This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
StructureDefinition for careplan2
{ "resourceType": "StructureDefinition", "id": "CarePlan2", "meta": { "lastUpdated": "2015-03-27T00:13:00.999+11:00" }, "text": { "status": "generated", "div": "<div>!-- Snipped for Brevity --></div>" }, "url": "http://hl7.org/fhir/StructureDefinition/CarePlan2", "name": "CarePlan2", "publisher": "HL7 FHIR Project (Patient Care)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/patientcare/index.cfm" } ] } ], "description": "Base StructureDefinition for CarePlan2 Resource", "status": "draft", "date": "2015-03-27T00:13:00+11:00", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2" } ], "type": "resource", "abstract": true, "snapshot": { "element": [ { "path": "CarePlan2", "short": "Healthcare plan for patient", "definition": "Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.", "alias": [ "Care Team" ], "min": 1, "max": "1", "type": [ { "code": "CarePlan2" } ], "mapping": [ { "identity": "rim", "map": "Act[classCode=PCPR, moodCode=INT]" } ] }, { "path": "CarePlan2.id", "short": "Logical id of this artefact", "definition": "The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes.", "comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.", "min": 0, "max": "1", "type": [ { "code": "id" } ] }, { "path": "CarePlan2.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "type": [ { "code": "Meta" } ] }, { "path": "CarePlan2.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.", "min": 0, "max": "1", "type": [ { "code": "uri" } ], "isModifier": true }, { "path": "CarePlan2.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource\n\nNot all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "type": [ { "code": "code" } ], "binding": { "name": "Language", "strength": "required", "description": "A human language", "valueSetUri": "http://tools.ietf.org/html/bcp47" } }, { "path": "CarePlan2.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "type": [ { "code": "Narrative" } ], "condition": [ "dom-1" ], "mapping": [ { "identity": "rim", "map": "Act.text?" } ] }, { "path": "CarePlan2.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "CarePlan2.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "CarePlan2.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "CarePlan2.identifier", "short": "External Ids for this plan", "definition": "This records identifiers associated with this care plan that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).", "requirements": "Need to allow connection to a wider workflow.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "rim", "map": ".id" } ] }, { "path": "CarePlan2.patient", "short": "Who care plan is for", "definition": "Identifies the patient/subject whose intended care is described by the plan.", "requirements": "Care plans are associated with the patient the plan is for.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Patient" } ], "mapping": [ { "identity": "v2", "map": "PID-3-patient ID list" }, { "identity": "rim", "map": ".participation[typeCode=PAT].role[classCode=PAT]" } ] }, { "path": "CarePlan2.status", "short": "planned | active | completed", "definition": "Indicates whether the plan is currently being acted upon, represents future intentions or is now just historical record.", "requirements": "Allows clinicians to determine whether the plan is actionable or not.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "binding": { "name": "CarePlan2Status", "strength": "required", "description": "Indicates whether the plan is currently being acted upon, represents future intentions or is now just historical record.", "valueSetReference": { "reference": "http://hl7.org/fhir/vs/care-plan2-status" } }, "mapping": [ { "identity": "v2", "map": "PTH-5-pathway life cycle status" }, { "identity": "rim", "map": ".statusCode\nplanned = new\nactive = active\ncompleted = completed" } ] }, { "path": "CarePlan2.period", "short": "Time period plan covers", "definition": "Indicates when the plan did (or is intended to) come into effect and end.", "comments": "Any activities scheduled as part of the plan should be constrained to the specified period.", "requirements": "Allows tracking what plan(s) are in effect at a particular time.", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mapping": [ { "identity": "v2", "map": "GOL-7-goal established date/time / GOL-8-expected goal achieve date/time" }, { "identity": "rim", "map": ".effectiveTime" } ] }, { "path": "CarePlan2.modified", "short": "When last updated", "definition": "Identifies the most recent date on which the plan has been revised.", "requirements": "Indicates how current the plan is.", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "v2", "map": "PTH-6-change pathway life cycle status date/time" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" } ] }, { "path": "CarePlan2.concern", "short": "Health issues this plan addresses", "definition": "Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.", "requirements": "Links plan to the conditions it manages. Also scopes plans - multiple plans may exist addressing different concerns.