <comment value="n/a" /> <min value="1" /> </element> <element id="PlanDefinition.type.coding"> <path value="PlanDefinition.type.coding" /> <short value="Code defined by PlanDefinition." /> <definition value="Code defined by PlanDefinition.type data element." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.type.coding.system"> <path value="PlanDefinition.type.coding.system" /> <short value="PlanDefinition.type terminology system." /> <definition value="PlanDefinition.type data element defined several codes." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/plan-definition-type" /> </element> <element id="PlanDefinition.type.coding.version"> <path value="PlanDefinition.type.coding.version" /> <max value="0" /> </element> <element id="PlanDefinition.type.coding.code"> <path value="PlanDefinition.type.coding.code" /> <short value="Protocol." /> <definition value="Fixed to a value of 'protocol' which is defined as "a set of activities that can be performed that have relationships in terms of order, pre-conditions, etc."" /> <comment value="n/a" /> <requirements value="n/a" /> <fixedCode value="protocol" /> </element> <element id="PlanDefinition.type.coding.userSelected"> <path value="PlanDefinition.type.coding.userSelected" /> <max value="0" /> </element> <element id="PlanDefinition.type.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.type.text" /> <short value="NCCN Chemotherapy Order Template." /> <definition value="The NCCN Chemotherapy Order Templates include chemotherapy, immunotherapy, supportive care agents, monitoring parameters, and safety instructions. Special instructions for self-administered chemotherapeutic agents are also provided." /> <comment value="NCCN continues to add to the library of chemotherapy order templates to improve the safe use of drugs and biologics in cancer care." /> <requirements value="n/a" /> <min value="1" /> <fixedString value="Chemotherapy Order Template" /> </element> <element id="PlanDefinition.status"> <path value="PlanDefinition.status" /> <definition value="The publication status of this template." /> <comment value="Published templates have a status of "active". Draft or test templates have a status of "draft". Only published/"active" templates are appropriate for use in a clinical setting. A list of status codes are available at: http://hl7.org/fhir/publication-status." /> </element> <element id="PlanDefinition.experimental"> <path value="PlanDefinition.experimental" /> <short value="Boolean indicating experimental status." /> <definition value="A boolean value to indicate if this template is authored for testing purposes (or education/evaluation/marketing) and thus not intended to be used in an actual clinical setting. Either "true" or "false"." /> <comment value="Only templates that are published (and thus have a status of "actice") on NCCN's production server will have an experimental value of "false". All others will have an experimental value of "true"." /> <requirements value="n/a" /> <min value="1" /> </element> <element id="PlanDefinition.date"> <path value="PlanDefinition.date" /> <short value="Publication date for the template." /> <definition value="The publication date for this version of the chemotherapy order template." /> <comment value="n/a" /> <min value="1" /> </element> <element id="PlanDefinition.publisher"> <path value="PlanDefinition.publisher" /> <short value="Name of the publishing organization, NCCN." /> <definition value="NCCN is the publisher of its library of chemotherapy order templates." /> <comment value="NCCN is responsible for the maintenance and upkeep of its library of chemotherapy order templates. Please contant NCCN (see https://www.nccn.org/about/contact.aspx) for all inquiries." /> <requirements value="n/a" /> <min value="1" /> <fixedString value="National Comprehensive Cancer Network, Inc." /> </element> <element id="PlanDefinition.description"> <path value="PlanDefinition.description" /> <max value="0" /> </element> <element id="PlanDefinition.purpose"> <path value="PlanDefinition.purpose" /> <max value="0" /> </element> <element id="PlanDefinition.usage"> <path value="PlanDefinition.usage" /> <max value="0" /> </element> <element id="PlanDefinition.approvalDate"> <path value="PlanDefinition.approvalDate" /> <max value="0" /> </element> <element id="PlanDefinition.lastReviewDate"> <path value="PlanDefinition.lastReviewDate" /> <max value="0" /> </element> <element id="PlanDefinition.effectivePeriod"> <path value="PlanDefinition.effectivePeriod" /> <max value="0" /> </element> <element id="PlanDefinition.useContext"> <path value="PlanDefinition.useContext" /> <slicing> <discriminator> <type value="value" /> <path value="code.system" /> </discriminator> <description value="A code.system value of http://hl7.org/fhir/usage-context-type is for a cancer type useContext. A code.system value of http://ots.nccn.org/hl7/fhir/CodeSystem/indication-classes is for an indication useContext." /> <rules value="open" /> </slicing> <short value="Cancer type and/or indications." /> <definition value="useContext is used for both cancer type and indications. Within useContext, usagecontext-group is used for a coherent set of indications, and indication-classes is used to parse out and structure individual parts of the indication." /> <comment value="n/a" /> <min value="1" /> </element> <element id="PlanDefinition.useContext:disease"> <path value="PlanDefinition.useContext" /> <sliceName value="disease" /> <short value="Context the content is intended to support." /> <definition value="Cancer type/disease site." /> <comment value="n/a" /> <requirements value="n/a" /> <max value="1" /> </element> <element id="PlanDefinition.useContext:disease.extension"> <path value="PlanDefinition.useContext.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.useContext:disease.extension:indicationGroup"> <path value="PlanDefinition.useContext.extension" /> <sliceName value="indicationGroup" /> <short value="Indication for this cancer type." /> <definition value="useContext is used for both cancer type and indications. Within useContext, usagecontext-group is used for a coherent set of indications. An example is "IT prophylaxis: high risk"." /> <comment value="For example, the usagecontext-group might be "Ph-negative Adult: CNS prophylaxis" for a valueCodeableConcept.text value of "Acute Lymphoblastic Leukemia"." /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/usagecontext-group" /> </type> </element> <element id="PlanDefinition.useContext:disease.code"> <path value="PlanDefinition.useContext.code" /> <short value="Type of context for this template." /> <definition value="Fixed to focus, which implies a clinical context." /> <comment value="n/a" /> <fixedCoding> <system value="http://hl7.org/fhir/ValueSet/usage-context-type" /> <code value="focus" /> </fixedCoding> <binding> <strength value="required" /> <description value="A code that specifies a type of context being specified by a usage context." /> </binding> </element> <element id="PlanDefinition.useContext:disease.code.system"> <path value="PlanDefinition.useContext.code.system" /> <short value="Identity of the terminology system." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/ValueSet/usage-context-type" /> <binding> <strength value="required" /> <description value="Identity of the terminology system." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/usage-context-type" /> </valueSetReference> </binding> </element> <element id="PlanDefinition.useContext:disease.code.version"> <path value="PlanDefinition.useContext.code.version" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:disease.code.code"> <path value="PlanDefinition.useContext.code.code" /> <short value="Type of context for this template." /> <definition value="Fixed to focus, which implies a clinical context." