FHIR Implementation Guide for ABDM
6.5.0 - active
FHIR Implementation Guide for ABDM
6.5.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan | Version: 6.5.0 | |||
| Draft as of 2020-08-17 | Computable Name: CarePlan | |||
This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient.
This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  CarePlan |
0..* | CarePlan | Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 basedOn |
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan ele-1: All FHIR elements must have a @value or children |
| replaces |
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan ele-1: All FHIR elements must have a @value or children |
| partOf |
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. ele-1: All FHIR elements must have a @value or children |
| intent |
?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. ele-1: All FHIR elements must have a @value or children |
  category |
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. ele-1: All FHIR elements must have a @value or children |
 coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
 display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who the care plan is for ele-1: All FHIR elements must have a @value or children |
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of ele-1: All FHIR elements must have a @value or children |
| author |
Σ | 0..1 | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who is the designated responsible party ele-1: All FHIR elements must have a @value or children |
| contributor |
0..* | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who provided the content of the care plan ele-1: All FHIR elements must have a @value or children | |
| addresses |
Σ | 0..* | Reference(Condition) | Health issues this plan addresses ele-1: All FHIR elements must have a @value or children |
| goal |
S | 0..* | Reference(Goal) | Desired outcome of plan ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1from the FHIR Standard | |
| CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CarePlan
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan |
CarePlan | |||
| basedOn |
0..* | Reference(CarePlan) | Fulfills CarePlan | |
| replaces |
0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | |
| partOf |
0..* | Reference(CarePlan) | Part of referenced CarePlan | |
 status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent |
S | 1..1 | code | proposal | plan | order | option |
| category |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
S | 1..1 | Reference(Group | Patient) | Who the care plan is for |
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |
| author |
0..1 | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who is the designated responsible party | |
 identifier |
||||
 assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| contributor |
0..* | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who provided the content of the care plan | |
| addresses |
0..* | Reference(Condition) | Health issues this plan addresses | |
| goal |
S | 0..* | Reference(Goal) | Desired outcome of plan |
| activity |
||||
| reference |
0..1 | Reference(CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup | ServiceRequest | MedicationRequest | Appointment) | Activity details defined in specific resource | |
| detail |
||||
| reasonReference |
0..* | Reference(DiagnosticReport | Condition | Observation | DocumentReference) | Why activity is needed | |
| performer |
0..* | Reference(RelatedPerson | CareTeam | HealthcareService | Device | Practitioner | PractitionerRole | Organization | Patient) | Who will be responsible? | |
 product[x] |
0..1 | What is to be administered/supplied | ||
| productCodeableConcept |
CodeableConcept | |||
| productReference |
Reference(Substance | Medication) | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CarePlan |
0..* | CarePlan | Healthcare plan for patient or group | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this plan | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
| replaces |
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
| partOf |
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. | ||||
| category |
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| title |
Σ | 0..1 | string | Human-friendly name for the care plan | ||||
| description |
Σ | 0..1 | string | Summary of nature of plan | ||||
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who the care plan is for | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period |
Σ | 0..1 | Period | Time period plan covers | ||||
| created |
Σ | 0..1 | dateTime | Date record was first recorded | ||||
| author |
Σ | 0..1 | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who is the designated responsible party | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| contributor |
0..* | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who provided the content of the care plan | |||||
| careTeam |
0..* | Reference(CareTeam) | Who's involved in plan? | |||||
| addresses |
Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
| supportingInfo |
0..* | Reference(Resource) | Information considered as part of plan | |||||
| goal |
S | 0..* | Reference(Goal) | Desired outcome of plan | ||||
| activity |
C | 0..* | BackboneElement | Action to occur as part of plan cpl-3: Provide a reference or detail, not both | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| outcomeCodeableConcept |
0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
| progress |
0..* | Annotation | Comments about the activity status/progress | |||||
| reference |
C | 0..1 | Reference(CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup | ServiceRequest | MedicationRequest | Appointment) | Activity details defined in specific resource | ||||
| detail |
C | 0..1 | BackboneElement | In-line definition of activity | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| code |
0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | |||||
| reasonCode |
0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. | |||||
| reasonReference |
0..* | Reference(DiagnosticReport | Condition | Observation | DocumentReference) | Why activity is needed | |||||
| goal |
0..* | Reference(Goal) | Goals this activity relates to | |||||
| status |
?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ||||
| statusReason |
0..1 | CodeableConcept | Reason for current status | |||||
| doNotPerform |
?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
| scheduled[x] |
0..1 | When activity is to occur | ||||||
| scheduledTiming |
Timing | |||||||
| scheduledPeriod |
Period | |||||||
| scheduledString |
string | |||||||
| location |
0..1 | Reference(Location) | Where it should happen | |||||
| performer |
0..* | Reference(RelatedPerson | CareTeam | HealthcareService | Device | Practitioner | PractitionerRole | Organization | Patient) | Who will be responsible? | |||||
| product[x] |
0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
| productCodeableConcept |
CodeableConcept | |||||||
| productReference |
Reference(Substance | Medication) | |||||||
| dailyAmount |
0..1 | SimpleQuantity | How to consume/day? | |||||
| quantity |
0..1 | SimpleQuantity | How much to administer/supply/consume | |||||
| description |
0..1 | string | Extra info describing activity to perform | |||||
| note |
0..* | Annotation | Comments about the plan | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| CarePlan.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1from the FHIR Standard | ||||
| CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | ||||
| CarePlan.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| CarePlan.author.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| CarePlan.author.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcomefrom the FHIR Standard | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CarePlan
