This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Patient Care Work Group | Maturity Level: 2 | Trial Use | Security Category: Patient | Compartments: Encounter, Patient |
Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
CarePlan is one of the request resources in the FHIR workflow specification.
Care Plans are used in many areas of healthcare with a variety of scopes. They can be as simple as a general practitioner keeping track of when their patient is next due for a tetanus immunization through to a detailed plan for an oncology patient covering diet, chemotherapy, radiation, lab work and counseling with detailed timing relationships, pre-conditions and goals. They may be used in veterinary care or clinical research to describe the care of a herd or other collection of animals. In public health, they may describe education or immunization campaigns.
This resource takes an intermediate approach to complexity. It captures basic details about who is involved and what actions are intended without dealing in discrete data about dependencies and timing relationships. These can be supported where necessary using the extension mechanism.
The scope of care plans may vary widely. Examples include:
This resource can be used to represent both proposed plans (for example, recommendations from a decision support engine or returned as part of a consult report) as well as active plans. The nature of the plan is communicated by the status. Some systems may need to filter CarePlans to ensure that only appropriate plans are exposed via a given user interface.
CarePlan activities can be defined using references to the various "request" resources. These references could be to resources with a status of "planned" or to an active order. It is possible for planned activities to exist (e.g. appointments) without needing a CarePlan at all. CarePlans are used when there's a need to group activities, goals and/or participants together to provide some degree of context.
CarePlans can be tied to specific Conditions, however they can also be condition-independent and instead focused on a particular type of care (e.g. psychological, nutritional) or the care delivered by a particular practitioner or group of practitioners.
An ImmunizationRecommendation can be interpreted as a narrow type of CarePlan dealing only with immunization events. Where such information could appear in either resource, the immunization-specific resource is preferred.
CarePlans represent a specific plan instance for a particular patient or group. It is not intended to be used to define generic plans or protocols that are independent of a specific individual or group. CarePlan represents a specific intent, not a general definition. Protocols and order sets are supported through PlanDefinition.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CarePlan | TU | DomainResource | Healthcare plan for patient or group Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
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 | ServiceRequest | RequestOrchestration | NutritionOrder) | Fulfills plan, proposal or order |
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan |
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan |
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (Required) |
intent | ?!Σ | 1..1 | code | proposal | plan | order | option | directive Binding: Care Plan Intent (Required) |
category | Σ | 0..* | CodeableConcept | Type of plan Binding: Care Plan Category (Example) |
title | Σ | 0..1 | string | Human-friendly name for the care plan |
description | Σ | 0..1 | string | Summary of nature of plan |
subject | Σ | 1..1 | Reference(Patient | Group) | Who the care plan is for |
encounter | Σ | 0..1 | Reference(Encounter) | The Encounter during which this CarePlan was created |
period | Σ | 0..1 | Period | Time period plan covers |
created | Σ | 0..1 | dateTime | Date record was first recorded |
custodian | 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..* | CodeableReference(Condition | Procedure | MedicationAdministration) | Health issues this plan addresses Binding: SNOMED CT Clinical Findings (Example) |
supportingInfo | 0..* | Reference(Any) | Information considered as part of plan | |
goal | 0..* | Reference(Goal) | Desired outcome of plan | |
activity | 0..* | BackboneElement | Action to occur or has occurred as part of plan | |
performedActivity | 0..* | CodeableReference(Any) | Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) Binding: Care Plan Activity Performed (Example) | |
progress | 0..* | Annotation | Comments about the activity status/progress | |
plannedActivityReference | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestOrchestration | ImmunizationRecommendation | SupplyRequest) | Activity that is intended to be part of the care plan | |
note | 0..* | Annotation | Comments about the plan | |
Documentation for this format |
See the Extensions for this resource
UML Diagram (Legend)
XML Template
<CarePlan xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier External Ids for this plan --></identifier> <instantiatesCanonical><!-- 0..* canonical(ActivityDefinition|Measure| OperationDefinition|PlanDefinition|Questionnaire) Instantiates FHIR protocol or definition --></instantiatesCanonical> <instantiatesUri value="[uri]"/><!-- 0..* Instantiates external protocol or definition --> <basedOn><!-- 0..* Reference(CarePlan|NutritionOrder|RequestOrchestration| ServiceRequest) Fulfills plan, proposal or order --></basedOn> <replaces><!-- 0..* Reference(CarePlan) CarePlan replaced by this CarePlan --></replaces> <partOf><!-- 0..* Reference(CarePlan) Part of referenced CarePlan --></partOf> <status value="[code]"/><!-- 1..1 draft | active | on-hold | revoked | completed | entered-in-error | unknown --> <intent value="[code]"/><!-- 1..1 proposal | plan | order | option | directive --> <category><!-- 0..* CodeableConcept Type of plan --></category> <title value="[string]"/><!-- 0..1 Human-friendly name for the care plan --> <description value="[string]"/><!-- 0..1 Summary of nature of plan --> <subject><!-- 1..1 Reference(Group|Patient) Who the care plan is for --></subject> <encounter><!-- 0..1 Reference(Encounter) The Encounter during which this CarePlan was created --></encounter> <period><!-- 0..1 Period Time period plan covers --></period> <created value="[dateTime]"/><!-- 0..1 Date record was first recorded --> <custodian><!-- 0..1 Reference(CareTeam|Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) Who is the designated responsible party --></custodian> <contributor><!-- 0..* Reference(CareTeam|Device|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) Who provided the content of the care plan --></contributor> <careTeam><!-- 0..* Reference(CareTeam) Who's involved in plan? --></careTeam> <addresses><!-- 0..* CodeableReference(Condition|MedicationAdministration| Procedure) Health issues this plan addresses --></addresses> <supportingInfo><!-- 0..* Reference(Any) Information considered as part of plan --></supportingInfo> <goal><!-- 0..* Reference(Goal) Desired outcome of plan --></goal> <activity> <!-- 0..* Action to occur or has occurred as part of plan --> <performedActivity><!-- 0..* CodeableReference(Any) Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) --></performedActivity> <progress><!-- 0..* Annotation Comments about the activity status/progress --></progress> <plannedActivityReference><!-- 0..1 Reference(Appointment|CommunicationRequest| DeviceRequest|ImmunizationRecommendation|MedicationRequest|NutritionOrder| RequestOrchestration|ServiceRequest|SupplyRequest|Task|VisionPrescription) Activity that is intended to be part of the care plan --></plannedActivityReference> </activity> <note><!-- 0..* Annotation Comments about the plan --></note> </CarePlan>
JSON Template
{ "resourceType" : "CarePlan", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // External Ids for this plan "instantiatesCanonical" : ["<canonical(PlanDefinition|Questionnaire|Measure|ActivityDefinition|OperationDefinition)>"], // Instantiates FHIR protocol or definition "instantiatesUri" : ["<uri>"], // Instantiates external protocol or definition "basedOn" : [{ Reference(CarePlan|NutritionOrder|RequestOrchestration| ServiceRequest) }], // Fulfills plan, proposal or order "replaces" : [{ Reference(CarePlan) }], // CarePlan replaced by this CarePlan "partOf" : [{ Reference(CarePlan) }], // Part of referenced CarePlan "status" : "<code>", // R! draft | active | on-hold | revoked | completed | entered-in-error | unknown "intent" : "<code>", // R! proposal | plan | order | option | directive "category" : [{ CodeableConcept }], // Type of plan "title" : "<string>", // Human-friendly name for the care plan "description" : "<string>", // Summary of nature of plan "subject" : { Reference(Group|Patient) }, // R! Who the care plan is for "encounter" : { Reference(Encounter) }, // The Encounter during which this CarePlan was created "period" : { Period }, // Time period plan covers "created" : "<dateTime>", // Date