QI-Core Implementation Guide
6.0.0 - STU6
QI-Core Implementation Guide
6.0.0 - STU6
This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) 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/qicore/StructureDefinition/qicore-careplan | Version: 6.0.0 | |||
| Active as of 2019-07-28 | Computable Name: QICoreCarePlan | |||
The QI-Core CarePlan is based upon the US Core CarePlan Profile which is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set ‘Assessment and Plan of Treatment requirements. Defines constraints and extensions on the CarePlan resource for the minimal set of data to query and retrieve a patient’s Care Plan.
| Antenatal Care Plan Example |
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 | USCoreCarePlanProfile | |||
  Slices for category | Σ | 1..* | CodeableConcept | (QI-Core)(USCDI) Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (preferred): 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 | Σ | 1..1 | CodeableConcept | (QI-Core)(USCDI) Type of plan Binding: CarePlanCategory (preferred): 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 | |
 subject | 1..1 | Reference(QICore Patient) | (QI-Core)(USCDI) Who the care plan is for. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| CarePlan.category | preferred | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | |
| CarePlan.category:AssessPlan | preferred | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 text | S | 0..1 | Narrative | (USCDI) Text summary of the resource, for human interpretation |
| status | S | 1..1 | code | (USCDI) generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
| div | SC | 1..1 | xhtml | (USCDI) Limited xhtml content txt-1: 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 txt-2: The narrative SHALL have some non-whitespace content |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | (USCDI) 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 | (USCDI) proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan |
| Slices for category | SΣ | 1..* | CodeableConcept | (QI-Core)(USCDI) Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (preferred): 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 | (QI-Core)(USCDI) Type of plan Binding: CarePlanCategory (preferred): 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 | |
| subject | SΣ | 1..1 | Reference(QICore Patient) | (QI-Core)(USCDI) Who the care plan is for. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status | |
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-statusfrom the FHIR Standard | |
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intentfrom the FHIR Standard | |
| CarePlan.category | preferred | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | |
| CarePlan.category:AssessPlan | preferred | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| 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 | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | S | 0..1 | Narrative | (USCDI) 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 | (USCDI) generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. | ||||
| div | SC | 1..1 | xhtml | (USCDI) Limited xhtml content txt-1: 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 txt-2: The narrative SHALL have some non-whitespace content | ||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Ids for this plan | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
| replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
| partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
| status | ?!SΣ | 1..1 | code | (USCDI) 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 | (USCDI) proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan | ||||
| Slices for category | SΣ | 1..* | CodeableConcept | (QI-Core)(USCDI) Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (preferred): 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 | (QI-Core)(USCDI) Type of plan Binding: CarePlanCategory (preferred): 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 | |||||
| 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(QICore Patient) | (QI-Core)(USCDI) Who the care plan is for. | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period | Σ | 0..1 | Period | Time period plan covers | ||||
| created | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| author | Σ | 0..1 | Reference(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 cpl-3: Provide a reference or detail, not both | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| outcomeCodeableConcept | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
| outcomeReference | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
| progress | 0..* | Annotation | Comments about the activity status/progress | |||||
| reference | C | 0..1 | Reference(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 | 0..* | Annotation | Comments about the plan | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| CarePlan.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status | ||||
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-statusfrom the FHIR Standard | ||||
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intentfrom the FHIR Standard | ||||
| CarePlan.category | preferred | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | ||||
| CarePlan.category:AssessPlan | preferred | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcomefrom the FHIR Standard | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| 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: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreCarePlanProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | USCoreCarePlanProfile | |||
| Slices for category | Σ | 1..* | CodeableConcept | (QI-Core)(USCDI) Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (preferred): 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 | Σ | 1..1 | CodeableConcept | (QI-Core)(USCDI) Type of plan Binding: CarePlanCategory (preferred): 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 | |
| subject | 1..1 | Reference(QICore Patient) | (QI-Core)(USCDI) Who the care plan is for. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| CarePlan.category | preferred | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | |
| CarePlan.category:AssessPlan | preferred | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text | S | 0..1 | Narrative | (USCDI) Text summary of the resource, for human interpretation |
| status | S | 1..1 | code | (USCDI) generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
| div | SC | 1..1 | xhtml | (USCDI) Limited xhtml content txt-1: 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 txt-2: The narrative SHALL have some non-whitespace content |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | (USCDI) 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 | (USCDI) proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan |
| Slices for category | SΣ | 1..* | CodeableConcept | (QI-Core)(USCDI) Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (preferred): 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 | (QI-Core)(USCDI) Type of plan Binding: CarePlanCategory (preferred): 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 | |
| subject | SΣ | 1..1 | Reference(QICore Patient) | (QI-Core)(USCDI) Who the care plan is for. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status | |
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-statusfrom the FHIR Standard | |
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intentfrom the FHIR Standard | |
| CarePlan.category | preferred | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | |
| CarePlan.category:AssessPlan | preferred | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| 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 | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | S | 0..1 | Narrative | (USCDI) 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 | (USCDI) generated | extensions | additional | empty Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. | ||||
| div | SC | 1..1 | xhtml | (USCDI) Limited xhtml content txt-1: 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 txt-2: The narrative SHALL have some non-whitespace content | ||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Ids for this plan | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
| replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
| partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
| status | ?!SΣ | 1..1 | code | (USCDI) 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 | (USCDI) proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan | ||||
| Slices for category | SΣ | 1..* | CodeableConcept | (QI-Core)(USCDI) Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (preferred): 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 | (QI-Core)(USCDI) Type of plan Binding: CarePlanCategory (preferred): 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 | |||||
| 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(QICore Patient) | (QI-Core)(USCDI) Who the care plan is for. | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period | Σ | 0..1 | Period | Time period plan covers | ||||
| created | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| author | Σ | 0..1 | Reference(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 cpl-3: Provide a reference or detail, not both | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| outcomeCodeableConcept | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
| outcomeReference | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
| progress | 0..* | Annotation | Comments about the activity status/progress | |||||
| reference | C | 0..1 | Reference(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 | 0..* | Annotation | Comments about the plan | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| CarePlan.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status | ||||
| CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-statusfrom the FHIR Standard | ||||
| CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intentfrom the FHIR Standard | ||||
| CarePlan.category | preferred | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | ||||
| CarePlan.category:AssessPlan | preferred | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-categoryfrom the FHIR Standard | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcomefrom the FHIR Standard | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1from the FHIR Standard | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| 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: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#6.0.0 based on FHIR 4.0.1. Generated 2024-03-01
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