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "v2", "map": "PRB-4-Problem instance ID" }, { "identity": "rim", "map": ".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]" } ] }, { "path": "CarePlan2.participant", "short": "Who's involved in plan?", "definition": "Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.", "requirements": "Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.", "alias": [ "Care Team" ], "min": 0, "max": "*", "mapping": [ { "identity": "v2", "map": "REL (REL.4 is always the Patient) ( or PRT?)" }, { "identity": "rim", "map": ".participation[typeCode=PFM]" } ] }, { "path": "CarePlan2.participant.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references).", "min": 0, "max": "1", "type": [ { "code": "id" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "CarePlan2.participant.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "CarePlan2.participant.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "CarePlan2.participant.role", "short": "Type of involvement", "definition": "Indicates specific responsibility of an individual within the care plan. E.g. \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.", "comments": "Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care plan. General relationships should be handled as properties of the Patient resource directly.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "name": "CarePlan2ParticipantRole", "strength": "required", "description": "Indicates specific responsibility of an individual within the care plan. E.g. \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc." }, "mapping": [ { "identity": "v2", "map": "REL.2 (or PRT-4-participation?)" }, { "identity": "rim", "map": ".functionCode" } ] }, { "path": "CarePlan2.participant.member", "short": "Who is involved", "definition": "The specific person or organization who is participating/expected to participate in the care plan.", "comments": "Patient only needs to be listed if they have a role other than \"subject of care\".", "min": 1, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "mapping": [ { "identity": "v2", "map": "REL.5 (or PRT-5-participation person : ( PRV-4 e {provider participations} ) / PRT-5-participation person : ( PRV-4 e {non-provider person participations} ) / PRT-5-participation person : ( PRV-4 = (patient non-subject of care) ) / PRT-8-participation organization?)" }, { "identity": "rim", "map": ".role" } ] }, { "path": "CarePlan2.notes", "short": "Comments about the plan", "definition": "General notes about the care plan not covered elsewhere.", "requirements": "Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "v2", "map": "NTE?" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] }, { "path": "CarePlan2.goal", "short": "CarePlan Goal", "definition": "Describes the intended objective(s) of carrying out the Care Plan.", "comments": "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.", "requirements": "Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Goal" } ] }, { "path": "CarePlan2.activity", "short": "CarePlan Activity", "definition": "Identifies an action that is planned to happen as part of the careplan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.", "requirements": "Allows systems to prompt for performance of planned activities, validate plans against best practice.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/MedicationPrescription" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/DiagnosticOrder" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/CommunicationRequest" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder" } ] } ] }, "differential": { "element": [ { "path": "CarePlan2", "short": "Healthcare plan for patient", "definition": "Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.", "alias": [ "Care Team" ], "min": 1, "max": "1", "type": [ { "code": "DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Act[classCode=PCPR, moodCode=INT]" } ] }, { "path": "CarePlan2.identifier", "short": "External Ids for this plan", "definition": "This records identifiers associated with this care plan that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).", "requirements": "Need to allow connection to a wider workflow.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "rim", "map": ".id" } ] }, { "path": "CarePlan2.patient", "short": "Who care plan is for", "definition": "Identifies the patient/subject whose intended care is described by the plan.", "requirements": "Care plans are associated with the patient the plan is for.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Patient" } ], "mapping": [ { "identity": "v2", "map": "PID-3-patient ID list" }, { "identity": "rim", "map": ".participation[typeCode=PAT].role[classCode=PAT]" } ] }, { "path": "CarePlan2.status", "short": "planned | active | completed", "definition": "Indicates whether the plan is currently being acted upon, represents future intentions or is now just historical record.", "requirements": "Allows clinicians to determine whether the plan is actionable or not.