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedCode value="focus" /> </element> <element id="PlanDefinition.useContext:disease.code.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.useContext.code.display" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:disease.code.userSelected"> <path value="PlanDefinition.useContext.code.userSelected" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:disease.value[x]:valueCodeableConcept"> <path value="PlanDefinition.useContext.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="Text value that defines the context." /> <definition value="Name of the cancer type." /> <comment value="n/a" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="PlanDefinition.useContext:disease.value[x]:valueCodeableConcept.coding"> <path value="PlanDefinition.useContext.valueCodeableConcept.coding" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:disease.value[x]:valueCodeableConcept.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.useContext.valueCodeableConcept.text" /> <short value="Plain text name of the cancer type." /> <definition value="Name of the cancer type." /> <comment value="For example, "Breast Cancer"." /> <requirements value="n/a" /> <min value="1" /> <example> <label value="Cancer type text" /> <valueString value="Breast Cancer" /> </example> <maxLength value="256" /> </element> <element id="PlanDefinition.useContext:indicationComponent"> <path value="PlanDefinition.useContext" /> <sliceName value="indicationComponent" /> <short value="Context the content is intended to support." /> <definition value="Used to parse out and structure individual parts of an indication." /> <comment value="n/a" /> <requirements value="n/a" /> <max value="1" /> </element> <element id="PlanDefinition.useContext:indicationComponent.extension"> <path value="PlanDefinition.useContext.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.useContext:indicationComponent.extension:indicationGroup"> <path value="PlanDefinition.useContext.extension" /> <sliceName value="indicationGroup" /> <short value="Indication for this template." /> <definition value="An example is "IT prophylaxis: high risk"." /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/usagecontext-group" /> </type> </element> <element id="PlanDefinition.useContext:indicationComponent.code"> <path value="PlanDefinition.useContext.code" /> <short value="Type of indication." /> <definition value="A code that specifies a type of indication being specified by a usage context." /> <comment value="n/a" /> </element> <element id="PlanDefinition.useContext:indicationComponent.code.system"> <path value="PlanDefinition.useContext.code.system" /> <definition value="The identification of the code system that defines the meaning of the symbol in the code. Indications are managed by NCCN." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedUri value="http://ots.nccn.org/hl7/fhir/ValueSet/indicationClasses-ValueSet" /> <binding> <strength value="preferred" /> <description value="Managed by NCCN." /> <valueSetReference> <reference value="http://ots.nccn.org/hl7/fhir/ValueSet/indicationClasses-ValueSet" /> </valueSetReference> </binding> </element> <element id="PlanDefinition.useContext:indicationComponent.code.version"> <path value="PlanDefinition.useContext.code.version" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:indicationComponent.code.code"> <path value="PlanDefinition.useContext.code.code" /> <short value="NCCN-managed indication codes." /> <definition value="NCCN indications can be grouped, but here they are parsed out." /> <comment value="For example, an indication might be "Ph-negative Adult: CNS prophylaxis". This will get split into two separte useContexts, one for the "Ph-negative Adult" which is a code.code value of "molecularMarker", and one for the "CNS prophylaxis" which is a code.code value of "treatmentSetting"." /> <requirements value="n/a" /> <min value="1" /> <example> <label value="Indication code" /> <valueCode value="treatmentSetting" /> </example> <binding> <strength value="preferred" /> <description value="NCCN-managed indication codes." /> <valueSetReference> <reference value="http://ots.nccn.org/hl7/fhir/ValueSet/indicationClasses-ValueSet" /> </valueSetReference> </binding> </element> <element id="PlanDefinition.useContext:indicationComponent.code.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.useContext.code.display" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:indicationComponent.code.userSelected"> <path value="PlanDefinition.useContext.code.userSelected" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:indicationComponent.value[x]:valueCodeableConcept"> <path value="PlanDefinition.useContext.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="Value that defines the indication." /> <definition value="An indication might be "Ph-negative Adult: CNS prophylaxis". This will get split into two separte useContexts, one valueCodeableConcept text value for the "Ph-negative Adult" and another valueCodeableConcept text value for the "CNS prophylaxis"." /> <comment value="n/a" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="PlanDefinition.useContext:indicationComponent.value[x]:valueCodeableConcept.coding"> <path value="PlanDefinition.useContext.valueCodeableConcept.coding" /> <max value="0" /> </element> <element id="PlanDefinition.useContext:indicationComponent.value[x]:valueCodeableConcept.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.useContext.valueCodeableConcept.text" /> <short value="Text representation of the indication." /> <definition value="An indication might be "Ph-negative Adult: CNS prophylaxis". This will get split into two separte useContexts, one valueCodeableConcept text value for the "Ph-negative Adult" and another valueCodeableConcept text value for the "CNS prophylaxis"." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <example> <label value="Indication text" /> <valueString value="Ph-negative Adult" /> </example> <maxLength value="256" /> </element> <element id="PlanDefinition.jurisdiction"> <path value="PlanDefinition.jurisdiction" /> <max value="0" /> </element> <element id="PlanDefinition.topic"> <path value="PlanDefinition.topic" /> <max value="0" /> </element> <element id="PlanDefinition.contributor"> <path value="PlanDefinition.contributor" /> <short value="NCCN staff who authored the template." /> <definition value="NCCN staff who authored the template, including pharmacists and oncology nurses." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> </element> <element id="PlanDefinition.contributor.type"> <path value="PlanDefinition.contributor.type" /> <definition value="The type of contributor is fixed to author." /> <comment value="n/a" /> <fixedCode value="author" /> </element> <element id="PlanDefinition.contributor.name"> <path value="PlanDefinition.contributor.name" /> <short value="Name of NCCN staff member." /> <definition value="The name of the individual responsible for contribution to the template." /> <comment value="n/a" /> </element> <element id="PlanDefinition.contributor.contact"> <path value="PlanDefinition.contributor.contact" /> <max value="0" /> </element> <element id="PlanDefinition.contact"> <path value="PlanDefinition.contact" /> <max value="0" /> </element> <element id="PlanDefinition.copyright"> <path value="PlanDefinition.copyright" /> <short value="Use and/or publishing restrictions." /> <definition value="A copyright relating to the template and its contents. See related extension named "disclaimer"." /> <comment value="Systems are not required to have markdown support, and there is considerable variation in markdown syntax, so the text should be readable without markdown processing. The preferred markdown syntax is described here: http://daringfireball.net/projects/markdown/syntax (and tests here: http://daringfireball.net/projects/downloads/MarkdownTest_1.0.zip)." /> <requirements value="Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content. See related extension named "disclaimer"." /> <min value="1" /> </element> <element id="PlanDefinition.relatedArtifact"> <path value="PlanDefinition.relatedArtifact" /> <slicing> <discriminator> <type value="value" /> <path value="type" /> </discriminator> <rules value="open" /> </slicing> <short value="References for the template." /> <definition value="NCCN Templates contain a "References" section. There are three types of references that can apply to a particular template: an NCCN Guideline, a publication from the literature, or a related template. The different types of references are differentiated within this sliced data elment." /> <comment value="If relatedArtifact.type is "derived-from" then the reference is an NCCN Guideline. If relatedArtifact.type is "citation" then the reference is a publication from the literature. If relatedArtifact.type is an extension named "templateRelationship" then this template is one of several in a related series and the reference will explain how the templates relate to one another." /> <min value="1" /> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference"> <path value="PlanDefinition.relatedArtifact" /> <sliceName value="guidelineReference" /> <short value="A link to the NCCN Clinical Practice Guideline that recommends this regimen." /> <definition value="NCCN Templates are derived from the NCCN Guidelines. Here we provide a link to the NCCN Guideline on which this template is derived from." /> <comment value="See https://www.nccn.org/professionals/physician_gls/f_guidelines.asp for the full list of NCCN Guidelines." /> <requirements value="n/a" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference.type"> <path value="PlanDefinition.relatedArtifact.type" /> <definition value="NCCN Templates are derived from the NCCN Guidelines." /> <comment value="n/a" /> <fixedCode value="derived-from" /> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference.display"> <path value="PlanDefinition.relatedArtifact.display" /> <short value="String name and version of the NCCN Guideline." /> <definition value="NCCN Templates are derived from the NCCN Guidelines. This field provides the name and version of the NCCN Guideline from which this template is derived from." /> <comment value="For example, if the template is derived from the Breast Cancer guideline, then this field might contain "NCCN Guidelines(R) for Breast Cancer V.1.2017."" /> <min value="1" /> <example> <label value="Template guideline reference" /> <valueString value="NCCN Guidelines(R) for Breast Cancer V.1.2017." /> </example> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference.citation"> <path value="PlanDefinition.relatedArtifact.citation" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference.url"> <path value="PlanDefinition.relatedArtifact.url" /> <short value="URL where the NCCN guideline can be accessed." /> <definition value="A url for the guideline that can be followed to access the actual content." /> <comment value="An example for the breast cancer guideline is "http://www.nccn.org/professionals/physician_gls/PDF/breast.pdf"." /> <example> <label value="Template guideline URL reference" /> <valueUri value="http://www.nccn.org/professionals/physician_gls/PDF/breast.pdf" /> </example> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference.document"> <path value="PlanDefinition.relatedArtifact.document" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:guidelineReference.resource"> <path value="PlanDefinition.relatedArtifact.resource" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:citation"> <path value="PlanDefinition.relatedArtifact" /> <sliceName value="citation" /> <short value="A link to a referenced publication from the literature." /> <definition value="A reference to a publication in the literature with evidence informing the regimen." /> <comment value="n/a" /> <requirements value="n/a" /> </element> <element id="PlanDefinition.relatedArtifact:citation.extension"> <path value="PlanDefinition.relatedArtifact.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.relatedArtifact:citation.extension:regimenReferenceType"> <path value="PlanDefinition.relatedArtifact.extension" /> <sliceName value="regimenReferenceType" /> <short value="Type of citation." /> <definition value="Template references that are citations may or may not follow the stated reference because of changes in the standard of practice. This extension ellaborates on the degree to which the template adheres to the information contained within the referenced citation." /> <comment value="See https://www.nccn.org/professionals/OrderTemplates/PDF/appendix_E.pdf for more information." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/regimenReferenceType" /> </type> <binding> <strength value="required" /> <description value="For the regimenReferenceType extension." /> <valueSetReference> <reference value="http://ots.nccn.org/hl7/fhir/ValueSet/regimenReferenceType-ValueSet" /> </valueSetReference> </binding> </element> <element id="PlanDefinition.relatedArtifact:citation.type"> <path value="PlanDefinition.relatedArtifact.type" /> <definition value="A reference to literature with evidence informing the regimen." /> <comment value="n/a" /> <fixedCode value="citation" /> </element> <element id="PlanDefinition.relatedArtifact:citation.display"> <path value="PlanDefinition.relatedArtifact.display" /> <short value="String text of the citation reference." /> <definition value="A reference to literature with evidence informing the regimen." /> <comment value="An example is "Ades L, et al. Blood. 2008;111(3):1078-84."." /> <min value="1" /> <example> <label value="Citation display" /> <valueString value="Ades L, et al. Blood. 2008;111(3):1078-84." /> </example> </element> <element id="PlanDefinition.relatedArtifact:citation.citation"> <path value="PlanDefinition.relatedArtifact.citation" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:citation.url"> <path value="PlanDefinition.relatedArtifact.url" /> <short value="URL where the citation can be accessed." /> <definition value="A url for the citation that can be followed to access the actual content. Typically a PubMed URL." /> <comment value="An example is "http://www.ncbi.nlm.nih.gov/pubmed/17975017"." /> <example> <label value="Citation URL" /> <valueUri value="http://www.ncbi.nlm.nih.gov/pubmed/17975017" /> </example> </element> <element id="PlanDefinition.relatedArtifact:citation.document"> <path value="PlanDefinition.relatedArtifact.document" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:citation.resource"> <path value="PlanDefinition.relatedArtifact.resource" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:relatedTemplate"> <path value="PlanDefinition.relatedArtifact" /> <sliceName value="relatedTemplate" /> <short value="A link to a related template." /> <definition value="documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of" /> <comment value="n/a" /> <requirements value="n/a" /> <max value="1" /> </element> <element id="PlanDefinition.relatedArtifact:relatedTemplate.type"> <path value="PlanDefinition.relatedArtifact.type" /> <short value="Fixed to depends-on." /> <definition value="Some regimens are split across multiple courses and each course may have its own