ADI Person-Authored Preference Care Plan - PACIO Advance Healthcare Directive Interoperability Implementation Guide v2.0.0

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: ADI Person-Authored Preference Care Plan

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan				Version: 2.0.0
Standards status: Trial-use				Computable Name: ADIPersonAuthoredPreferenceCarePlan
Other Identifiers: OID:2.16.840.1.113883.4.642.40.68.42.29

The Preference Care Plan is a means for an individual to express their goals and preferences under certain circumstances that may be pertinent when planning his or her care.

Usages:

Refer to this Profile: ADI Person-Authored Composition
Examples for this Profile: CarePlan/Example-Smith-Johnson-PreferenceCarePlan1, CarePlan/Example-Smith-Johnson-PreferenceCarePlan2 and CarePlan/Example-Smith-Johnson-PreferenceCarePlan3
CapabilityStatements using this Profile: ADI CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan	C	0..*	USCoreCarePlanProfile	Healthcare plan for patient or group Constraints: goal-or-supportingInfo-required
CarePlan.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
CarePlan.text	This element must be supported.	0..1	Narrative	Text summary of the resource, for human interpretation This profile constrains the narrative content by fixing the status codes to generated and additional This profile does not constrain the narrative in regard to language specific sections This profile does not constrain the narrative in regard to traceability to data elements
CarePlan.text.status	This element must be supported.	1..1	code	generated \| additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses.
CarePlan.text.div	This element must be supported. C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
CarePlan.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for extension.extension:GoalOrderByDescendingPriority		0..1	CodeableConcept	Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension Binding: Hl7VSYesNoIndicator (3.0.0) (extensible)
CarePlan.Slices for extension.extension:ADIConditionCodeExtension		0..*	CodeableConcept	ADI Care Plan Condition Codes URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-condition-code-extension Binding: US Core Condition Codes (extensible)
CarePlan.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.status	This element is a modifier element. This element must be supported. This element is included in summaries.	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. Required Pattern: active (extensions allowed)
CarePlan.intent	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	proposal \| plan \| order \| option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal (extensions allowed)
CarePlan.Slices for category	This element must be supported. This element is included in summaries.	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by value:$this Binding: CarePlanCategory (preferred) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:advance_care_planning	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (preferred) Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "81378-2", "display" : "Goals, preferences, and priorities under certain health conditions Narrative - Reported" } ] }`
CarePlan.title	This element must be supported. This element is included in summaries.	1..1	string	Human-friendly name for the care plan
CarePlan.subject	This element must be supported. This element is included in summaries.	1..1	Reference(US Core Patient Profile This type must be supported. )	Who the care plan is for
CarePlan.addresses	This element must be supported. This element is included in summaries.	0..*	Reference(US Core Condition Problems and Health Concerns Profile)	The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have)
CarePlan.supportingInfo	This element must be supported.	0..*	Reference(ADI Person-Authored Care Experience Preference)	Observations of a patient's preferences for the scope of this care plan.
CarePlan.goal	This element must be supported.	0..*	Reference(ADI Personal Goal)	Patient's goals for the scope of this care plan.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.text.status	Base	required	US Core Narrative Status	📦9.0.0	US Core v9.0
CarePlan.status	Base	required	RequestStatus	📦4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📦4.0.1	FHIR Std.
CarePlan.category	Base	preferred	Care Plan Category	📦4.0.1	FHIR Std.
CarePlan.category:advance_care_planning	Base	preferred	Care Plan Category	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	CarePlan	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
goal-or-supportingInfo-required	error	CarePlan	Either goal or supportingInfo must exist, ie. goal and supportingInfo cannot both be blank, ie. if goal does not exist then supportingInfo must exist.	`goal.empty() implies supportingInfo.exists()`
txt-1	error	CarePlan.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	CarePlan.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

