US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan | Version: 8.0.0-ballot | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: USCoreCarePlanProfile | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.15 | ||||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
The US Core CarePlan Profile inherits from the FHIR CarePlan resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
Example Usage Scenarios:
The following are example usage scenarios for this profile:
The following data elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.
Each CarePlan Must Have:
Each CarePlan Must Support:
*see guidance below
Profile Specific Implementation Guidance:
CarePlan.goal
CarePlan.addresses
CarePlan.text
Usage:
Changes since version 7.0.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CarePlan
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | |
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
status | S | 1..1 | code | generated | additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
div | S | 1..1 | xhtml | Limited xhtml content |
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
intent | S | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan |
Slices for category | S | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this |
category:AssessPlan | S | 1..1 | CodeableConcept | Type of plan Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |
subject | S | 1..1 | Reference(US Core Patient Profile S | Group) | Who the care plan is for |
Documentation for this format |
Path | Conformance | ValueSet | URI |
CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status from this IG | |
CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status from the FHIR Standard | |
CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
status | S | 1..1 | code | generated | additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
div | SC | 1..1 | xhtml | Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
intent | ?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan |
Slices for category | SΣ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. |
category:AssessPlan | SΣ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status from this IG | |
CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status from the FHIR Standard | |
CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard | |
CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard | |
CarePlan.category:AssessPlan | example | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
status | S | 1..1 | code | generated | additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. | ||||
div | SC | 1..1 | xhtml | Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content | ||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Ids for this plan | ||||
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan | ||||
Slices for category | SΣ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | ||||
category:AssessPlan | SΣ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
title | Σ | 0..1 | string | Human-friendly name for the care plan | ||||
description | Σ | 0..1 | string | Summary of nature of plan | ||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who the care plan is for | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
period | Σ | 0..1 | Period | Time period plan covers | ||||
created | Σ | 0..1 | dateTime | Date record was first recorded | ||||
author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party | ||||
contributor | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||
careTeam | 0..* | Reference(CareTeam) | Who's involved in plan? | |||||
addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
supportingInfo | 0..* | Reference(Resource) | Information considered as part of plan | |||||
goal | 0..* | Reference(Goal) | Desired outcome of plan | |||||
activity | C | 0..* | BackboneElement | Action to occur as part of plan cpl-3: Provide a reference or detail, not both | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
outcomeCodeableConcept | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
outcomeReference | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
progress | 0..* | Annotation | Comments about the activity status/progress | |||||
reference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource | ||||
detail | C | 0..1 | BackboneElement | In-line definition of activity | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
kind | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | |||||
instantiatesCanonical | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
instantiatesUri | 0..* | uri | Instantiates external protocol or definition | |||||
code | 0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | |||||
reasonCode | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. | |||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||
goal | 0..* | Reference(Goal) | Goals this activity relates to | |||||
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status | |||||
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
scheduled[x] | 0..1 | When activity is to occur | ||||||
scheduledTiming | Timing | |||||||
scheduledPeriod | Period | |||||||
scheduledString | string | |||||||
location | 0..1 | Reference(Location) | Where it should happen | |||||
performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||
product[x] | 0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
productCodeableConcept | CodeableConcept | |||||||
productReference | Reference(Medication | Substance) | |||||||
dailyAmount | 0..1 | SimpleQuantity | How to consume/day? | |||||
quantity | 0..1 | SimpleQuantity | How much to administer/supply/consume | |||||
description | 0..1 | string | Extra info describing activity to perform | |||||
note | 0..* | Annotation | Comments about the plan | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
CarePlan.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status from this IG | ||||
CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status from the FHIR Standard | ||||
CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard | ||||
CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard | ||||
CarePlan.category:AssessPlan | example | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard | ||||
CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard | ||||
CarePlan.activity.detail.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard | ||||
CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard | ||||
CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard | ||||
CarePlan.activity.detail.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard | ||||
CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard |
Differential View
This structure is derived from CarePlan
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | |
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
status | S | 1..1 | code | generated | additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
div | S | 1..1 | xhtml | Limited xhtml content |
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
intent | S | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan |
Slices for category | S | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this |
category:AssessPlan | S | 1..1 | CodeableConcept | Type of plan Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |
subject | S | 1..1 | Reference(US Core Patient Profile S | Group) | Who the care plan is for |
Documentation for this format |