template. This will explain how the current template relates to the other templates." /> <comment value="n/a" /> <fixedCode value="depends-on" /> </element> <element id="PlanDefinition.relatedArtifact:relatedTemplate.display"> <path value="PlanDefinition.relatedArtifact.display" /> <short value="Title of the related template." /> <definition value="Regimen title of the related template." /> <comment value="An example is "French-Belgian-Swiss APL 2000 - Consolidation 2 ? DAUNOrubicin/High-Dose Cytarabine". Similar to PlanDefinition.title." /> <min value="1" /> <example> <label value="Related template title" /> <valueString value="French-Belgian-Swiss APL 2000 - Consolidation 2 ? DAUNOrubicin/High-Dose Cytarabine" /> </example> </element> <element id="PlanDefinition.relatedArtifact:relatedTemplate.citation"> <path value="PlanDefinition.relatedArtifact.citation" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:relatedTemplate.document"> <path value="PlanDefinition.relatedArtifact.document" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:relatedTemplate.resource"> <path value="PlanDefinition.relatedArtifact.resource" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:appendix"> <path value="PlanDefinition.relatedArtifact" /> <sliceName value="appendix" /> <short value="Appendices and supporting information for NCCN Templates." /> <definition value="NCCN provides supporting information around dosing instructions, dose formulae (e.g., BSA), rounding, etc. which can be found on the NCCN Template main page at: https://www.nccn.org/professionals/OrderTemplates/Default.aspx. Scroll down on that webpage until the Appendix hyperlinks appear. In general, NCCN provides general guidance via this supporting information, but it?s left up to the implementer to determine a specific approach. This is a fixed list of appendices/supporting information, and they are: (1) NCCN Templates Appendix A: Calculations, Assumptions, Clearances (2) NCCN Templates Appendix B: Carboplatin Dosing (3) NCCN Templates Appendix C: Growth Factors (4) NCCN Templates Appendix D: Nausea/Vomiting (5) NCCN Templates Appendix E: Regimen References (6) NCCN Templates Appendix F: Chemotherapy Administration Sequence (7) NCCN Templates Appendix G: Tall Man Lettering (8) NCCN Endorsed Resource: HOPA Position Statement on Dose Rounding of Biologic and Cytotoxic Anticancer Agents" /> <comment value="Appendix A, for example, provides several potential BSA formulae, but NCCN doesn?t recommend any particular one over another. Appendix A is also applicable to all templates, so it is not referenced directly in any one template. Dose rounding information is in the ?NCCN Endorsed Resource: HOPA Position Statement on Dose Rounding of Biologic and Cytotoxic Anticancer Agents?. Occasionally, this information is agent-specific and tied into the style guide notes on a template. For instance, whenever Carboplatin is used, there will be a reference on the template to Appendix B: Carboplatin Dosing. CRV4 is a good example, where the ?SAFETY PARAMETERS AND SPECIAL INSTRUCTIONS? note says ?Refer to Appendix B for Calvert equation of AUC dose and Maximum CARBOplatin Dose calculation?." /> <requirements value="n/a" /> <max value="1" /> </element> <element id="PlanDefinition.relatedArtifact:appendix.type"> <path value="PlanDefinition.relatedArtifact.type" /> <short value="Appendices and supporting information for NCCN Templates." /> <definition value="Fixed to "documentation"." /> <comment value="n/a" /> <fixedCode value="documentation" /> </element> <element id="PlanDefinition.relatedArtifact:appendix.display"> <path value="PlanDefinition.relatedArtifact.display" /> <short value="String description of the related artifact." /> <comment value="Equates to the name of the Appendix/resource on https://www.nccn.org/professionals/OrderTemplates/Default.aspx." /> <min value="1" /> <example> <label value="Appendix display" /> <valueString value="NCCN Templates Appendix A: Calculations, Assumptions, Clearances" /> </example> </element> <element id="PlanDefinition.relatedArtifact:appendix.citation"> <path value="PlanDefinition.relatedArtifact.citation" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:appendix.url"> <path value="PlanDefinition.relatedArtifact.url" /> <short value="Where the related artifact can be accessed." /> <comment value="n/a" /> <example> <label value="Appendix url" /> <valueUri value="https://www.nccn.org/professionals/OrderTemplates/PDF/appendix_A.pdf" /> </example> </element> <element id="PlanDefinition.relatedArtifact:appendix.document"> <path value="PlanDefinition.relatedArtifact.document" /> <max value="0" /> </element> <element id="PlanDefinition.relatedArtifact:appendix.resource"> <path value="PlanDefinition.relatedArtifact.resource" /> <max value="0" /> </element> <element id="PlanDefinition.library"> <path value="PlanDefinition.library" /> <max value="0" /> </element> <element id="PlanDefinition.goal"> <path value="PlanDefinition.goal" /> <max value="0" /> </element> <element id="PlanDefinition.action"> <path value="PlanDefinition.action" /> <short value="Regimen option group" /> <definition value="The top-level action is a container for the regimen options within the order template, and also houses the febrile neutropenia risk for this template." /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.extension"> <path value="PlanDefinition.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.label"> <path value="PlanDefinition.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.title"> <path value="PlanDefinition.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.description"> <path value="PlanDefinition.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.textEquivalent"> <path value="PlanDefinition.action.textEquivalent" /> <max value="0" /> </element> <element id="PlanDefinition.action.code"> <path value="PlanDefinition.action.code" /> <max value="0" /> </element> <element id="PlanDefinition.action.reason"> <path value="PlanDefinition.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.documentation"> <path value="PlanDefinition.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.goalId"> <path value="PlanDefinition.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.triggerDefinition"> <path value="PlanDefinition.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.condition"> <path value="PlanDefinition.action.condition" /> <max value="1" /> </element> <element id="PlanDefinition.action.input"> <path value="PlanDefinition.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.output"> <path value="PlanDefinition.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.relatedAction"> <path value="PlanDefinition.action.relatedAction" /> <max value="0" /> </element> <element id="PlanDefinition.action.timing[x]"> <path value="PlanDefinition.action.timing[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.participant"> <path value="PlanDefinition.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.type"> <path value="PlanDefinition.action.type" /> <max value="0" /> </element> <element id="PlanDefinition.action.groupingBehavior"> <path value="PlanDefinition.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.selectionBehavior"> <path value="PlanDefinition.action.selectionBehavior" /> <comment value="A template can have one or more regimen options. If a template has more than one regimen option, then this data element will explain the selection behavior for the regimen options." /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.requiredBehavior"> <path value="PlanDefinition.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.precheckBehavior"> <path value="PlanDefinition.