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "binding": { "name": "CarePlan2Status", "strength": "required", "description": "Indicates whether the plan is currently being acted upon, represents future intentions or is now just historical record.", "valueSetReference": { "reference": "http://hl7.org/fhir/vs/care-plan2-status" } }, "mapping": [ { "identity": "v2", "map": "PTH-5-pathway life cycle status" }, { "identity": "rim", "map": ".statusCode\nplanned = new\nactive = active\ncompleted = completed" } ] }, { "path": "CarePlan2.period", "short": "Time period plan covers", "definition": "Indicates when the plan did (or is intended to) come into effect and end.", "comments": "Any activities scheduled as part of the plan should be constrained to the specified period.", "requirements": "Allows tracking what plan(s) are in effect at a particular time.", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mapping": [ { "identity": "v2", "map": "GOL-7-goal established date/time / GOL-8-expected goal achieve date/time" }, { "identity": "rim", "map": ".effectiveTime" } ] }, { "path": "CarePlan2.modified", "short": "When last updated", "definition": "Identifies the most recent date on which the plan has been revised.", "requirements": "Indicates how current the plan is.", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "v2", "map": "PTH-6-change pathway life cycle status date/time" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" } ] }, { "path": "CarePlan2.concern", "short": "Health issues this plan addresses", "definition": "Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.", "requirements": "Links plan to the conditions it manages. Also scopes plans - multiple plans may exist addressing different concerns.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "v2", "map": "PRB-4-Problem instance ID" }, { "identity": "rim", "map": ".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]" } ] }, { "path": "CarePlan2.participant", "short": "Who's involved in plan?", "definition": "Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.", "requirements": "Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.", "alias": [ "Care Team" ], "min": 0, "max": "*", "mapping": [ { "identity": "v2", "map": "REL (REL.4 is always the Patient) ( or PRT?)" }, { "identity": "rim", "map": ".participation[typeCode=PFM]" } ] }, { "path": "CarePlan2.participant.role", "short": "Type of involvement", "definition": "Indicates specific responsibility of an individual within the care plan. E.g. \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.", "comments": "Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care plan. General relationships should be handled as properties of the Patient resource directly.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "name": "CarePlan2ParticipantRole", "strength": "required", "description": "Indicates specific responsibility of an individual within the care plan. E.g. \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc." }, "mapping": [ { "identity": "v2", "map": "REL.2 (or PRT-4-participation?)" }, { "identity": "rim", "map": ".functionCode" } ] }, { "path": "CarePlan2.participant.member", "short": "Who is involved", "definition": "The specific person or organization who is participating/expected to participate in the care plan.", "comments": "Patient only needs to be listed if they have a role other than \"subject of care\".", "min": 1, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "mapping": [ { "identity": "v2", "map": "REL.5 (or PRT-5-participation person : ( PRV-4 e {provider participations} ) / PRT-5-participation person : ( PRV-4 e {non-provider person participations} ) / PRT-5-participation person : ( PRV-4 = (patient non-subject of care) ) / PRT-8-participation organization?)" }, { "identity": "rim", "map": ".role" } ] }, { "path": "CarePlan2.notes", "short": "Comments about the plan", "definition": "General notes about the care plan not covered elsewhere.", "requirements": "Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "v2", "map": "NTE?" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] }, { "path": "CarePlan2.goal", "short": "CarePlan Goal", "definition": "Describes the intended objective(s) of carrying out the Care Plan.", "comments": "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.", "requirements": "Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Goal" } ] }, { "path": "CarePlan2.activity", "short": "CarePlan Activity", "definition": "Identifies an action that is planned to happen as part of the careplan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.", "requirements": "Allows systems to prompt for performance of planned activities, validate plans against best practice.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/MedicationPrescription" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/DiagnosticOrder" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/CommunicationRequest" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder" } ] } ] } }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.