| Left: | US Core CarePlan Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan) |
| Right: | ADI Preference Care Plan (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan' vs 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan' |
| Error | StructureDefinition.version | Values for version differ: '7.0.0-ballot' vs '1.0.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreCarePlanProfile' vs 'ADIPreferenceCarePlan' |
| Information | StructureDefinition.title | Values for title differ: 'US Core CarePlan Profile' vs 'ADI Preference Care Plan' |
| Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-01-11T18:07:17+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Patient Empowerment' |
| Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Information | StructureDefinition.requirements | Values for requirements differ: 'Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.' vs 'Allows clinicians to determine whether the plan is actionable or not.' |
| Warning | CarePlan.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | CarePlan.intent | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.definition | Values for definition differ: 'Type of plan.' vs 'Identifies what 'kind' of plan this is to support differentiation between multiple co-existing plans; e.g. 'Home health', 'psychiatric', 'asthma', 'disease management', 'wellness plan', etc.' |
| Information | StructureDefinition.requirements | Values for requirements differ: 'Identifies what 'kind' of plan this is to support differentiation between multiple co-existing plans; e.g. 'Home health', 'psychiatric', 'asthma', 'disease management', 'wellness plan', etc.' vs 'Used for filtering what plan(s) are retrieved and displayed to different types of users.' |
| Warning | CarePlan.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | CarePlan.title | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | CarePlan.title | Element minimum cardinalities differ: '0' vs '1' |
| Information | StructureDefinition.definition | Values for definition differ: 'Who care plan is for.' vs 'Identifies the patient or group whose intended care is described by the plan.' |
| Information | StructureDefinition.short | Values for short differ: 'Health issues this plan addresses' vs 'Health issues this plan addresses (use display only for potential conditions the patient does not currently have)' |
| Information | StructureDefinition.comment | Values for comment differ: 'When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.' vs 'The conditions or circumstances in which the stated preferences and goals of the care plan apply. If there are no contained or referenceable resources (e.g. these are potential future conditions that do not represent a condition the patient currently has), the display should be in addresses.display. If no specific circumstances, then the display should indicate something like 'General' or 'All'' |
| Warning | CarePlan.addresses | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | CarePlan.addresses | Element minimum cardinalities differ: '0' vs '1' |
| Information | StructureDefinition.short | Values for short differ: 'Information considered as part of plan' vs 'Observations of a patient's preferences for the scope of this care plan.' |
| Warning | CarePlan.supportingInfo | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Desired outcome of plan' vs 'Patient's goals for the scope of this care plan.' |
| Warning | CarePlan.goal | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/CarePlan | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2023-10-17 | 2024-01-11T18:07:17+00:00 |
|
| description | This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases. | The Preference Care Plan is a means for an individual to express their goals and preferences under certain circumstances that may be pertinent when planning his or her care. |
|
| experimental | false |
| |
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreCarePlanProfile | ADIPreferenceCarePlan |
|
| publisher | HL7 International / Cross-Group Projects | HL7 International / Patient Empowerment |
|
| purpose | |||
| status | active | ||
| title | US Core CarePlan Profile | ADI Preference Care Plan |
|
| type | CarePlan | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan |
|
| version | 7.0.0-ballot | 1.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | C | 0..* | CarePlan | Healthcare plan for patient or group goal-or-supportingInfo-required: Either goal or supportingInfo must exist, ie. goal and supportingInfo cannot both be blank, ie. if goal does not exist then supportingInfo must exist. | ||||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
 text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation | S | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
 Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
| status | S | 1..1 | code | generated | additional Binding: ?? (required): Constrained value set of narrative statuses. |
| ||||||||||||
| div | SC | 1..1 | xhtml | Limited xhtml content |
| ||||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | External Ids for this plan | Σ | 0..* | Identifier | External Ids for this plan | |||||||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | |||||||||
| replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | |||||||||
| partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | |||||||||
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Required Pattern: active |
| ||||||||
