Physical Activity Implementation Guide
1.0.0 - STU Release 1
Physical Activity Implementation Guide
1.0.0 - STU Release 1
This page is part of the U.S. Physical Activity IG (v1.0.0: STU 1.0) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-careplan | Version: 1.0.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: PACarePlan | ||
A plan describing the plan to improve or maintain a patient’s level of physical activity
This resource allows capturing a textual care plan describing how to address a patient's physical activity needs. It can be linked to specific goals and also allows different participants in a patient's care to make comments. CarePlans might be developed and stored on Care Managers or Full Service Providers.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreCarePlanProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  CarePlan | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group | |
  implicitRules | 0..0 | |||
 text | ||||
  div | S | 1..1 | xhtml | Limited xhtml content |
 modifierExtension | 0..0 | |||
| status | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
| intent | 1..1 | code | Plan Required Pattern: plan | |
| category | 2..* | CodeableConcept | Type of plan | |
 category:PA | S | 1..1 | CodeableConcept | Type of plan Required Pattern: At least the following |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| period | S | 0..1 | Period | Time period plan covers |
| start | S | 0..1 | dateTime | Starting time with inclusive boundary |
| end | S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
 note | S | 0..* | Annotation | Comments about the plan |
 author[x] | S | 1..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person) | Individual responsible for the annotation |
| time | S | 1..1 | dateTime | When the annotation was made |
| text | S | 1..1 | markdown | The annotation - text content (as markdown) |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group | |
 text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
 status | S | 1..1 | code | generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
| div | SC | 1..1 | xhtml | Limited xhtml content |
| 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 | Plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: plan |
 Slices for category | SΣ | 2..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this 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. |
 category:AssessPlan | SΣ | 1..1 | 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. Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |
 category:PA | SΣ | 1..1 | 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for |
| period | SΣ | 0..1 | Period | Time period plan covers |
| start | SΣC | 0..1 | dateTime | Starting time with inclusive boundary |
| end | SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| note | S | 0..* | Annotation | Comments about the plan |
| author[x] | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) | Individual responsible for the annotation |
| time | SΣ | 1..1 | dateTime | When the annotation was made |
| text | SΣ | 1..1 | markdown | The annotation - text content (as markdown) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| CarePlan.text.status | required | NarrativeStatus |
| CarePlan.status | required | RequestStatus |
| CarePlan.intent | required | Pattern: plan |
| CarePlan.category | example | CarePlanCategory |
| CarePlan.category:AssessPlan | example | Pattern: assess-plan |
| CarePlan.category:PA | example | Pattern: PhysicalActivity |
| 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()) | |
| txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| status | S | 1..1 | code | generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. | ||||
| div | SC | 1..1 | xhtml | Limited xhtml content | ||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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 | Plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: plan | ||||
| Slices for category | SΣ | 2..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this 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. | ||||
| category:AssessPlan | SΣ | 1..1 | 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. Required Pattern: At least the following | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
 text | 0..1 | string | Plain text representation of the concept | |||||
| category:PA | SΣ | 1..1 | 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 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(US Core Patient Profile) | Who the care plan is for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period | SΣ | 0..1 | Period | Time period plan covers | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start | SΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
| end | SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| created | 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 | ||||
| contributor | 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? | |||||
| addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
| supportingInfo | 0..* | Reference(Resource) | Information considered as part of plan | |||||
| goal | 0..* | Reference(Goal) | Desired outcome of plan | |||||
| activity | C | 0..* | BackboneElement | Action to occur as part of plan | ||||
| 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(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 | ||||
| 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(Condition | Observation | DiagnosticReport | 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(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | 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(Medication | Substance) | |||||||
| 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 | S | 0..* | Annotation | Comments about the plan | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] | SΣ | 1..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person) | Individual responsible for the annotation | ||||
| time | SΣ | 1..1 | dateTime | When the annotation was made | ||||
| text | SΣ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| CarePlan.language | preferred | CommonLanguages
| ||||
| CarePlan.text.status | required | NarrativeStatus | ||||
| CarePlan.status | required | RequestStatus | ||||
| CarePlan.intent | required | Pattern: plan | ||||
| CarePlan.category | example | CarePlanCategory | ||||
| CarePlan.category:AssessPlan | example | Pattern: assess-plan | ||||
| CarePlan.category:PA | example | Pattern: PhysicalActivity | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKind | ||||
| CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT) | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatus | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes |
| 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() | |
| txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
This structure is derived from USCoreCarePlanProfile
Summary
Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 9 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Maturity: 2
Differential View
This structure is derived from USCoreCarePlanProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group | |
| implicitRules | 0..0 | |||
| text | ||||
| div | S | 1..1 | xhtml | Limited xhtml content |
| modifierExtension | 0..0 | |||
| status | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
| intent | 1..1 | code | Plan Required Pattern: plan | |
| category | 2..* | CodeableConcept | Type of plan | |
| category:PA | S | 1..1 | CodeableConcept | Type of plan Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| period | S | 0..1 | Period | Time period plan covers |
| start | S | 0..1 | dateTime | Starting time with inclusive boundary |
| end | S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| note | S | 0..* | Annotation | Comments about the plan |
| author[x] | S | 1..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person) | Individual responsible for the annotation |
| time | S | 1..1 | dateTime | When the annotation was made |
| text | S | 1..1 | markdown | The annotation - text content (as markdown) |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group | |
| text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
| status | S | 1..1 | code | generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
| div | SC | 1..1 | xhtml | Limited xhtml content |
| 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 | Plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: plan |
| Slices for category | SΣ | 2..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this 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. |
| category:AssessPlan | SΣ | 1..1 | 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |
| category:PA | SΣ | 1..1 | 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for |
| period | SΣ | 0..1 | Period | Time period plan covers |
| start | SΣC | 0..1 | dateTime | Starting time with inclusive boundary |
| end | SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| note | S | 0..* | Annotation | Comments about the plan |
| author[x] | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) | Individual responsible for the annotation |
| time | SΣ | 1..1 | dateTime | When the annotation was made |
| text | SΣ | 1..1 | markdown | The annotation - text content (as markdown) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| CarePlan.text.status | required | NarrativeStatus |
| CarePlan.status | required | RequestStatus |
| CarePlan.intent | required | Pattern: plan |
| CarePlan.category | example | CarePlanCategory |
| CarePlan.category:AssessPlan | example | Pattern: assess-plan |
| CarePlan.category:PA | example | Pattern: PhysicalActivity |
| 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()) | |
| txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| status | S | 1..1 | code | generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. | ||||
| div | SC | 1..1 | xhtml | Limited xhtml content | ||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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 | Plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: plan | ||||
| Slices for category | SΣ | 2..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this 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. | ||||
| category:AssessPlan | SΣ | 1..1 | 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| category:PA | SΣ | 1..1 | 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 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(US Core Patient Profile) | Who the care plan is for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period | SΣ | 0..1 | Period | Time period plan covers | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start | SΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
| end | SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| created | 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 | ||||
| contributor | 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? | |||||
| addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
| supportingInfo | 0..* | Reference(Resource) | Information considered as part of plan | |||||
| goal | 0..* | Reference(Goal) | Desired outcome of plan | |||||
| activity | C | 0..* | BackboneElement | Action to occur as part of plan | ||||
| 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(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 | ||||
| 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(Condition | Observation | DiagnosticReport | 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(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | 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(Medication | Substance) | |||||||
| 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 | S | 0..* | Annotation | Comments about the plan | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] | SΣ | 1..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person) | Individual responsible for the annotation | ||||
| time | SΣ | 1..1 | dateTime | When the annotation was made | ||||
| text | SΣ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| CarePlan.language | preferred | CommonLanguages
| ||||
| CarePlan.text.status | required | NarrativeStatus | ||||
| CarePlan.status | required | RequestStatus | ||||
| CarePlan.intent | required | Pattern: plan | ||||
| CarePlan.category | example | CarePlanCategory | ||||
| CarePlan.category:AssessPlan | example | Pattern: assess-plan | ||||
| CarePlan.category:PA | example | Pattern: PhysicalActivity | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKind | ||||
| CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT) | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatus | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes |
| 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() | |
| txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks() | |
| txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content : htmlChecks() |
This structure is derived from USCoreCarePlanProfile
Summary
Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 9 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 International - Patient Care WG. Package hl7.fhir.us.physical-activity#1.0.0 based on FHIR 4.0.1. Generated 2023-08-25
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change