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Packagehl7.fhir.uv.vulcan-schedule
Resource TypePlanDefinition
IdPlanDefinition-Levothroxine-Monitoring-Titration-Activities.json
FHIR VersionR6
Sourcehttps://build.fhir.org/ig/HL7/Vulcan-schedule-ig/PlanDefinition-Levothroxine-Monitoring-Titration-Activities.html
URLhttp://hl7.org/fhir/uv/vulcan-schedule/PlanDefinition/Levothroxine-Monitoring-Titration-Activities
Version2.0.0-ballot
Statusactive
Date2026-03-31T15:50:40+00:00
NameLevothroxine-Monitoring-Titration-Activities
TitleLevothroxine-Monitoring-Titration-Activities
Realmuv
Authorityhl7
DescriptionLevothroxine-Monitoring

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

Id: Levothroxine-Monitoring-Titration-Activities
Url: Levothroxine-Monitoring-Titration-Activities
Version: 2.0.0-ballot

c4ef9bcf-718f-421a-984e-45dae567935e

urn:oid:2.16.840.1.113883.4.642.40.64.34.9

Title: Levothroxine-Monitoring-Titration-Activities
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: clinical-protocol

Date: 2026-03-31 15:50:40+0000
Publisher: HL7 International / Biomedical Research and Regulation
Description:

Levothroxine-Monitoring

Jurisdiction: 001
Actions:
AS:

Activity Start


Then:
:
Blood Sample:

Blood Sample


Then:
:
TSH Measurement:

TSH Measurement


Then:
:
Clinical Review:

Clinical Review


Then:
:
If: Start: ({'TSH >4.6mU/L':'true','operation':'=='})
:
If: Start: ({'TSH 0.4-4.6mU/L':'true','operation':'=='})
:
If: Start: ({'TSH <0.4mU/L':'true','operation':'=='})
MedicationRequest:

MedicationRequest


Then:
:
AF:

Activity Finish


Then: Definition: http://example.org/ActivityDefinition/ActivityFinish
Increase Dose:

Increase Dose


Then:
:
No Dose Change:

No Dose Change


Then:
:
Decrease Dose:

Decrease Dose


Then:
:

Source1

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  "id": "Levothroxine-Monitoring-Titration-Activities",
  "meta": {
    "versionId": "0",
    "lastUpdated": "2026-03-11T16:01:52Z"
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/uv/vulcan-schedule/PlanDefinition/Levothroxine-Monitoring-Titration-Activities",
  "identifier": [
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      "system": "http://example.org/plandefinition",
      "value": "c4ef9bcf-718f-421a-984e-45dae567935e"
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    }
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  "version": "2.0.0-ballot",
  "name": "Levothroxine-Monitoring-Titration-Activities",
  "title": "Levothroxine-Monitoring-Titration-Activities",
  "type": {
    "coding": [
      {
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        "code": "clinical-protocol"
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  },
  "status": "active",
  "date": "2026-03-31T15:50:40+00:00",
  "publisher": "HL7 International / Biomedical Research and Regulation",
  "contact": [
    {
      "name": "HL7 International / Biomedical Research and Regulation",
      "telecom": [
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          "system": "url",
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        },
        {
          "system": "email",
          "value": "biomedrr@lists.hl7.org"
        }
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    }
  ],
  "description": "Levothroxine-Monitoring",
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      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
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            },
            {
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              "valueString": "AS"
            },
            {
              "url": "soaRepeatAllowed",
              "valueBoolean": false
            },
            {
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                "value": 30,
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                "code": "min"
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            },
            {
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              "valueString": "Activity"
            },
            {
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              "valueString": "AS"
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            {
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            },
            {
              "url": "soaRangeFromTimePoint",
              "valueString": "AS"
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          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "AS",
      "description": "Activity Start",
      "groupingBehavior": "visual-group",
      "selectionBehavior": "exactly-one",
      "definitionCanonical": "http://example.org/ActivityDefinition/start",
      "action": [
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                {
                  "url": "soaTargetId",
                  "valueString": "82f88cb2-d416-4e67-8753-e24b55186873"
                },
                {
                  "url": "soaTransitionType",
                  "valueString": "FS"
                },
                {
                  "url": "soaTransitionDelay",
                  "valueDuration": {
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                    "code": "s"
                  }
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                {
                  "url": "soaTransitionRange",
                  "valueRange": {
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                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    },
                    "high": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    }
                  }
                },
                {
                  "url": "soaTargetName",
                  "valueString": "Blood Sample"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ]
        }
      ]
    },
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            },
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            {
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              "valueBoolean": false
            },
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                "value": 30,
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                "code": "min"
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              "url": "soaTimePointType",
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              "valueString": "A"
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      "selectionBehavior": "exactly-one",
      "definitionCanonical": "http://example.org/ActivityDefinition/BloodSample",
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                  "valueString": "FS"
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                    "code": "s"
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                {
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                      "code": "s"
                    },
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                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    }
                  }
                },
                {
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                  "valueString": "TSH Measurement"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ]
        }
      ]
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                "code": "s"
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            },
            {
              "url": "soaReferenceTimePoint",
              "valueString": "AS"
            },
            {
              "url": "soaRepeatAllowed",
              "valueBoolean": false
            },
            {
              "url": "soaPlannedDuration",
              "valueDuration": {
                "value": 30,
                "system": "http://unitsofmeasure.org",
                "code": "min"
              }
            },
            {
              "url": "soaTimePointType",
              "valueString": "Activity"
            },
            {
              "url": "soaTimePointSubType",
              "valueString": "A"
            },
            {
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              "valueRange": {
                "low": {
                  "value": 0,
                  "system": "http://unitsofmeasure.org",
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                  "code": "s"
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              }
            },
            {
              "url": "soaRangeFromTimePoint",
              "valueString": "AS"
            }
          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "TSH Measurement",
      "description": "TSH Measurement",
      "groupingBehavior": "visual-group",
      "selectionBehavior": "exactly-one",
      "definitionCanonical": "http://example.org/ActivityDefinition/TSHMeasurement",
      "action": [
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                  }
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      ],
      "title": "Clinical Review",
      "description": "Clinical Review",
      "groupingBehavior": "visual-group",
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      "definitionCanonical": "http://example.org/ActivityDefinition/ClinicalReview",
      "action": [
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                      "code": "s"
                    }
                  }
                },
                {
                  "url": "soaTargetName",
                  "valueString": "Increase Dose"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ],
          "condition": [
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              "expression": {
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                {
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                  "valueString": "Decrease Dose"
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              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
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              "kind": "start",
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                "code": "min"
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              "valueString": "AS"
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          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "MedicationRequest",
      "description": "MedicationRequest",
      "groupingBehavior": "visual-group",
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      "definitionCanonical": "http://example.org/ActivityDefinition/MedicationRequest",
      "action": [
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                  "url": "soaTargetId",
                  "valueString": "85593dcf-a301-4857-a906-16a0984916d9"
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                  "valueString": "FS"
                },
                {
                  "url": "soaTransitionDelay",
                  "valueDuration": {
                    "value": 0,
                    "system": "http://unitsofmeasure.org",
                    "code": "s"
                  }
                },
                {
                  "url": "soaTransitionRange",
                  "valueRange": {
                    "low": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    },
                    "high": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    }
                  }
                },
                {
                  "url": "soaTargetName",
                  "valueString": "AF"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ]
        }
      ]
    },
    {
      "id": "85593dcf-a301-4857-a906-16a0984916d9",
      "extension": [
        {
          "extension": [
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              "valueQuantity": {
                "value": 0,