record was first recorded "custodian" : { Reference(CareTeam|Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) }, // Who is the designated responsible party "contributor" : [{ Reference(CareTeam|Device|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) }], // Who provided the content of the care plan "careTeam" : [{ Reference(CareTeam) }], // Who's involved in plan? "addresses" : [{ CodeableReference(Condition|MedicationAdministration| Procedure) }], // Health issues this plan addresses "supportingInfo" : [{ Reference(Any) }], // Information considered as part of plan "goal" : [{ Reference(Goal) }], // Desired outcome of plan "activity" : [{ // Action to occur or has occurred as part of plan "performedActivity" : [{ CodeableReference(Any) }], // Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) "progress" : [{ Annotation }], // Comments about the activity status/progress "plannedActivityReference" : { Reference(Appointment|CommunicationRequest| DeviceRequest|ImmunizationRecommendation|MedicationRequest|NutritionOrder| RequestOrchestration|ServiceRequest|SupplyRequest|Task|VisionPrescription) } // Activity that is intended to be part of the care plan }], "note" : [{ Annotation }] // Comments about the plan }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:CarePlan; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* External Ids for this plan fhir:instantiatesCanonical ( [ canonical(ActivityDefinition|Measure|OperationDefinition|PlanDefinition|Questionnaire) ] ... ) ; # 0..* Instantiates FHIR protocol or definition fhir:instantiatesUri ( [ uri ] ... ) ; # 0..* Instantiates external protocol or definition fhir:basedOn ( [ Reference(CarePlan|NutritionOrder|RequestOrchestration|ServiceRequest) ] ... ) ; # 0..* Fulfills plan, proposal or order fhir:replaces ( [ Reference(CarePlan) ] ... ) ; # 0..* CarePlan replaced by this CarePlan fhir:partOf ( [ Reference(CarePlan) ] ... ) ; # 0..* Part of referenced CarePlan fhir:status [ code ] ; # 1..1 draft | active | on-hold | revoked | completed | entered-in-error | unknown fhir:intent [ code ] ; # 1..1 proposal | plan | order | option | directive fhir:category ( [ CodeableConcept ] ... ) ; # 0..* Type of plan fhir:title [ string ] ; # 0..1 Human-friendly name for the care plan fhir:description [ string ] ; # 0..1 Summary of nature of plan fhir:subject [ Reference(Group|Patient) ] ; # 1..1 Who the care plan is for fhir:encounter [ Reference(Encounter) ] ; # 0..1 The Encounter during which this CarePlan was created fhir:period [ Period ] ; # 0..1 Time period plan covers fhir:created [ dateTime ] ; # 0..1 Date record was first recorded fhir:custodian [ Reference(CareTeam|Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 Who is the designated responsible party fhir:contributor ( [ Reference(CareTeam|Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ... ) ; # 0..* Who provided the content of the care plan fhir:careTeam ( [ Reference(CareTeam) ] ... ) ; # 0..* Who's involved in plan? fhir:addresses ( [ CodeableReference(Condition|MedicationAdministration|Procedure) ] ... ) ; # 0..* Health issues this plan addresses fhir:supportingInfo ( [ Reference(Any) ] ... ) ; # 0..* Information considered as part of plan fhir:goal ( [ Reference(Goal) ] ... ) ; # 0..* Desired outcome of plan fhir:activity ( [ # 0..* Action to occur or has occurred as part of plan fhir:performedActivity ( [ CodeableReference(Any) ] ... ) ; # 0..* Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) fhir:progress ( [ Annotation ] ... ) ; # 0..* Comments about the activity status/progress fhir:plannedActivityReference [ Reference(Appointment|CommunicationRequest|DeviceRequest|ImmunizationRecommendation| MedicationRequest|NutritionOrder|RequestOrchestration|ServiceRequest| SupplyRequest|Task|VisionPrescription) ] ; # 0..1 Activity that is intended to be part of the care plan ] ... ) ; fhir:note ( [ Annotation ] ... ) ; # 0..* Comments about the plan ]
Changes from both R4 and R4B
CarePlan | |
CarePlan.basedOn |
|
CarePlan.intent |
|
CarePlan.custodian |
|
CarePlan.addresses |
|
CarePlan.activity.performedActivity |
|
CarePlan.activity.plannedActivityReference |
|
CarePlan.activity.outcomeCodeableConcept |
|
CarePlan.activity.outcomeReference |
|
CarePlan.activity.detail |
|
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CarePlan | TU | DomainResource | Healthcare plan for patient or group Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