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.cardinalityBehavior"> <path value="PlanDefinition.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.definition"> <path value="PlanDefinition.action.definition" /> <max value="0" /> </element> <element id="PlanDefinition.action.transform"> <path value="PlanDefinition.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.dynamicValue"> <path value="PlanDefinition.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action"> <path value="PlanDefinition.action.action" /> <short value="Regimen options" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.extension"> <path value="PlanDefinition.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.label"> <path value="PlanDefinition.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.title"> <path value="PlanDefinition.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.description"> <path value="PlanDefinition.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.textEquivalent"> <path value="PlanDefinition.action.action.textEquivalent" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.code"> <path value="PlanDefinition.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.code.coding"> <path value="PlanDefinition.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "regimen option" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="regimen option" /> </element> <element id="PlanDefinition.action.action.reason"> <path value="PlanDefinition.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.documentation"> <path value="PlanDefinition.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.goalId"> <path value="PlanDefinition.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.condition"> <path value="PlanDefinition.action.action.condition" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.input"> <path value="PlanDefinition.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.output"> <path value="PlanDefinition.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.relatedAction"> <path value="PlanDefinition.action.action.relatedAction" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.timing[x]"> <path value="PlanDefinition.action.action.timing[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.participant"> <path value="PlanDefinition.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.type"> <path value="PlanDefinition.action.action.type" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen options. If a template has more than one regimen option, then this data element will explain the selection behavior for the regimen options." /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.definition"> <path value="PlanDefinition.action.action.definition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.transform"> <path value="PlanDefinition.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.dynamicValue"> <path value="PlanDefinition.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action"> <path value="PlanDefinition.action.action.action" /> <short value="Regimen parts" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.extension"> <path value="PlanDefinition.action.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.action.label"> <path value="PlanDefinition.action.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.title"> <path value="PlanDefinition.action.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.description"> <path value="PlanDefinition.action.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.textEquivalent"> <path value="PlanDefinition.action.action.action.textEquivalent" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.code"> <path value="PlanDefinition.action.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.code.coding"> <path value="PlanDefinition.action.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "regimen part" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="regimen part" /> </element> <element id="PlanDefinition.action.action.action.reason"> <path value="PlanDefinition.action.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.documentation"> <path value="PlanDefinition.action.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.goalId"> <path value="PlanDefinition.action.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.condition"> <path value="PlanDefinition.action.action.action.condition" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.input"> <path value="PlanDefinition.action.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.output"> <path value="PlanDefinition.action.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.timing[x]"> <path value="PlanDefinition.action.action.action.timing[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.participant"> <path value="PlanDefinition.action.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen parts. If a template has more than one regimen parts, then this data element will explain the selection behavior for the regimen part." /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.transform"> <path value="PlanDefinition.action.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.dynamicValue"> <path value="PlanDefinition.action.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action"> <path value="PlanDefinition.action.action.action.action" /> <short value="Cycle definitions" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.extension"> <path value="PlanDefinition.action.action.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.action.action.label"> <path value="PlanDefinition.action.action.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.title"> <path value="PlanDefinition.action.action.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.description"> <path value="PlanDefinition.action.action.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.textEquivalent"> <path value="PlanDefinition.action.action.action.action.textEquivalent" /> <short value="Text equivalent of the action." /> <comment value="Example: "21-day cycle for 4 – 6 cycles (adjuvant)"." /> <requirements value="Useful when the cycle definition has been parsed and structured quite a bit in FHIR, or if there are elements of the cycle definition that were not able to be structured in FHIR." /> <example> <label value="Cycle definition text equivalent" /> <valueString value="21-day cycle for 4 – 6 cycles (adjuvant)" /> </example> </element> <element id="PlanDefinition.action.action.action.action.code"> <path value="PlanDefinition.action.action.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.code.coding"> <path value="PlanDefinition.action.action.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "cycle definition" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="cycle definition" /> </element> <element id="PlanDefinition.action.action.action.action.reason"> <path value="PlanDefinition.action.action.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.documentation"> <path value="PlanDefinition.action.action.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.goalId"> <path value="PlanDefinition.action.action.