Generated Narrative: StructureDefinition ext-R2-CarePlan.act.detail Name Flags Card. Type Description & Constraints Extension 0..1 Extension(5.0.0) DSTU2: In-line definition of activity (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:category 0..1 Extension DSTU2: diet | drug | encounter | observation | procedure | supply | other (new) #xD; url 1..1 uri "category" #xD; value[x] 0..1 CodeableConcept diet | drug | encounter | observation | procedure | supply | other Binding: R2CarePlanActivityCategoryForR5 (0.1.0) (example): High-level categorization of the type of activity in a care plan. #xD; extension:code 0..1 Extension DSTU2: Detail type of activity (new) #xD; url 1..1 uri "code" #xD; value[x] 0..1 CodeableConcept Detail type of activity #xD; extension:reasonCode 0..* Extension DSTU2: Why activity should be done (new) #xD; url 1..1 uri "reasonCode" #xD; value[x] 0..1 CodeableConcept Why activity should be done #xD; extension:reasonReference 0..* Extension DSTU2: Condition triggering need for activity (new) #xD; url 1..1 uri "reasonReference" #xD; value[x] 0..1 Reference(Cross-version Profile for DSTU2.Condition for use in FHIR R5(0.1.0) | Condition) Condition triggering need for activity #xD; extension:goal 0..* Extension DSTU2: Goals this activity relates to (new) #xD; url 1..1 uri "goal" #xD; value[x] 0..1 Reference(Cross-version Profile for DSTU2.Goal for use in FHIR R5(0.1.0) | Goal) Goals this activity relates to #xD; extension:status 0..1 Extension DSTU2: not-started | scheduled | in-progress | on-hold | completed | cancelled (new) #xD; url 1..1 uri "status" #xD; value[x] 0..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled Binding: R2CarePlanActivityStatusForR5 (0.1.0) (required): Indicates where the activity is at in its overall life cycle. #xD; extension:statusReason 0..1 Extension DSTU2: Reason for current status (new) #xD; url 1..1 uri "statusReason" #xD; value[x] 0..1 CodeableConcept Reason for current status Binding: R2GoalStatusReasonForR5 (0.1.0) (example): Describes why the current activity has the status it does; e.g. "Recovering from injury" as a reason for non-started or on-hold, "Patient does not enjoy activity" as a reason for cancelling a planned activity. #xD; extension:prohibited 1..1 Extension DSTU2: Do NOT do (new) #xD; url 1..1 uri "prohibited" #xD; value[x] 1..1 boolean Do NOT do #xD; extension:scheduled 0..1 Extension DSTU2: When activity is to occur (new) #xD; url 1..1 uri "scheduled" #xD; value[x] 0..1 When activity is to occur #xD; valueTiming Timing #xD; valuePeriod Period #xD; valueString string #xD; extension:location 0..1 Extension DSTU2: Where it should happen (new) #xD; url 1..1 uri "location" #xD; value[x] 0..1 Reference(Cross-version Profile for DSTU2.Location for use in FHIR R5(0.1.0) | Location) Where it should happen #xD; extension:performer 0..* Extension DSTU2: Who will be responsible? (new) #xD; url 1..1 uri "performer" #xD; value[x] 0..1 Reference(Cross-version Profile for DSTU2.Practitioner for use in FHIR R5(0.1.0) | PractitionerRole | Cross-version Profile for DSTU2.Organization for use in FHIR R5(0.1.0) | Organization | Cross-version Profile for DSTU2.RelatedPerson for use in FHIR R5(0.1.0) | RelatedPerson | Cross-version Profile for DSTU2.Patient for use in FHIR R5(0.1.0) | Patient) Who will be responsible? #xD; extension:product 0..1 Extension DSTU2: What is to be administered/supplied (new) #xD; url 1..1 uri "product" #xD; value[x] 0..1 What is to be administered/supplied #xD; valueCodeableConcept CodeableConcept #xD; valueReference Reference(Cross-version Profile for DSTU2.Medication for use in FHIR R5(0.1.0) | Medication | Cross-version Profile for DSTU2.Substance for use in FHIR R5(0.1.0) | Substance) #xD; extension:dailyAmount 0..1 Extension DSTU2: How to consume/day? (new) #xD; url 1..1 uri "dailyAmount" #xD; value[x] 0..1 SimpleQuantity(5.0.0) How to consume/day? #xD; extension:quantity 0..1 Extension DSTU2: How much to administer/supply/consume (new) #xD; url 1..1 uri "quantity" #xD; value[x] 0..1 SimpleQuantity(5.0.0) How much to administer/supply/consume #xD; extension:description 0..1 Extension DSTU2: Extra info describing activity to perform (new) #xD; url 1..1 uri "description" #xD; <a href="StructureDefinition-ext-R2-CarePlan.act.detail-definitions.html#Extension.extension:description.value[x]" title="This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.">value[x] 0..1 string Extra info describing activity to perform #xD; url 1..1 uri "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.activity.detail" #xD; value[x] 0..0 Value of extension #xD; Documentation for this format
DSTU2: In-line definition of activity (new)
DSTU2: `CarePlan.activity.detail` (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the element `CarePlan.activity.detail` as defined in FHIR DSTU2 in FHIR R5. The source element is defined as: `CarePlan.activity.detail` 0..1 `BackboneElement` Across FHIR versions, the element set has been mapped as: * DSTU2: `CarePlan.activity.detail` 0..1 `BackboneElement` * STU3: `CarePlan.activity.detail` 0..1 `BackboneElement` * R4: `CarePlan.activity.detail` 0..1 `BackboneElement` * R4B: `CarePlan.activity.detail` 0..1 `BackboneElement` Following are the generation technical comments: Element `CarePlan.activity.detail` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Element `CarePlan.activity.detail` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Must have either extensions or value[x], not both
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
DSTU2: diet | drug | encounter | observation | procedure | supply | other (new)
DSTU2: `CarePlan.activity.detail.category` (new:CodeableConcept)
Element `CarePlan.activity.detail.category` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.category` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.category` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
May determine what types of extensions are permitted. Element `CarePlan.activity.detail.category` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.category` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.category` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
diet | drug | encounter | observation | procedure | supply | other
High-level categorization of the type of activity in a care plan.
DSTU2: `CarePlan.activity.detail.code` (new:CodeableConcept)
Element `CarePlan.activity.detail.code` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.code` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.
Allows matching performed to planned as well as validation against protocols. Element `CarePlan.activity.detail.code` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.code` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Detailed description of the type of planned activity; e.g. What lab test, what procedure, what kind of encounter.
Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.
DSTU2: Why activity should be done (new)
DSTU2: `CarePlan.activity.detail.reasonCode` (new:CodeableConcept)
Element `CarePlan.activity.detail.reasonCode` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.reasonCode` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.reasonCode` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.
Element `CarePlan.activity.detail.reasonCode` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.reasonCode` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.reasonCode` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Provides the rationale that drove the inclusion of this particular activity as part of the plan.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.
DSTU2: Condition triggering need for activity (new)
DSTU2: `CarePlan.activity.detail.reasonReference` (new:Reference(Condition))
Element `CarePlan.activity.detail.reasonReference` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.reasonReference` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.reasonReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Conditions can be identified at the activity level that are not identified as reasons for the overall plan.
Element `CarePlan.activity.detail.reasonReference` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.reasonReference` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.reasonReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Provides the health condition(s) that drove the inclusion of this particular activity as part of the plan.
Conditions can be identified at the activity level that are not identified as reasons for the overall plan.
DSTU2: Goals this activity relates to (new)
DSTU2: `CarePlan.activity.detail.goal` (new:Reference(Goal))
Element `CarePlan.activity.detail.goal` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.goal` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.goal` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
So that participants know the link explicitly. Element `CarePlan.activity.detail.goal` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.goal` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.goal` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Internal reference that identifies the goals that this activity is intended to contribute towards meeting.