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 | ServiceRequest | RequestOrchestration | NutritionOrder) | Fulfills plan, proposal or order |
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan |
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan |
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (Required) |
intent | ?!Σ | 1..1 | code | proposal | plan | order | option | directive Binding: Care Plan Intent (Required) |
category | Σ | 0..* | CodeableConcept | Type of plan Binding: Care Plan Category (Example) |
title | Σ | 0..1 | string | Human-friendly name for the care plan |
description | Σ | 0..1 | string | Summary of nature of plan |
subject | Σ | 1..1 | Reference(Patient | Group) | Who the care plan is for |
encounter | Σ | 0..1 | Reference(Encounter) | The Encounter during which this CarePlan was created |
period | Σ | 0..1 | Period | Time period plan covers |
created | Σ | 0..1 | dateTime | Date record was first recorded |
custodian | 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..* | CodeableReference(Condition | Procedure | MedicationAdministration) | Health issues this plan addresses Binding: SNOMED CT Clinical Findings (Example) |
supportingInfo | 0..* | Reference(Any) | Information considered as part of plan | |
goal | 0..* | Reference(Goal) | Desired outcome of plan | |
activity | 0..* | BackboneElement | Action to occur or has occurred as part of plan | |
performedActivity | 0..* | CodeableReference(Any) | Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) Binding: Care Plan Activity Performed (Example) | |
progress | 0..* | Annotation | Comments about the activity status/progress | |
plannedActivityReference | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestOrchestration | ImmunizationRecommendation | SupplyRequest) | Activity that is intended to be part of the care plan | |
note | 0..* | Annotation | Comments about the plan | |
Documentation for this format |
See the Extensions for this resource
XML Template
<CarePlan xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier External Ids for this plan --></identifier> <instantiatesCanonical><!-- 0..* canonical(ActivityDefinition|Measure| OperationDefinition|PlanDefinition|Questionnaire) Instantiates FHIR protocol or definition --></instantiatesCanonical> <instantiatesUri value="[uri]"/><!-- 0..* Instantiates external protocol or definition --> <basedOn><!-- 0..* Reference(CarePlan|NutritionOrder|RequestOrchestration| ServiceRequest) Fulfills plan, proposal or order --></basedOn> <replaces><!-- 0..* Reference(CarePlan) CarePlan replaced by this CarePlan --></replaces> <partOf><!-- 0..* Reference(CarePlan) Part of referenced CarePlan --></partOf> <status value="[code]"/><!-- 1..1 draft | active | on-hold | revoked | completed | entered-in-error | unknown --> <intent value="[code]"/><!-- 1..1 proposal | plan | order | option | directive --> <category><!-- 0..* CodeableConcept Type of plan --></category> <title value="[string]"/><!-- 0..1 Human-friendly name for the care plan --> <description value="[string]"/><!-- 0..1 Summary of nature of plan --> <subject><!-- 1..1 Reference(Group|Patient) Who the care plan is for --></subject> <encounter><!-- 0..1 Reference(Encounter) The Encounter during which this CarePlan was created --></encounter> <period><!-- 0..1 Period Time period plan covers --></period> <created value="[dateTime]"/><!-- 0..1 Date record was first recorded --> <custodian><!-- 0..1 Reference(CareTeam|Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) Who is the designated responsible party --></custodian> <contributor><!-- 0..* Reference(CareTeam|Device|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) Who provided the content of the care plan --></contributor> <careTeam><!-- 0..* Reference(CareTeam) Who's involved in plan? --></careTeam> <addresses><!-- 0..* CodeableReference(Condition|MedicationAdministration| Procedure) Health issues this plan addresses --></addresses> <supportingInfo><!-- 0..* Reference(Any) Information considered as part of plan --></supportingInfo> <goal><!-- 0..* Reference(Goal) Desired outcome of plan --></goal> <activity> <!-- 0..* Action to occur or has occurred as part of plan --> <performedActivity><!-- 0..* CodeableReference(Any) Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) --></performedActivity> <progress><!-- 0..* Annotation Comments about the activity status/progress --></progress> <plannedActivityReference><!-- 0..1 Reference(Appointment|CommunicationRequest| DeviceRequest|ImmunizationRecommendation|MedicationRequest|NutritionOrder| RequestOrchestration|ServiceRequest|SupplyRequest|Task|VisionPrescription) Activity that is intended to be part of the care plan --></plannedActivityReference> </activity> <note><!-- 0..* Annotation Comments about the plan --></note> </CarePlan>