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.condition"> <path value="PlanDefinition.action.action.action.action.condition" /> <slicing> <discriminator> <type value="value" /> <path value="kind" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.action.condition:stopCondition"> <path value="PlanDefinition.action.action.action.action.condition" /> <sliceName value="stopCondition" /> <short value="Condition under which the treatment of this cycle definition should be stopped." /> </element> <element id="PlanDefinition.action.action.action.action.condition:stopCondition.kind"> <path value="PlanDefinition.action.action.action.action.condition.kind" /> <definition value="The kind of condition. Fixed to stop." /> <fixedCode value="stop" /> </element> <element id="PlanDefinition.action.action.action.action.condition:stopCondition.description"> <path value="PlanDefinition.action.action.action.action.condition.description" /> <short value="String text of the stop condition." /> <definition value="Condition under which the treatment of this cycle definition should be stopped." /> <comment value="n/a" /> <min value="1" /> <example> <label value="stop condition description value" /> <valueString value="disease progression" /> </example> <example> <label value="stop condition description value" /> <valueString value="unacceptable toxicity including reaching a lifetime cumulative anthracycline dose" /> </example> </element> <element id="PlanDefinition.action.action.action.action.condition:stopCondition.language"> <path value="PlanDefinition.action.action.action.action.condition.language" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.condition:stopCondition.expression"> <path value="PlanDefinition.action.action.action.action.condition.expression" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.condition:applicabilityCondition"> <path value="PlanDefinition.action.action.action.action.condition" /> <sliceName value="applicabilityCondition" /> <short value="Condition under which this cycle definition is applicable." /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.condition:applicabilityCondition.kind"> <path value="PlanDefinition.action.action.action.action.condition.kind" /> <definition value="The kind of condition. Fixed to applicability." /> <fixedCode value="applicability" /> </element> <element id="PlanDefinition.action.action.action.action.condition:applicabilityCondition.description"> <path value="PlanDefinition.action.action.action.action.condition.description" /> <short value="String text of the applicability condition." /> <definition value="Condition under which this cycle definition is applicable." /> <comment value="n/a" /> <min value="1" /> <example> <label value="applicability condition description value" /> <valueString value="if prior pelvic radiation" /> </example> </element> <element id="PlanDefinition.action.action.action.action.condition:applicabilityCondition.language"> <path value="PlanDefinition.action.action.action.action.condition.language" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.condition:applicabilityCondition.expression"> <path value="PlanDefinition.action.action.action.action.condition.expression" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.input"> <path value="PlanDefinition.action.action.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.output"> <path value="PlanDefinition.action.action.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.relatedAction"> <path value="PlanDefinition.action.action.action.action.relatedAction" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.relatedAction.offset[x]"> <path value="PlanDefinition.action.action.action.action.relatedAction.offset[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.timing[x]:timingTiming"> <path value="PlanDefinition.action.action.action.action.timingTiming" /> <sliceName value="timingTiming" /> <type> <code value="Timing" /> </type> </element> <element id="PlanDefinition.action.action.action.action.timing[x]:timingTiming.event"> <path value="PlanDefinition.action.action.action.action.timingTiming.event" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.timing[x]:timingTiming.repeat"> <path value="PlanDefinition.action.action.action.action.timingTiming.repeat" /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.timing[x]:timingTiming.code"> <path value="PlanDefinition.action.action.action.action.timingTiming.code" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.participant"> <path value="PlanDefinition.action.action.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen options. If a template has more than one regimen option, then this data element will explain the selection behavior for the regimen options." /> <max value="0" /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.transform"> <path value="PlanDefinition.action.action.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.dynamicValue"> <path value="PlanDefinition.action.action.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action"> <path value="PlanDefinition.action.action.action.action.action" /> <short value="Regimen entry group" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.extension"> <path value="PlanDefinition.action.action.action.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.action.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.action.action.action.label"> <path value="PlanDefinition.action.action.action.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.title"> <path value="PlanDefinition.action.action.action.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.description"> <path value="PlanDefinition.action.action.action.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.code"> <path value="PlanDefinition.action.action.action.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.code.coding"> <path value="PlanDefinition.action.action.action.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "regimen entry group" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="regimen entry group" /> </element> <element id="PlanDefinition.action.action.action.action.action.reason"> <path value="PlanDefinition.action.action.action.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.documentation"> <path value="PlanDefinition.action.action.action.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.goalId"> <path value="PlanDefinition.action.action.action.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.action.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.condition"> <path value="PlanDefinition.action.action.action.action.action.condition" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.input"> <path value="PlanDefinition.action.action.action.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.output"> <path value="PlanDefinition.action.action.action.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.relatedAction"> <path value="PlanDefinition.action.action.action.action.action.relatedAction" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.relatedAction.offset[x]"> <path value="PlanDefinition.action.action.action.action.action.relatedAction.offset[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.timing[x]"> <path value="PlanDefinition.action.action.action.action.action.timing[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.participant"> <path value="PlanDefinition.action.action.action.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.action.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.action.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen entry groups. If a template has more than one regimen entry, then this data element will explain the selection behavior for the regimen entry groups." /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.action.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.action.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.action.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.transform"> <path value="PlanDefinition.action.action.action.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.dynamicValue"> <path value="PlanDefinition.action.action.action.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action"> <path value="PlanDefinition.action.action.action.action.action.action" /> <short value="Regimen entries" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.extension"> <path value="PlanDefinition.action.action.action.action.