This structure is derived from USCoreCarePlanProfile

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan	C	0..*	USCoreCarePlanProfile	Healthcare plan for patient or group Constraints: goal-or-supportingInfo-required
CarePlan.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for extension.extension:GoalOrderByDescendingPriority		0..1	CodeableConcept	Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension Binding: Hl7VSYesNoIndicator (3.0.0) (extensible)
CarePlan.Slices for extension.extension:ADIConditionCodeExtension		0..*	CodeableConcept	ADI Care Plan Condition Codes URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-condition-code-extension Binding: US Core Condition Codes (extensible)
CarePlan.status		1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Required Pattern: active (extensions allowed)
CarePlan.intent		1..1	code	proposal \| plan \| order \| option Required Pattern: proposal (extensions allowed)
CarePlan.Slices for category		1..*	CodeableConcept	Type of plan Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:advance_care_planning	This element must be supported.	1..1	CodeableConcept	Type of plan Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "81378-2", "display" : "Goals, preferences, and priorities under certain health conditions Narrative - Reported" } ] }`
CarePlan.title	This element must be supported.	1..1	string	Human-friendly name for the care plan
CarePlan.subject		1..1	Reference(US Core Patient Profile)	Who the care plan is for
CarePlan.addresses	This element must be supported.	0..*	Reference(US Core Condition Problems and Health Concerns Profile)	The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have)
CarePlan.supportingInfo	This element must be supported.	0..*	Reference(ADI Person-Authored Care Experience Preference)	Observations of a patient's preferences for the scope of this care plan.
CarePlan.goal	This element must be supported.	0..*	Reference(ADI Personal Goal)	Patient's goals for the scope of this care plan.
CarePlan.activity
CarePlan.activity.reference		0..1	Reference(US Core ServiceRequest Profile)	Activity details defined in specific resource
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
goal-or-supportingInfo-required	error	CarePlan	Either goal or supportingInfo must exist, ie. goal and supportingInfo cannot both be blank, ie. if goal does not exist then supportingInfo must exist.	`goal.empty() implies supportingInfo.exists()`

Description & Constraints Filter:

CarePlan C 0..* USCoreCarePlanProfile Healthcare plan for patient or group
Constraints: goal-or-supportingInfo-required

CarePlan.id This element is included in summaries. 0..1 id Logical id of this artifact

CarePlan.meta This element is included in summaries. 0..1 Meta Metadata about the resource

CarePlan.implicitRules This element is a modifier element. This element is included in summaries. 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.

Additional Bindings

Purpose

AllLanguages

Max Binding

CarePlan.text This element must be supported. 0..1 Narrative Text summary of the resource, for human interpretation
This profile constrains the narrative content by fixing the status codes to generated and additional
This profile does not constrain the narrative in regard to language specific sections
This profile does not constrain the narrative in regard to traceability to data elements

CarePlan.text.id 0..1 string Unique id for inter-element referencing

CarePlan.text.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

CarePlan.text.status This element must be supported. 1..1 code generated | additional
Binding: US Core Narrative Status (required): Constrained value set of narrative statuses.

CarePlan.text.div This element must be supported. C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2

CarePlan.contained 0..* Resource Contained, inline Resources

CarePlan.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

CarePlan.Slices for extension.extension:GoalOrderByDescendingPriority 0..1 CodeableConcept Goal Order by Descending Priority
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension
Binding: Hl7VSYesNoIndicator (3.0.0) (extensible)

CarePlan.Slices for extension.extension:ADIConditionCodeExtension 0..* CodeableConcept ADI Care Plan Condition Codes
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-condition-code-extension
Binding: US Core Condition Codes (extensible)

CarePlan.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

CarePlan.identifier This element is included in summaries. 0..* Identifier External Ids for this plan

CarePlan.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition

CarePlan.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition

CarePlan.basedOn This element is included in summaries. 0..* Reference(CarePlan) Fulfills CarePlan

CarePlan.replaces This element is included in summaries. 0..* Reference(CarePlan) CarePlan replaced by this CarePlan

CarePlan.partOf This element is included in summaries. 0..* Reference(CarePlan) Part of referenced CarePlan

CarePlan.status This element is a modifier element. This element must be supported. This element is included in summaries. 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.
Required Pattern: active (extensions allowed)

CarePlan.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan
Required Pattern: proposal (extensions allowed)

CarePlan.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept Type of plan
Slice: Unordered, Open by value:$this
Binding: CarePlanCategory (preferred)

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:advance_care_planning

1..1

CodeableConcept

Type of plan
Binding: CarePlanCategory (preferred)

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "81378-2",
      "display" : "Goals, preferences, and priorities under certain health conditions Narrative - Reported"
    }
  ]
}

CarePlan.title This element must be supported. This element is included in summaries. 1..1 string Human-friendly name for the care plan

CarePlan.description This element is included in summaries. 0..1 string Summary of nature of plan

CarePlan.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile This type must be supported. ) Who the care plan is for

CarePlan.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of

CarePlan.period This element is included in summaries. 0..1 Period Time period plan covers

CarePlan.created This element is included in summaries. 0..1 dateTime Date record was first recorded

CarePlan.careTeam 0..* Reference(CareTeam) Who's involved in plan?