JSON Template
{ "resourceType" : "CarePlan", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // External Ids for this plan "instantiatesCanonical" : ["<canonical(PlanDefinition|Questionnaire|Measure|ActivityDefinition|OperationDefinition)>"], // Instantiates FHIR protocol or definition "instantiatesUri" : ["<uri>"], // Instantiates external protocol or definition "basedOn" : [{ Reference(CarePlan|NutritionOrder|RequestOrchestration| ServiceRequest) }], // Fulfills plan, proposal or order "replaces" : [{ Reference(CarePlan) }], // CarePlan replaced by this CarePlan "partOf" : [{ Reference(CarePlan) }], // Part of referenced CarePlan "status" : "<code>", // R! draft | active | on-hold | revoked | completed | entered-in-error | unknown "intent" : "<code>", // R! proposal | plan | order | option | directive "category" : [{ CodeableConcept }], // Type of plan "title" : "<string>", // Human-friendly name for the care plan "description" : "<string>", // Summary of nature of plan "subject" : { Reference(Group|Patient) }, // R! Who the care plan is for "encounter" : { Reference(Encounter) }, // The Encounter during which this CarePlan was created "period" : { Period }, // Time period plan covers "created" : "<dateTime>", // Date record was first recorded "custodian" : { Reference(CareTeam|Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) }, // Who is the designated responsible party "contributor" : [{ Reference(CareTeam|Device|Organization|Patient| Practitioner|PractitionerRole|RelatedPerson) }], // Who provided the content of the care plan "careTeam" : [{ Reference(CareTeam) }], // Who's involved in plan? "addresses" : [{ CodeableReference(Condition|MedicationAdministration| Procedure) }], // Health issues this plan addresses "supportingInfo" : [{ Reference(Any) }], // Information considered as part of plan "goal" : [{ Reference(Goal) }], // Desired outcome of plan "activity" : [{ // Action to occur or has occurred as part of plan "performedActivity" : [{ CodeableReference(Any) }], // Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) "progress" : [{ Annotation }], // Comments about the activity status/progress "plannedActivityReference" : { Reference(Appointment|CommunicationRequest| DeviceRequest|ImmunizationRecommendation|MedicationRequest|NutritionOrder| RequestOrchestration|ServiceRequest|SupplyRequest|Task|VisionPrescription) } // Activity that is intended to be part of the care plan }], "note" : [{ Annotation }] // Comments about the plan }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:CarePlan; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* External Ids for this plan fhir:instantiatesCanonical ( [ canonical(ActivityDefinition|Measure|OperationDefinition|PlanDefinition|Questionnaire) ] ... ) ; # 0..* Instantiates FHIR protocol or definition fhir:instantiatesUri ( [ uri ] ... ) ; # 0..* Instantiates external protocol or definition fhir:basedOn ( [ Reference(CarePlan|NutritionOrder|RequestOrchestration|ServiceRequest) ] ... ) ; # 0..* Fulfills plan, proposal or order fhir:replaces ( [ Reference(CarePlan) ] ... ) ; # 0..* CarePlan replaced by this CarePlan fhir:partOf ( [ Reference(CarePlan) ] ... ) ; # 0..* Part of referenced CarePlan fhir:status [ code ] ; # 1..1 draft | active | on-hold | revoked | completed | entered-in-error | unknown fhir:intent [ code ] ; # 1..1 proposal | plan | order | option | directive fhir:category ( [ CodeableConcept ] ... ) ; # 0..* Type of plan fhir:title [ string ] ; # 0..1 Human-friendly name for the care plan fhir:description [ string ] ; # 0..1 Summary of nature of plan fhir:subject [ Reference(Group|Patient) ] ; # 1..1 Who the care plan is for fhir:encounter [ Reference(Encounter) ] ; # 0..1 The Encounter during which this CarePlan was created fhir:period [ Period ] ; # 0..1 Time period plan covers fhir:created [ dateTime ] ; # 0..1 Date record was first recorded fhir:custodian [ Reference(CareTeam|Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 Who is the designated responsible party fhir:contributor ( [ Reference(CareTeam|Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ... ) ; # 0..* Who provided the content of the care plan fhir:careTeam ( [ Reference(CareTeam) ] ... ) ; # 0..* Who's involved in plan? fhir:addresses ( [ CodeableReference(Condition|MedicationAdministration|Procedure) ] ... ) ; # 0..* Health issues this plan addresses fhir:supportingInfo ( [ Reference(Any) ] ... ) ; # 0..* Information considered as part of plan fhir:goal ( [ Reference(Goal) ] ... ) ; # 0..* Desired outcome of plan fhir:activity ( [ # 0..* Action to occur or has occurred as part of plan fhir:performedActivity ( [ CodeableReference(Any) ] ... ) ; # 0..* Activities that are completed or in progress (concept, or Appointment, Encounter, Procedure, etc.) fhir:progress ( [ Annotation ] ... ) ; # 0..* Comments about the activity status/progress fhir:plannedActivityReference [ Reference(Appointment|CommunicationRequest|DeviceRequest|ImmunizationRecommendation| MedicationRequest|NutritionOrder|RequestOrchestration|ServiceRequest| SupplyRequest|Task|VisionPrescription) ] ; # 0..1 Activity that is intended to be part of the care plan ] ... ) ; fhir:note ( [ Annotation ] ... ) ; # 0..* Comments about the plan ]
Changes from both R4 and R4B
CarePlan | |
CarePlan.basedOn |
|
CarePlan.intent |
|
CarePlan.custodian |
|
CarePlan.addresses |
|
CarePlan.activity.performedActivity |
|
CarePlan.activity.plannedActivityReference |
|
CarePlan.activity.outcomeCodeableConcept |
|
CarePlan.activity.outcomeReference |
|
CarePlan.activity.detail |
|
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis
Path | ValueSet | Type | Documentation |
---|---|---|---|
CarePlan.status | RequestStatus | Required | Codes identifying the lifecycle stage of a request. |
CarePlan.intent | CarePlanIntent | Required | Codes indicating the degree of authority/intentionality associated with a care plan. |
CarePlan.category | CarePlanCategory | Example | Example codes indicating the category a care plan falls within. Note that these are in no way complete and might not even be appropriate for some uses. |
CarePlan.addresses | SNOMEDCTClinicalFindings | Example | This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)). |
CarePlan.activity.performedActivity | CarePlanActivityPerformed | Example | Example codes indicating the care plan activity that was performed. Note that these are in no way complete and might not even be appropriate for some uses. |
The Provenance resource can be used for detailed review information, such as when the care plan was last reviewed and by whom.
Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
Name | Type | Description | Expression | In Common |
activity-reference | reference | Activity that is intended to be part of the care plan | CarePlan.activity.plannedActivityReference (Appointment, MedicationRequest, Task, NutritionOrder, RequestOrchestration, VisionPrescription, DeviceRequest, ServiceRequest, CommunicationRequest, ImmunizationRecommendation, SupplyRequest) |
|
based-on | reference | Fulfills CarePlan | CarePlan.basedOn (CarePlan, RequestOrchestration, NutritionOrder, ServiceRequest) |
|
care-team | reference | Who's involved in plan? | CarePlan.careTeam (CareTeam) |
|
category | token | Type of plan | CarePlan.category | |
condition | reference | Reference to a resource (by instance) | CarePlan.addresses.reference | |
custodian | reference | Who is the designated responsible party | CarePlan.custodian (Practitioner, Organization, CareTeam, Device, Patient, PractitionerRole, RelatedPerson) |
|
date | date | Time period plan covers | CarePlan.period | 26 Resources |
encounter | reference | The Encounter during which this CarePlan was created | CarePlan.encounter (Encounter) |
29 Resources |
goal | reference | Desired outcome of plan | CarePlan.goal (Goal) |
|
identifier | token | External Ids for this plan | CarePlan.identifier | 65 Resources |
instantiates-canonical | reference | Instantiates FHIR protocol or definition | CarePlan.instantiatesCanonical (Questionnaire, Measure, PlanDefinition, OperationDefinition, ActivityDefinition) |
|
instantiates-uri | uri | Instantiates external protocol or definition | CarePlan.instantiatesUri | |
intent | token | proposal | plan | order | option | directive | CarePlan.intent | |
part-of | reference | Part of referenced CarePlan | CarePlan.partOf (CarePlan) |
|
patient | reference | Who the care plan is for | CarePlan.subject.where(resolve() is Patient) (Patient) |
65 Resources |
replaces | reference | CarePlan replaced by this CarePlan | CarePlan.replaces (CarePlan) |
|
status | token | draft | active | on-hold | revoked | completed | entered-in-error | unknown | CarePlan.status | |
subject | reference | Who the care plan is for | CarePlan.subject (Group, Patient) |