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.action.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.action.action.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.action.action.action.action.label"> <path value="PlanDefinition.action.action.action.action.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.title"> <path value="PlanDefinition.action.action.action.action.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.description"> <path value="PlanDefinition.action.action.action.action.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.code"> <path value="PlanDefinition.action.action.action.action.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.code.coding"> <path value="PlanDefinition.action.action.action.action.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.action.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "regimen entry" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="regimen entry" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.reason"> <path value="PlanDefinition.action.action.action.action.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.documentation"> <path value="PlanDefinition.action.action.action.action.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.goalId"> <path value="PlanDefinition.action.action.action.action.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.action.action.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.condition"> <path value="PlanDefinition.action.action.action.action.action.action.condition" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.input"> <path value="PlanDefinition.action.action.action.action.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.output"> <path value="PlanDefinition.action.action.action.action.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.timing[x]"> <path value="PlanDefinition.action.action.action.action.action.action.timing[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.participant"> <path value="PlanDefinition.action.action.action.action.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen options. If a template has more than one regimen option, then this data element will explain the selection behavior for the regimen options." /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.transform"> <path value="PlanDefinition.action.action.action.action.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.dynamicValue"> <path value="PlanDefinition.action.action.action.action.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action"> <path value="PlanDefinition.action.action.action.action.action.action.action" /> <short value="Dosage instruction group" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.extension"> <path value="PlanDefinition.action.action.action.action.action.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.action.action.action.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.label"> <path value="PlanDefinition.action.action.action.action.action.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.title"> <path value="PlanDefinition.action.action.action.action.action.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.description"> <path value="PlanDefinition.action.action.action.action.action.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.code"> <path value="PlanDefinition.action.action.action.action.action.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.code.coding"> <path value="PlanDefinition.action.action.action.action.action.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.action.action.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "dosage instruction group" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="dosage instruction group" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.reason"> <path value="PlanDefinition.action.action.action.action.action.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.documentation"> <path value="PlanDefinition.action.action.action.action.action.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.goalId"> <path value="PlanDefinition.action.action.action.action.action.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.action.action.action.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.condition"> <path value="PlanDefinition.action.action.action.action.action.action.action.condition" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.input"> <path value="PlanDefinition.action.action.action.action.action.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.output"> <path value="PlanDefinition.action.action.action.action.action.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.timing[x]"> <path value="PlanDefinition.action.action.action.action.action.action.action.timing[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.participant"> <path value="PlanDefinition.action.action.action.action.action.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen options. If a template has more than one regimen option, then this data element will explain the selection behavior for the regimen options." /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.transform"> <path value="PlanDefinition.action.action.action.action.action.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.dynamicValue"> <path value="PlanDefinition.action.action.action.action.action.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action"> <path value="PlanDefinition.action.action.action.action.action.action.action.action" /> <short value="Dosage instructions" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.extension"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.extension:febrileNeutropeniaRisk"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.extension" /> <sliceName value="febrileNeutropeniaRisk" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/febrileNeutropeniaRisk" /> </type> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.label"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.label" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.title"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.title" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.description"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.description" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.textEquivalent"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.textEquivalent" /> <short value="Text equivalent of the action." /> <comment value="Example: "21-day cycle for 4 – 6 cycles (adjuvant)"." /> <requirements value="Useful when the cycle definition has been parsed and structured quite a bit in FHIR, or if there are elements of the cycle definition that were not able to be structured in FHIR." /> <example> <label value="Cycle definition text equivalent" /> <valueString value="21-day cycle for 4 – 6 cycles (adjuvant)" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.code"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.code" /> <min value="1" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.code.coding"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.code.coding" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.action.action.action.action.action.code.text" /> <short value="Action level name." /> <definition value="Defining the fact that this is a "dosage instruction" action." /> <comment value="n/a" /> <requirements value="n/a" /> <min value="1" /> <fixedString value="dosage