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 6 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan |
0..* | CarePlan | Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| basedOn |
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan ele-1: All FHIR elements must have a @value or children |
| replaces |
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan ele-1: All FHIR elements must have a @value or children |
| partOf |
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. ele-1: All FHIR elements must have a @value or children |
| intent |
?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. ele-1: All FHIR elements must have a @value or children |
| category |
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who the care plan is for ele-1: All FHIR elements must have a @value or children |
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of ele-1: All FHIR elements must have a @value or children |
| author |
Σ | 0..1 | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who is the designated responsible party ele-1: All FHIR elements must have a @value or children |
| contributor |
0..* | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who provided the content of the care plan ele-1: All FHIR elements must have a @value or children | |
| addresses |
Σ | 0..* | Reference(Condition) | Health issues this plan addresses ele-1: All FHIR elements must have a @value or children |
| goal |
S | 0..* | Reference(Goal) | Desired outcome of plan ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1from the FHIR Standard | |
| CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from CarePlan
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan |
CarePlan | |||
| basedOn |
0..* | Reference(CarePlan) | Fulfills CarePlan | |
| replaces |
0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | |
| partOf |
0..* | Reference(CarePlan) | Part of referenced CarePlan | |
| status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent |
S | 1..1 | code | proposal | plan | order | option |
| category |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
S | 1..1 | Reference(Group | Patient) | Who the care plan is for |
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |
| author |
0..1 | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who is the designated responsible party | |
| identifier |
||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| contributor |
0..* | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who provided the content of the care plan | |
| addresses |
0..* | Reference(Condition) | Health issues this plan addresses | |
| goal |
S | 0..* | Reference(Goal) | Desired outcome of plan |
| activity |
||||
| reference |
0..1 | Reference(CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup | ServiceRequest | MedicationRequest | Appointment) | Activity details defined in specific resource | |
| detail |
||||
| reasonReference |
0..* | Reference(DiagnosticReport | Condition | Observation | DocumentReference) | Why activity is needed | |
| performer |
0..* | Reference(RelatedPerson | CareTeam | HealthcareService | Device | Practitioner | PractitionerRole | Organization | Patient) | Who will be responsible? | |
| product[x] |
0..1 | What is to be administered/supplied | ||
| productCodeableConcept |
CodeableConcept | |||
| productReference |
Reference(Substance | Medication) | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CarePlan |
0..* | CarePlan | Healthcare plan for patient or group | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this plan | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
| replaces |
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
| partOf |
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. | ||||
| category |
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| title |
Σ | 0..1 | string | Human-friendly name for the care plan | ||||
| description |
Σ | 0..1 | string | Summary of nature of plan | ||||
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who the care plan is for | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period |
Σ | 0..1 | Period | Time period plan covers | ||||
| created |
Σ | 0..1 | dateTime | Date record was first recorded | ||||
| author |
Σ | 0..1 | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who is the designated responsible party | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| contributor |
0..* | Reference(Device | RelatedPerson | CareTeam | Patient | Practitioner | PractitionerRole | Organization) | Who provided the content of the care plan | |||||
| careTeam |
0..* | Reference(CareTeam) | Who's involved in plan? | |||||
| addresses |
Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
| supportingInfo |
0..* | Reference(Resource) | Information considered as part of plan | |||||
| goal |
S | 0..* | Reference(Goal) | Desired outcome of plan | ||||
| activity |
C | 0..* | BackboneElement | Action to occur as part of plan cpl-3: Provide a reference or detail, not both | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| outcomeCodeableConcept |
0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
| progress |
0..* | Annotation | Comments about the activity status/progress | |||||
| reference |
C | 0..1 | Reference(CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup | ServiceRequest | MedicationRequest | Appointment) | Activity details defined in specific resource | ||||
| detail |
C | 0..1 | BackboneElement | In-line definition of activity | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| code |
0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | |||||
| reasonCode |
0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. | |||||
| reasonReference |
0..* | Reference(DiagnosticReport | Condition | Observation | DocumentReference) | Why activity is needed | |||||
| goal |
0..* | Reference(Goal) | Goals this activity relates to | |||||
| status |
?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ||||
| statusReason |
0..1 | CodeableConcept | Reason for current status | |||||
| doNotPerform |
?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
| scheduled[x] |
0..1 | When activity is to occur | ||||||
| scheduledTiming |
Timing | |||||||
| scheduledPeriod |
Period | |||||||
| scheduledString |
string | |||||||
| location |
0..1 | Reference(Location) | Where it should happen | |||||
| performer |
0..* | Reference(RelatedPerson | CareTeam | HealthcareService | Device | Practitioner | PractitionerRole | Organization | Patient) | Who will be responsible? | |||||
| product[x] |
0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
| productCodeableConcept |
CodeableConcept | |||||||
| productReference |
Reference(Substance | Medication) | |||||||
| dailyAmount |
0..1 | SimpleQuantity | How to consume/day? | |||||
| quantity |
0..1 | SimpleQuantity | How much to administer/supply/consume | |||||
| description |
0..1 | string | Extra info describing activity to perform | |||||
| note |
0..* | Annotation | Comments about the plan | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| CarePlan.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1from the FHIR Standard | ||||
| CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | ||||
| CarePlan.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| CarePlan.author.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| CarePlan.author.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcomefrom the FHIR Standard | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CarePlan
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 6 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron