2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Careplan2.profile.xml

Raw XML (canonical form)

Profile for careplan2

Raw XML

<Profile xmlns="http://hl7.org/fhir">
  <id value="CarePlan2"/>
  <meta>
    <lastUpdated value="2015-02-23T09:07:27.665+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/Profile/CarePlan2"/>
  <name value="CarePlan2"/>
  <publisher value="HL7 FHIR Project"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="Base Profile for CarePlan2 Resource"/>
  <status value="draft"/>
  <date value="2015-02-23T09:07:27+11:00"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <type value="CarePlan2"/>
  <snapshot>
    <element>
      <path value="CarePlan2"/>
      <short value="Healthcare plan for patient"/>
      <definition value="Describes the intention of how one or more practitioners intend to deliver care for a
       particular patient for a period of time, possibly limited to care for a specific condition
       or set of conditions."/>
      <synonym value="Care Team"/>
      <min value="1"/>
      <max value="1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act[classCode=PCPR, moodCode=INT]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.id"/>
      <short value="Logical id of this artefact"/>
      <definition value="The logical id of the resource, as used in the url for the resoure. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element>
      <path value="CarePlan2.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Meta"/>
      </type>
    </element>
    <element>
      <path value="CarePlan2.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
    </element>
    <element>
      <path value="CarePlan2.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <name value="Language"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="A human language"/>
        <referenceUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="CarePlan2.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <synonym value="narrative"/>
      <synonym value="html"/>
      <synonym value="xhtml"/>
      <synonym value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <synonym value="inline resources"/>
      <synonym value="anonymous resources"/>
      <synonym value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions."/>
      <comments value="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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.identifier"/>
      <short value="External Ids for this plan"/>
      <definition value="This records identifiers associated with this care plan that are defined by business processed
       and/ or used to refer to it when a direct URL reference to the resource itself is not
       appropriate (e.g. in CDA documents, or in written / printed documentation)."/>
      <requirements value="Need to allow connection to a wider workflow."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.patient"/>
      <short value="Who care plan is for"/>
      <definition value="Identifies the patient/subject whose intended care is described by the plan."/>
      <requirements value="Care plans are associated with the patient the plan is for."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3-patient ID list"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PAT].role[classCode=PAT]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.status"/>
      <short value="planned | active | completed"/>
      <definition value="Indicates whether the plan is currently being acted upon, represents future intentions
       or is now just historical record."/>
      <requirements value="Allows clinicians to determine whether the plan is actionable or not."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <binding>
        <name value="CarePlan2Status"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="Indicates whether the plan is currently being acted upon, represents future intentions
         or is now just historical record."/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/care-plan2-status"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PTH-5-pathway life cycle status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode planned = new active = active completed = completed"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.period"/>
      <short value="Time period plan covers"/>
      <definition value="Indicates when the plan did (or is intended to) come into effect and end."/>
      <comments value="Any activities scheduled as part of the plan should be constrained to the specified period."/>
      <requirements value="Allows tracking what plan(s) are in effect at a particular time."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="GOL-7-goal established date/time / GOL-8-expected goal achieve date/time"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.modified"/>
      <short value="When last updated"/>
      <definition value="Identifies the most recent date on which the plan has been revised."/>
      <requirements value="Indicates how current the plan is."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PTH-6-change pathway life cycle status date/time"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.concern"/>
      <short value="Health issues this plan addresses"/>
      <definition value="Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation
       are handled by this plan."/>
      <requirements value="Links plan to the conditions it manages.  Also scopes plans - multiple plans may exist
       addressing different concerns."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Condition"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-4-Problem instance ID"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant"/>
      <short value="Who's involved in plan?"/>
      <definition value="Identifies all people and organizations who are expected to be involved in the care envisioned
       by this plan."/>
      <requirements value="Allows representation of care teams, helps scope care plan.  In some cases may be a determiner
       of access permissions."/>
      <synonym value="Care Team"/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="v2"/>
        <map value="REL (REL.4 is always the Patient) ( or PRT?)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.role"/>
      <short value="Type of involvement"/>
      <definition value="Indicates specific responsibility of an individual within the care plan.  E.g. &quot;Primary
       physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc."/>
      <comments value="Roles may sometimes be inferred by type of Practitioner.  These are relationships that
       hold only within the context of the care plan.  General relationships should be handled
       as properties of the Patient resource directly."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <name value="CarePlan2ParticipantRole"/>
        <isExtensible value="true"/>
        <conformance value="preferred"/>
        <description value="Indicates specific responsibility of an individual within the care plan.  E.g. &quot;Primary
         physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc."/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="REL.2 (or PRT-4-participation?)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".functionCode"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.member"/>
      <short value="Who is involved"/>
      <definition value="The specific person or organization who is participating/expected to participate in the
       care plan."/>
      <comments value="Patient only needs to be listed if they have a role other than &quot;subject of care&quot;."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/RelatedPerson"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="REL.5 (or PRT-5-participation person : ( PRV-4 e {provider participations} ) / PRT-5-participation
         person : ( PRV-4 e {non-provider person participations} ) / PRT-5-participation person
         : ( PRV-4 = (patient non-subject of care) ) / PRT-8-participation organization?)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.notes"/>
      <short value="Comments about the plan"/>
      <definition value="General notes about the care plan not covered elsewhere."/>
      <requirements value="Used to capture information that applies to the plan as a whole that doesn't fit into
       discrete elements."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="NTE?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.goal"/>
      <short value="CarePlan Goal"/>
      <definition value="Describes the intended objective(s) of carrying out the Care Plan."/>
      <comments value="Goal can be achieving a particular change or merely maintaining a current state or even
       slowing a decline."/>
      <requirements value="Provides context for plan. Allows plan effectiveness to be evaluated by clinicians."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Goal"/>
      </type>
    </element>
    <element>
      <path value="CarePlan2.activity"/>
      <short value="CarePlan Activity"/>
      <definition value="Identifies an action that is planned to happen as part of the careplan. For example, a
       medication to be used, lab tests to perform, self-monitoring, education, etc."/>
      <requirements value="Allows systems to prompt for performance of planned activities, validate plans against
       best practice."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/MedicationPrescription"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/DiagnosticOrder"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/ReferralRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/CommunicationRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/NutritionOrder"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="CarePlan2"/>
      <short value="Healthcare plan for patient"/>
      <definition value="Describes the intention of how one or more practitioners intend to deliver care for a
       particular patient for a period of time, possibly limited to care for a specific condition
       or set of conditions."/>
      <synonym value="Care Team"/>
      <min value="1"/>
      <max value="1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act[classCode=PCPR, moodCode=INT]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.identifier"/>
      <short value="External Ids for this plan"/>
      <definition value="This records identifiers associated with this care plan that are defined by business processed
       and/ or used to refer to it when a direct URL reference to the resource itself is not
       appropriate (e.g. in CDA documents, or in written / printed documentation)."/>
      <requirements value="Need to allow connection to a wider workflow."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.patient"/>
      <short value="Who care plan is for"/>
      <definition value="Identifies the patient/subject whose intended care is described by the plan."/>
      <requirements value="Care plans are associated with the patient the plan is for."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3-patient ID list"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PAT].role[classCode=PAT]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.status"/>
      <short value="planned | active | completed"/>
      <definition value="Indicates whether the plan is currently being acted upon, represents future intentions
       or is now just historical record."/>
      <requirements value="Allows clinicians to determine whether the plan is actionable or not."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <binding>
        <name value="CarePlan2Status"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="Indicates whether the plan is currently being acted upon, represents future intentions
         or is now just historical record."/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/care-plan2-status"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PTH-5-pathway life cycle status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode planned = new active = active completed = completed"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.period"/>
      <short value="Time period plan covers"/>
      <definition value="Indicates when the plan did (or is intended to) come into effect and end."/>
      <comments value="Any activities scheduled as part of the plan should be constrained to the specified period."/>
      <requirements value="Allows tracking what plan(s) are in effect at a particular time."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="GOL-7-goal established date/time / GOL-8-expected goal achieve date/time"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.modified"/>
      <short value="When last updated"/>
      <definition value="Identifies the most recent date on which the plan has been revised."/>
      <requirements value="Indicates how current the plan is."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PTH-6-change pathway life cycle status date/time"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.concern"/>
      <short value="Health issues this plan addresses"/>
      <definition value="Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation
       are handled by this plan."/>
      <requirements value="Links plan to the conditions it manages.  Also scopes plans - multiple plans may exist
       addressing different concerns."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Condition"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-4-Problem instance ID"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant"/>
      <short value="Who's involved in plan?"/>
      <definition value="Identifies all people and organizations who are expected to be involved in the care envisioned
       by this plan."/>
      <requirements value="Allows representation of care teams, helps scope care plan.  In some cases may be a determiner
       of access permissions."/>
      <synonym value="Care Team"/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="v2"/>
        <map value="REL (REL.4 is always the Patient) ( or PRT?)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM]"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.role"/>
      <short value="Type of involvement"/>
      <definition value="Indicates specific responsibility of an individual within the care plan.  E.g. &quot;Primary
       physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc."/>
      <comments value="Roles may sometimes be inferred by type of Practitioner.  These are relationships that
       hold only within the context of the care plan.  General relationships should be handled
       as properties of the Patient resource directly."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <name value="CarePlan2ParticipantRole"/>
        <isExtensible value="true"/>
        <conformance value="preferred"/>
        <description value="Indicates specific responsibility of an individual within the care plan.  E.g. &quot;Primary
         physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc."/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="REL.2 (or PRT-4-participation?)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".functionCode"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.participant.member"/>
      <short value="Who is involved"/>
      <definition value="The specific person or organization who is participating/expected to participate in the
       care plan."/>
      <comments value="Patient only needs to be listed if they have a role other than &quot;subject of care&quot;."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/RelatedPerson"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="REL.5 (or PRT-5-participation person : ( PRV-4 e {provider participations} ) / PRT-5-participation
         person : ( PRV-4 e {non-provider person participations} ) / PRT-5-participation person
         : ( PRV-4 = (patient non-subject of care) ) / PRT-8-participation organization?)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.notes"/>
      <short value="Comments about the plan"/>
      <definition value="General notes about the care plan not covered elsewhere."/>
      <requirements value="Used to capture information that applies to the plan as a whole that doesn't fit into
       discrete elements."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="NTE?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value"/>
      </mapping>
    </element>
    <element>
      <path value="CarePlan2.goal"/>
      <short value="CarePlan Goal"/>
      <definition value="Describes the intended objective(s) of carrying out the Care Plan."/>
      <comments value="Goal can be achieving a particular change or merely maintaining a current state or even
       slowing a decline."/>
      <requirements value="Provides context for plan. Allows plan effectiveness to be evaluated by clinicians."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Goal"/>
      </type>
    </element>
    <element>
      <path value="CarePlan2.activity"/>
      <short value="CarePlan Activity"/>
      <definition value="Identifies an action that is planned to happen as part of the careplan. For example, a
       medication to be used, lab tests to perform, self-monitoring, education, etc."/>
      <requirements value="Allows systems to prompt for performance of planned activities, validate plans against
       best practice."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/MedicationPrescription"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/DiagnosticOrder"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/ReferralRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/CommunicationRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/NutritionOrder"/>
      </type>
    </element>
  </differential>
</Profile>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.