| intent | ?!SΣ | 1..1 | code | proposal | plan | order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: proposal |
| ||||||||
| Slices for category | SΣ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this Binding: ?? (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this Binding: ?? (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. |
| ||||||||
| title | Σ | 0..1 | string | Human-friendly name for the care plan | SΣ | 1..1 | string | Human-friendly name for the care plan |
| ||||||||
| description | Σ | 0..1 | string | Summary of nature of plan | Σ | 0..1 | string | Summary of nature of plan | |||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who the care plan is for | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for | |||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | |||||||||
| period | Σ | 0..1 | Period | Time period plan covers | Σ | 0..1 | Period | Time period plan covers | |||||||||
| created | Σ | 0..1 | dateTime | Date record was first recorded | Σ | 0..1 | dateTime | Date record was first recorded | |||||||||
| author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party | |||||||||
| contributor | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||||||||
| careTeam | 0..* | Reference(CareTeam) | Who's involved in plan? | 0..* | Reference(CareTeam) | Who's involved in plan? | |||||||||||
| addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses | SΣ | 1..* | Reference(Condition) | Health issues this plan addresses (use display only for potential conditions the patient does not currently have) |
| ||||||||
| supportingInfo | 0..* | Reference(Resource) | Information considered as part of plan | S | 0..* | Reference(Personal Intervention Preference | ADI Care Experience Preference) | Observations of a patient's preferences for the scope of this care plan. |
| |||||||||
| goal | 0..* | Reference(Goal) | Desired outcome of plan | S | 0..* | Reference(ADI Personal Goal) | Patient's goals for the scope of this care plan. |
| |||||||||
| activity | C | 0..* | BackboneElement | Action to occur as part of plan | C | 0..* | BackboneElement | Action to occur as part of plan | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| outcomeCodeableConcept | 0..* | CodeableConcept | Results of the activity Binding: ?? (example): Identifies the results of the activity. | 0..* | CodeableConcept | Results of the activity Binding: ?? (example): Identifies the results of the activity. | |||||||||||
| outcomeReference | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||||||||
| progress | 0..* | Annotation | Comments about the activity status/progress | 0..* | Annotation | Comments about the activity status/progress | |||||||||||
| reference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource | |||||||||
 detail | C | 0..1 | BackboneElement | In-line definition of activity | C | 0..1 | BackboneElement | In-line definition of activity | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| kind | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: ?? (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: ?? (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 | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||||||||
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition | 0..* | uri | Instantiates external protocol or definition | |||||||||||
| code | 0..1 | CodeableConcept | Detail type of activity Binding: ?? (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | 0..1 | CodeableConcept | Detail type of activity Binding: ?? (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: ?? (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. | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: ?? (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(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||||||||
| goal | 0..* | Reference(Goal) | Goals this activity relates to | 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: ?? (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: ?? (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 | 0..1 | CodeableConcept | Reason for current status | |||||||||||
| doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action | ?! | 0..1 | boolean | If true, activity is prohibiting action | |||||||||
| scheduled[x] | 0..1 | Timing, Period, string | When activity is to occur | 0..1 | Timing, Period, string | When activity is to occur | |||||||||||
| location | 0..1 | Reference(Location) | Where it should happen | 0..1 | Reference(Location) | Where it should happen | |||||||||||
| performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||||||||
| product[x] | 0..1 | CodeableConcept, Reference(Medication | Substance) | What is to be administered/supplied Binding: ?? (example): A product supplied or administered as part of a care plan activity. | 0..1 | CodeableConcept, Reference(Medication | Substance) | What is to be administered/supplied Binding: ?? (example): A product supplied or administered as part of a care plan activity. | |||||||||||
| dailyAmount | 0..1 | ?? | How to consume/day? | 0..1 | ?? | How to consume/day? | |||||||||||
| quantity | 0..1 | ?? | How much to administer/supply/consume | 0..1 | ?? | How much to administer/supply/consume | |||||||||||
| description | 0..1 | string | Extra info describing activity to perform | 0..1 | string | Extra info describing activity to perform | |||||||||||
| note | 0..* | Annotation | Comments about the plan | 0..* | Annotation | Comments about the plan | |||||||||||
| Documentation for this format | |||||||||||||||||