DSTU2: not-started | scheduled | in-progress | on-hold | completed | cancelled (new)
DSTU2: `CarePlan.activity.detail.status` (new:code)
Element `CarePlan.activity.detail.status` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.status` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.
Indicates progress against the plan, whether the activity is still relevant for the plan. Element `CarePlan.activity.detail.status` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.status` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
not-started | scheduled | in-progress | on-hold | completed | cancelled
Identifies what progress is being made for the specific activity.
Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.
Indicates where the activity is at in its overall life cycle.
DSTU2: `CarePlan.activity.detail.statusReason` (new:CodeableConcept)
Element `CarePlan.activity.detail.statusReason` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.statusReason` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.statusReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.
Element `CarePlan.activity.detail.statusReason` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.statusReason` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.statusReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.
Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.
Describes why the current activity has the status it does; e.g. "Recovering from injury" as a reason for non-started or on-hold, "Patient does not enjoy activity" as a reason for cancelling a planned activity.
DSTU2: `CarePlan.activity.detail.prohibited` (new:boolean)
Element `CarePlan.activity.detail.prohibited` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.prohibited` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.prohibited` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Captures intention to not do something that may have been previously typical. Element `CarePlan.activity.detail.prohibited` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.prohibited` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.prohibited` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
If true, indicates that the described activity is one that must NOT be engaged in when following the plan.
DSTU2: `CarePlan.activity.detail.scheduled[x]` (new:Period, string, Timing)
Element `CarePlan.activity.detail.scheduled[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.scheduled[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.scheduled[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Allows prompting for activities and detection of missed planned activities. Element `CarePlan.activity.detail.scheduled[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.scheduled[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.scheduled[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
The period, timing or frequency upon which the described activity is to occur.
DSTU2: `CarePlan.activity.detail.location` (new:Reference(Location))
Element `CarePlan.activity.detail.location` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.location` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.location` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May reference a specific clinical location or may identify a type of location.
Helps in planning of activity. Element `CarePlan.activity.detail.location` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.location` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.location` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.
May reference a specific clinical location or may identify a type of location.
DSTU2: `CarePlan.activity.detail.performer` (new:Reference(Practitioner,Organization,RelatedPerson,Patient))
Element `CarePlan.activity.detail.performer` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.performer` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.performer` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). A performer MAY also be a participant in the care plan.
Helps in planning of activity. Element `CarePlan.activity.detail.performer` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.performer` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.performer` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Identifies who's expected to be involved in the activity.
A performer MAY also be a participant in the care plan.
DSTU2: What is to be administered/supplied (new)
DSTU2: `CarePlan.activity.detail.product[x]` (new:CodeableConcept, Reference(Medication,Substance))
Element `CarePlan.activity.detail.product[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.product[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.product[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Identifies the food, drug or other product to be consumed or supplied in the activity.
DSTU2: `CarePlan.activity.detail.dailyAmount` (new:Quantity[SimpleQuantity])
Element `CarePlan.activity.detail.dailyAmount` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.dailyAmount` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.dailyAmount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Allows rough dose checking. Element `CarePlan.activity.detail.dailyAmount` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.dailyAmount` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.dailyAmount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Identifies the quantity expected to be consumed in a given day.
DSTU2: How much to administer/supply/consume (new)
DSTU2: `CarePlan.activity.detail.quantity` (new:Quantity[SimpleQuantity])
Element `CarePlan.activity.detail.quantity` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.quantity` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.quantity` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Identifies the quantity expected to be supplied, administered or consumed by the subject.
DSTU2: Extra info describing activity to perform (new)
DSTU2: `CarePlan.activity.detail.description` (new:string)
Element `CarePlan.activity.detail.description` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.description` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Extra info describing activity to perform
This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).