CarePlan.addresses This element must be supported. This element is included in summaries. 0..* Reference(US Core Condition Problems and Health Concerns Profile) The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have)

CarePlan.supportingInfo This element must be supported. 0..* Reference(ADI Person-Authored Care Experience Preference) Observations of a patient's preferences for the scope of this care plan.

CarePlan.goal This element must be supported. 0..* Reference(ADI Personal Goal) Patient's goals for the scope of this care plan.

CarePlan.activity C 0..* BackboneElement Action to occur as part of plan
Constraints: cpl-3

CarePlan.activity.id 0..1 string Unique id for inter-element referencing

CarePlan.activity.extension 0..* Extension Additional content defined by implementations

CarePlan.activity.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

CarePlan.activity.outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.

CarePlan.activity.outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.

CarePlan.activity.progress 0..* Annotation Comments about the activity status/progress

CarePlan.activity.reference C 0..1 Reference(US Core ServiceRequest Profile) Activity details defined in specific resource

CarePlan.activity.detail C 0..1 BackboneElement In-line definition of activity

CarePlan.activity.detail.id 0..1 string Unique id for inter-element referencing

CarePlan.activity.detail.extension 0..* Extension Additional content defined by implementations

CarePlan.activity.detail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

CarePlan.activity.detail.instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition

CarePlan.activity.detail.instantiatesUri 0..* uri Instantiates external protocol or definition

CarePlan.activity.detail.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.

CarePlan.activity.detail.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.

CarePlan.activity.detail.reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed

CarePlan.activity.detail.goal 0..* Reference(Goal) Goals this activity relates to

CarePlan.activity.detail.statusReason 0..1 CodeableConcept Reason for current status

CarePlan.activity.detail.doNotPerform This element is a modifier element. 0..1 boolean If true, activity is prohibiting action

CarePlan.activity.detail.scheduled[x] 0..1 When activity is to occur

CarePlan.activity.detail.scheduled[x].scheduledTiming Timing

CarePlan.activity.detail.scheduled[x].scheduledPeriod Period

CarePlan.activity.detail.scheduled[x].scheduledString string

CarePlan.activity.detail.location 0..1 Reference(Location) Where it should happen

CarePlan.activity.detail.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.

CarePlan.activity.detail.product[x].productCodeableConcept CodeableConcept

CarePlan.activity.detail.product[x].productReference Reference(Medication | Substance)

CarePlan.activity.detail.dailyAmount C 0..1 SimpleQuantity(4.0.1) How to consume/day?
Constraints: sqty-1

CarePlan.activity.detail.quantity C 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
Constraints: sqty-1

CarePlan.activity.detail.description 0..1 string Extra info describing activity to perform

CarePlan.note 0..* Annotation Comments about the plan

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
CarePlan.text.status	Base	required	US Core Narrative Status	📦9.0.0	US Core v9.0
CarePlan.status	Base	required	RequestStatus	📦4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📦4.0.1	FHIR Std.
CarePlan.category	Base	preferred	Care Plan Category	📦4.0.1	FHIR Std.
CarePlan.category:advance_care_planning	Base	preferred	Care Plan Category	📦4.0.1	FHIR Std.
CarePlan.activity.outcomeCodeableConcept	Base	example	Care Plan Activity Outcome	📍4.0.1	FHIR Std.
CarePlan.activity.detail.kind	Base	required	Care Plan Activity Kind	📍4.0.1	FHIR Std.
CarePlan.activity.detail.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
CarePlan.activity.detail.status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	`detail.empty() or reference.empty()`
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	CarePlan	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
goal-or-supportingInfo-required	error	CarePlan	Either goal or supportingInfo must exist, ie. goal and supportingInfo cannot both be blank, ie. if goal does not exist then supportingInfo must exist.	`goal.empty() implies supportingInfo.exists()`
sqty-1	error	CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity	The comparator is not used on a SimpleQuantity	`comparator.empty()`
txt-1	error	CarePlan.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	CarePlan.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

This structure is derived from USCoreCarePlanProfile

Summary

Mandatory: 3 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of CarePlan.category