Path | Conformance | ValueSet | URI |
CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status from this IG | |
CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status from the FHIR Standard | |
CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
status | S | 1..1 | code | generated | additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. |
div | SC | 1..1 | xhtml | Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
intent | ?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan |
Slices for category | SΣ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. |
category:AssessPlan | SΣ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status from this IG | |
CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status from the FHIR Standard | |
CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard | |
CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard | |
CarePlan.category:AssessPlan | example | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
CarePlan | 0..* | CarePlan | Healthcare plan for patient or group | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
status | S | 1..1 | code | generated | additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses. | ||||
div | SC | 1..1 | xhtml | Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content | ||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Ids for this plan | ||||
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan | ||||
Slices for category | SΣ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | ||||
category:AssessPlan | SΣ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
title | Σ | 0..1 | string | Human-friendly name for the care plan | ||||
description | Σ | 0..1 | string | Summary of nature of plan | ||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who the care plan is for | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
period | Σ | 0..1 | Period | Time period plan covers | ||||
created | Σ | 0..1 | dateTime | Date record was first recorded | ||||
author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party | ||||
contributor | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||
careTeam | 0..* | Reference(CareTeam) | Who's involved in plan? | |||||
addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
supportingInfo | 0..* | Reference(Resource) | Information considered as part of plan | |||||
goal | 0..* | Reference(Goal) | Desired outcome of plan | |||||
activity | C | 0..* | BackboneElement | Action to occur as part of plan cpl-3: Provide a reference or detail, not both | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
outcomeCodeableConcept | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
outcomeReference | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
progress | 0..* | Annotation | Comments about the activity status/progress | |||||
reference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource | ||||
detail | C | 0..1 | BackboneElement | In-line definition of activity | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
kind | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | |||||
instantiatesCanonical | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
instantiatesUri | 0..* | uri | Instantiates external protocol or definition | |||||
code | 0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | |||||
reasonCode | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. | |||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||
goal | 0..* | Reference(Goal) | Goals this activity relates to | |||||
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status | |||||
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
scheduled[x] | 0..1 | When activity is to occur | ||||||
scheduledTiming | Timing | |||||||
scheduledPeriod | Period | |||||||
scheduledString | string | |||||||
location | 0..1 | Reference(Location) | Where it should happen | |||||
performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||
product[x] | 0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
productCodeableConcept | CodeableConcept | |||||||
productReference | Reference(Medication | Substance) | |||||||
dailyAmount | 0..1 | SimpleQuantity | How to consume/day? | |||||
quantity | 0..1 | SimpleQuantity | How much to administer/supply/consume | |||||
description | 0..1 | string | Extra info describing activity to perform | |||||
note | 0..* | Annotation | Comments about the plan | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
CarePlan.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
CarePlan.text.status | required | NarrativeStatushttp://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status from this IG | ||||
CarePlan.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status from the FHIR Standard | ||||
CarePlan.intent | required | CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard | ||||
CarePlan.category | example | CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard | ||||
CarePlan.category:AssessPlan | example | Pattern: assess-planhttp://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard | ||||
CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard | ||||
CarePlan.activity.detail.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard | ||||
CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard | ||||
CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard | ||||
CarePlan.activity.detail.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard | ||||
CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard |
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.
Servers providing access to care plan data SHALL support these US Core SMART Scopes:
<patient|user|system>/CarePlan.rs
The following search parameters and search parameter combinations SHALL be supported:
SHALL support searching using the combination of the patient
and category
search parameters:
GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan
Example:
Implementation Notes: Fetches a bundle of all CarePlan resources for the specified patient and category=assess-plan
(how to search by reference and how to search by token)
The following search parameter combinations SHOULD be supported:
patient
and category
and date
search parameters:
date
comparators: gt,lt,ge,le
date
(e.g.date=[date]&date=[date]]&...
)GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all CarePlan resources for the specified patient and category=assess-plan
and date (how to search by reference and how to search by token and how to search by date)
patient
and category
and status
search parameters:
status
(e.g.status={system|}[code],{system|}[code],...
)GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan&status={system|}[code]{,{system|}[code],...}
Example:
Implementation Notes: Fetches a bundle of all CarePlan resources for the specified patient and category=assess-plan
and status=active
(how to search by reference and how to search by token)
patient
and category
and status
and date
search parameters:
status
(e.g.status={system|}[code],{system|}[code],...
)date
comparators: gt,lt,ge,le
date
(e.g.date=[date]&date=[date]]&...
)GET [base]/CarePlan?patient={Type/}[id]&category=http://hl7.org/fhir/us/core/CodeSystem/careplan-category|assess-plan&status={system|}[code]{,{system|}[code],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all CarePlan resources for the specified patient and category=assess-plan
and status=active
and date (how to search by reference and how to search by token and how to search by date)