instruction" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.reason"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.reason" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.documentation"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.documentation" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.goalId"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.goalId" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.triggerDefinition"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.triggerDefinition" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition" /> <slicing> <discriminator> <type value="value" /> <path value="kind" /> </discriminator> <rules value="open" /> </slicing> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:stopCondition"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition" /> <sliceName value="stopCondition" /> <short value="Condition under which the treatment of this cycle definition should be stopped." /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:stopCondition.kind"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.kind" /> <definition value="The kind of condition. Fixed to stop." /> <fixedCode value="stop" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:stopCondition.description"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.description" /> <short value="String text of the stop condition." /> <definition value="Condition under which the treatment of this cycle definition should be stopped." /> <comment value="n/a" /> <min value="1" /> <example> <label value="stop condition description value" /> <valueString value="disease progression" /> </example> <example> <label value="stop condition description value" /> <valueString value="unacceptable toxicity including reaching a lifetime cumulative anthracycline dose" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:stopCondition.language"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.language" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:stopCondition.expression"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.expression" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:applicabilityCondition"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition" /> <sliceName value="applicabilityCondition" /> <short value="Condition under which this cycle definition is applicable." /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:applicabilityCondition.kind"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.kind" /> <definition value="The kind of condition. Fixed to applicability." /> <fixedCode value="applicability" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:applicabilityCondition.description"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.description" /> <short value="String text of the applicability condition." /> <definition value="Condition under which this cycle definition is applicable." /> <comment value="n/a" /> <min value="1" /> <example> <label value="applicability condition description value" /> <valueString value="if prior pelvic radiation" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:applicabilityCondition.language"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.language" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.condition:applicabilityCondition.expression"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.condition.expression" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.input"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.input" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.output"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.output" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.relatedAction"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.relatedAction" /> <max value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.relatedAction.offset[x]"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.relatedAction.offset[x]" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.timing[x]:timingTiming"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.timingTiming" /> <sliceName value="timingTiming" /> <type> <code value="Timing" /> </type> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.timing[x]:timingTiming.event"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.timingTiming.event" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.timing[x]:timingTiming.repeat"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.timingTiming.repeat" /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.timing[x]:timingTiming.code"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.timingTiming.code" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.participant"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.participant" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.groupingBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.groupingBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.selectionBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.selectionBehavior" /> <comment value="A template can have one or more regimen options. If a template has more than one regimen option, then this data element will explain the selection behavior for the regimen options." /> <max value="0" /> <example> <label value="Regimen option group selection behavior" /> <valueCode value="exactly-one" /> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.requiredBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.requiredBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.precheckBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.precheckBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.cardinalityBehavior"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.cardinalityBehavior" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.definition"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.definition" /> <type> <code value="Reference" /> <targetProfile value="http://ots.nccn.org/hl7/fhir/StructureDefinition/RegimenEntryTemplate" /> </type> <example> <label value="Reference value" /> <valueReference> <reference value="#39585-1" /> </valueReference> </example> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.definition.reference"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.definition.reference" /> <min value="1" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.definition.identifier"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.definition.identifier" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.definition.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="PlanDefinition.action.action.action.action.action.action.action.action.definition.display" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.transform"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.transform" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.dynamicValue"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.dynamicValue" /> <max value="0" /> </element> <element id="PlanDefinition.action.action.action.action.action.action.action.action.action"> <path value="PlanDefinition.action.action.action.action.action.action.action.action.action" /> <short value="Regimen entry group" /> <comment value="NCCN Templates make extensive use of actions to express optionality that is contained within complicated regimens. In fact, NCCN Templates have an eight-level actional hierarchy. The levels of the action hierarchy are: 1) Regimen option group 2) Regimen options 3) Regimen parts 4) Cycle definitions 5) Regimen entry group 6) Regimen entries 7) Dosage instruction group 8) Dosage instructions The bottom-most, dosage instruction action level, contains a definition that is a contained resource to an ActivityDefinition. Within each action level, selectionBehavior will be helpful to determine the optionality at that action level." /> <max value="0" /> </element> </differential> </StructureDefinition>