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan	C	0..*	USCoreCarePlanProfile	Healthcare plan for patient or group Constraints: goal-or-supportingInfo-required
CarePlan.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
CarePlan.text	This element must be supported.	0..1	Narrative	Text summary of the resource, for human interpretation This profile constrains the narrative content by fixing the status codes to generated and additional This profile does not constrain the narrative in regard to language specific sections This profile does not constrain the narrative in regard to traceability to data elements
CarePlan.text.status	This element must be supported.	1..1	code	generated \| additional Binding: US Core Narrative Status (required): Constrained value set of narrative statuses.
CarePlan.text.div	This element must be supported. C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
CarePlan.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for extension.extension:GoalOrderByDescendingPriority		0..1	CodeableConcept	Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension Binding: Hl7VSYesNoIndicator (3.0.0) (extensible)
CarePlan.Slices for extension.extension:ADIConditionCodeExtension		0..*	CodeableConcept	ADI Care Plan Condition Codes URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-condition-code-extension Binding: US Core Condition Codes (extensible)
CarePlan.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.status	This element is a modifier element. This element must be supported. This element is included in summaries.	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. Required Pattern: active (extensions allowed)
CarePlan.intent	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	proposal \| plan \| order \| option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal (extensions allowed)
CarePlan.Slices for category	This element must be supported. This element is included in summaries.	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by value:$this Binding: CarePlanCategory (preferred) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:advance_care_planning	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (preferred) Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "81378-2", "display" : "Goals, preferences, and priorities under certain health conditions Narrative - Reported" } ] }`
CarePlan.title	This element must be supported. This element is included in summaries.	1..1	string	Human-friendly name for the care plan
CarePlan.subject	This element must be supported. This element is included in summaries.	1..1	Reference(US Core Patient Profile This type must be supported. )	Who the care plan is for
CarePlan.addresses	This element must be supported. This element is included in summaries.	0..*	Reference(US Core Condition Problems and Health Concerns Profile)	The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have)
CarePlan.supportingInfo	This element must be supported.	0..*	Reference(ADI Person-Authored Care Experience Preference)	Observations of a patient's preferences for the scope of this care plan.
CarePlan.goal	This element must be supported.	0..*	Reference(ADI Personal Goal)	Patient's goals for the scope of this care plan.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.text.status	Base	required	US Core Narrative Status	📦9.0.0	US Core v9.0
CarePlan.status	Base	required	RequestStatus	📦4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📦4.0.1	FHIR Std.
CarePlan.category	Base	preferred	Care Plan Category	📦4.0.1	FHIR Std.
CarePlan.category:advance_care_planning	Base	preferred	Care Plan Category	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	CarePlan	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
goal-or-supportingInfo-required	error	CarePlan	Either goal or supportingInfo must exist, ie. goal and supportingInfo cannot both be blank, ie. if goal does not exist then supportingInfo must exist.	`goal.empty() implies supportingInfo.exists()`
txt-1	error	CarePlan.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	CarePlan.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

Differential View

This structure is derived from USCoreCarePlanProfile

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan	C	0..*	USCoreCarePlanProfile	Healthcare plan for patient or group Constraints: goal-or-supportingInfo-required
CarePlan.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for extension.extension:GoalOrderByDescendingPriority		0..1	CodeableConcept	Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension Binding: Hl7VSYesNoIndicator (3.0.0) (extensible)
CarePlan.Slices for extension.extension:ADIConditionCodeExtension		0..*	CodeableConcept	ADI Care Plan Condition Codes URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-condition-code-extension Binding: US Core Condition Codes (extensible)
CarePlan.status		1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Required Pattern: active (extensions allowed)
CarePlan.intent		1..1	code	proposal \| plan \| order \| option Required Pattern: proposal (extensions allowed)
CarePlan.Slices for category		1..*	CodeableConcept	Type of plan Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:advance_care_planning	This element must be supported.	1..1	CodeableConcept	Type of plan Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "81378-2", "display" : "Goals, preferences, and priorities under certain health conditions Narrative - Reported" } ] }`
CarePlan.title	This element must be supported.	1..1	string	Human-friendly name for the care plan
CarePlan.subject		1..1	Reference(US Core Patient Profile)	Who the care plan is for
CarePlan.addresses	This element must be supported.	0..*	Reference(US Core Condition Problems and Health Concerns Profile)	The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have)
CarePlan.supportingInfo	This element must be supported.	0..*	Reference(ADI Person-Authored Care Experience Preference)	Observations of a patient's preferences for the scope of this care plan.
CarePlan.goal	This element must be supported.	0..*	Reference(ADI Personal Goal)	Patient's goals for the scope of this care plan.
CarePlan.activity
CarePlan.activity.reference		0..1	Reference(US Core ServiceRequest Profile)	Activity details defined in specific resource
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
goal-or-supportingInfo-required	error	CarePlan	Either goal or supportingInfo must exist, ie. goal and supportingInfo cannot both be blank, ie. if goal does not exist then supportingInfo must exist.	`goal.empty() implies supportingInfo.exists()`

Snapshot View