                "system": "http://unitsofmeasure.org",
                "code": "s"
              }
            },
            {
              "url": "soaReferenceTimePoint",
              "valueString": "AS"
            },
            {
              "url": "soaRepeatAllowed",
              "valueBoolean": false
            },
            {
              "url": "soaPlannedDuration",
              "valueDuration": {
                "value": 30,
                "system": "http://unitsofmeasure.org",
                "code": "min"
              }
            },
            {
              "url": "soaTimePointType",
              "valueString": "Activity"
            },
            {
              "url": "soaTimePointSubType",
              "valueString": "AF"
            },
            {
              "url": "soaPlannedRange",
              "valueRange": {
                "low": {
                  "value": 0,
                  "system": "http://unitsofmeasure.org",
                  "code": "s"
                },
                "high": {
                  "value": 0,
                  "system": "http://unitsofmeasure.org",
                  "code": "s"
                }
              }
            },
            {
              "url": "soaRangeFromTimePoint",
              "valueString": "AS"
            }
          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "AF",
      "description": "Activity Finish",
      "definitionCanonical": "http://example.org/ActivityDefinition/ActivityFinish"
    },
    {
      "id": "cabec7fd-917f-4d90-a294-cd3cddeb2d72",
      "extension": [
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                "system": "http://unitsofmeasure.org",
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            },
            {
              "url": "soaReferenceTimePoint",
              "valueString": "AS"
            },
            {
              "url": "soaRepeatAllowed",
              "valueBoolean": false
            },
            {
              "url": "soaPlannedDuration",
              "valueDuration": {
                "value": 24,
                "system": "http://unitsofmeasure.org",
                "code": "h"
              }
            },
            {
              "url": "soaTimePointType",
              "valueString": "Activity"
            },
            {
              "url": "soaTimePointSubType",
              "valueString": "A"
            },
            {
              "url": "soaPlannedRange",
              "valueRange": {
                "low": {
                  "value": 24,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                },
                "high": {
                  "value": 24,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                }
              }
            },
            {
              "url": "soaRangeFromTimePoint",
              "valueString": "AS"
            }
          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "Increase Dose",
      "description": "Increase Dose",
      "groupingBehavior": "visual-group",
      "selectionBehavior": "exactly-one",
      "definitionCanonical": "http://example.org/ActivityDefinition/IncreaseDose",
      "action": [
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "soaTargetId",
                  "valueString": "3933c464-4863-491c-9c3b-df96d294f0e8"
                },
                {
                  "url": "soaTransitionType",
                  "valueString": "FS"
                },
                {
                  "url": "soaTransitionDelay",
                  "valueDuration": {
                    "value": 0,
                    "system": "http://unitsofmeasure.org",
                    "code": "s"
                  }
                },
                {
                  "url": "soaTransitionRange",
                  "valueRange": {
                    "low": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    },
                    "high": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    }
                  }
                },
                {
                  "url": "soaTargetName",
                  "valueString": "MedicationRequest"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ]
        }
      ]
    },
    {
      "id": "dfa9adda-33fd-4a78-b8b7-ba28aa807fe1",
      "extension": [
        {
          "extension": [
            {
              "url": "soaPlannedTimePoint",
              "valueQuantity": {
                "value": 0,
                "system": "http://unitsofmeasure.org",
                "code": "s"
              }
            },
            {
              "url": "soaReferenceTimePoint",
              "valueString": "AS"
            },
            {
              "url": "soaRepeatAllowed",
              "valueBoolean": false
            },
            {
              "url": "soaPlannedDuration",
              "valueDuration": {
                "value": 24,
                "system": "http://unitsofmeasure.org",
                "code": "h"
              }
            },
            {
              "url": "soaTimePointType",
              "valueString": "Activity"
            },
            {
              "url": "soaTimePointSubType",
              "valueString": "A"
            },
            {
              "url": "soaPlannedRange",
              "valueRange": {
                "low": {
                  "value": 24,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                },
                "high": {
                  "value": 24,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                }
              }
            },
            {
              "url": "soaRangeFromTimePoint",
              "valueString": "AS"
            }
          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "No Dose Change",
      "description": "No Dose Change",
      "groupingBehavior": "visual-group",
      "selectionBehavior": "exactly-one",
      "definitionCanonical": "http://example.org/ActivityDefinition/NoDoseChange",
      "action": [
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "soaTargetId",
                  "valueString": "3933c464-4863-491c-9c3b-df96d294f0e8"
                },
                {
                  "url": "soaTransitionType",
                  "valueString": "FS"
                },
                {
                  "url": "soaTransitionDelay",
                  "valueDuration": {
                    "value": 0,
                    "system": "http://unitsofmeasure.org",
                    "code": "s"
                  }
                },
                {
                  "url": "soaTransitionRange",
                  "valueRange": {
                    "low": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    },
                    "high": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    }
                  }
                },
                {
                  "url": "soaTargetName",
                  "valueString": "MedicationRequest"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ]
        }
      ]
    },
    {
      "id": "0b1f8a61-d934-428a-887e-e4e5bfb834e1",
      "extension": [
        {
          "extension": [
            {
              "url": "soaPlannedTimePoint",
              "valueQuantity": {
                "value": 0,
                "system": "http://unitsofmeasure.org",
                "code": "s"
              }
            },
            {
              "url": "soaReferenceTimePoint",
              "valueString": "AS"
            },
            {
              "url": "soaRepeatAllowed",
              "valueBoolean": false
            },
            {
              "url": "soaPlannedDuration",
              "valueDuration": {
                "value": 24,
                "system": "http://unitsofmeasure.org",
                "code": "h"
              }
            },
            {
              "url": "soaTimePointType",
              "valueString": "Activity"
            },
            {
              "url": "soaTimePointSubType",
              "valueString": "A"
            },
            {
              "url": "soaPlannedRange",
              "valueRange": {
                "low": {
                  "value": 24,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                },
                "high": {
                  "value": 24,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                }
              }
            },
            {
              "url": "soaRangeFromTimePoint",
              "valueString": "AS"
            }
          ],
          "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTimepoint"
        }
      ],
      "title": "Decrease Dose",
      "description": "Decrease Dose",
      "groupingBehavior": "visual-group",
      "selectionBehavior": "exactly-one",
      "definitionCanonical": "http://example.org/ActivityDefinition/DecreaseDose",
      "action": [
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "soaTargetId",
                  "valueString": "3933c464-4863-491c-9c3b-df96d294f0e8"
                },
                {
                  "url": "soaTransitionType",
                  "valueString": "FS"
                },
                {
                  "url": "soaTransitionDelay",
                  "valueDuration": {
                    "value": 0,
                    "system": "http://unitsofmeasure.org",
                    "code": "s"
                  }
                },
                {
                  "url": "soaTransitionRange",
                  "valueRange": {
                    "low": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    },
                    "high": {
                      "value": 0,
                      "system": "http://unitsofmeasure.org",
                      "code": "s"
                    }
                  }
                },
                {
                  "url": "soaTargetName",
                  "valueString": "MedicationRequest"
                }
              ],
              "url": "http://hl7.org/fhir/uv/vulcan-schedule/StructureDefinition/soaTransition"
            }
          ]
        }
      ]
    }
  ]
}