{
  "name": "Female Sterilization",
  "remarks": [
    "This submodule performs a female sterilization procedure. This procedure ",
    "is not reversible."
  ],
  "states": {
    "Initial": {
      "type": "Initial",
      "direct_transition": "Set_Contraceptive_Type"
    },
    "Set_Contraceptive_Type": {
      "type": "SetAttribute",
      "attribute": "contraceptive_type",
      "value": "sterilization",
      "direct_transition": "Sterilization Requested"
    },
    "Consultation_Encounter": {
      "type": "Encounter",
      "encounter_class": "outpatient",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "698314001",
          "display": "Consultation for treatment (procedure)"
        }
      ],
      "direct_transition": "Consultation",
      "reason": "Sterilization Requested"
    },
    "End_Consultation": {
      "type": "EncounterEnd",
      "direct_transition": "Delay_For_Procedure"
    },
    "Delay_For_Procedure": {
      "type": "Delay",
      "range": {
        "low": 1,
        "high": 3,
        "unit": "weeks"
      },
      "direct_transition": "Tubal_Ligation_Surgery_Encounter"
    },
    "Tubal_Ligation_Surgery_Encounter": {
      "type": "Encounter",
      "encounter_class": "inpatient",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "305408004",
          "display": "Admission to surgical department (procedure)"
        }
      ],
      "direct_transition": "Tubal_Ligation_Procedure",
      "reason": "Sterilization Requested"
    },
    "Tubal_Ligation_Procedure": {
      "type": "Procedure",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "287664005",
          "display": "Ligation of bilateral fallopian tubes (procedure)"
        }
      ],
      "duration": {
        "low": 2,
        "high": 3,
        "unit": "hours"
      },
      "direct_transition": "Sterilization Complete",
      "reason": "Sterilization Requested"
    },
    "Become_Infertile": {
      "type": "SetAttribute",
      "attribute": "infertile",
      "value": true,
      "direct_transition": "Post_Surgery_Care"
    },
    "Post_Surgery_Care": {
      "type": "CarePlanStart",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "737471002",
          "display": "Minor surgery care management (procedure)"
        }
      ],
      "activities": [
        {
          "system": "SNOMED-CT",
          "code": "183051005",
          "display": "Recommendation to rest (procedure)"
        },
        {
          "system": "SNOMED-CT",
          "code": "243077000",
          "display": "Recommendation to limit sexual activity (procedure)"
        }
      ],
      "direct_transition": "Postoperative Care",
      "reason": "History_of_Tubal_Ligation"
    },
    "End_Surgery_Encounter": {
      "type": "EncounterEnd",
      "direct_transition": "Recovery_Period"
    },
    "Recovery_Period": {
      "type": "Delay",
      "range": {
        "low": 2,
        "high": 3,
        "unit": "weeks"
      },
      "direct_transition": "End_Post_Surgery_Care"
    },
    "End_Post_Surgery_Care": {
      "type": "CarePlanEnd",
      "careplan": "Post_Surgery_Care",
      "direct_transition": "Terminal"
    },
    "Terminal": {
      "type": "Terminal"
    },
    "Consultation": {
      "type": "Procedure",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "268533009",
          "display": "Sterilization education (procedure)"
        }
      ],
      "distribution": {
        "kind": "UNIFORM",
        "parameters": {
          "high": 60,
          "low": 45
        }
      },
      "unit": "minutes",
      "direct_transition": "End_Consultation"
    },
    "Postoperative Care": {
      "type": "Procedure",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "133899007",
          "display": "Postoperative care (regime/therapy)"
        }
      ],
      "distribution": {
        "kind": "EXPONENTIAL",
        "parameters": {
          "mean": 5
        }
      },
      "unit": "hours",
      "direct_transition": "End_Surgery_Encounter",
      "reason": "History_of_Tubal_Ligation"
    },
    "History_of_Tubal_Ligation": {
      "type": "ConditionOnset",
      "target_encounter": "Tubal_Ligation_Surgery_Encounter",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "267020005",
          "display": "History of tubal ligation (situation)"
        }
      ],
      "direct_transition": "Become_Infertile"
    },
    "Sterilization Requested": {
      "type": "ConditionOnset",
      "codes": [
        {
          "system": "SNOMED-CT",
          "code": "183996000",
          "display": "Sterilization requested (situation)"
        }
      ],
      "direct_transition": "Consultation_Encounter",
      "target_encounter": "Consultation_Encounter"
    },
    "Sterilization Complete": {
      "type": "ConditionEnd",
      "direct_transition": "History_of_Tubal_Ligation",
      "condition_onset": "Sterilization Requested"
    }
  },
  "gmf_version": 1
}