MCC eCare Plan Implementation Guide
1.0.0 - STU1
MCC eCare Plan Implementation Guide
1.0.0 - STU1
MCC eCare Plan Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-mcc/ and changes regularly. See the Directory of published versions
| Active as of 2022-04-13 |
JSON representation of the mccCarePlan resource profile.
{
"resourceType" : "StructureDefinition",
"id" : "mccCarePlan",
"meta" : {
"versionId" : "110",
"lastUpdated" : "2023-07-05T14:39:05.213Z"
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition mccCarePlan</b></p><a name=\"mccCarePlan\"> </a><a name=\"hcmccCarePlan\"> </a><a name=\"mccCarePlan-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 110; Last updated: 2023-07-05 14:39:05+0000</p></div><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan\">CarePlan</a><a name=\"CarePlan\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-careplan.html\">USCoreCarePlanProfile</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Healthcare plan for patient or group</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for extension<a name=\"CarePlan.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.extension:custodian\" title=\"Extension URL = http://hl7.org/fhir/us/mcc/StructureDefinition/custodian\">custodian</a><a name=\"CarePlan.extension.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a href=\"http://hl7.org/fhir/R4/device.html\">Device</a> | <a href=\"StructureDefinition-MCCCareTeam.html\">Multiple Chronic Condition Care Plan Care Team</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When populated, the custodian is responsible for the care and maintenance of the care plan. The care plan is attributed to the custodian. The custodian might or might not be a contributor. This CarePlan.custodian extension should be used instead of CarePlan.author which in R4 is currently identified as the designated responsible party and in R5 has been removed.<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-custodian.html\">http://hl7.org/fhir/us/mcc/StructureDefinition/custodian</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.author\" title=\"Use of CarePlan.author is discouraged. It is removed from the R5 CarePlan Resource and replaced with CarePlan.custodian and should not be used to indicate the responsible party. CarePlan custodian extension should be used to identify a responsible party in the MCC CarePlan Profile\">author</a><a name=\"CarePlan.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/practitioner.html\">Practitioner</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/practitionerrole.html\">PractitionerRole</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/device.html\">Device</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/organization.html\">Organization</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/careteam.html\">CareTeam</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.contributor\" title=\"CarePlan.contributor SHALL be used to represent contributors to the care plan instead of author in the MCC CarePlan. Contributors can range from devices (e.g. a home BP monitor) to an individual, team or organization\">contributor</a><a name=\"CarePlan.contributor\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a href=\"http://hl7.org/fhir/R4/device.html\">Device</a> | <a href=\"StructureDefinition-MCCCareTeam.html\">Multiple Chronic Condition Care Plan Care Team</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who provided the content of the care plan</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.careTeam\">careTeam</a><a name=\"CarePlan.careTeam\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-MCCCareTeam.html\">Multiple Chronic Condition Care Plan Care Team</a> <span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This type must be supported\">S</span> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who's involved in plan?</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.addresses\">addresses</a><a name=\"CarePlan.addresses\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-MCCChronCondHealthConcern.html\">MCC Chronic Condition and Health Concern Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">US Core Condition Encounter Diagnosis Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Health issues this plan addresses</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.supportingInfo\" title=\"Identifies portions of the patient's record that specifically influenced the formation of the overall plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. These may be thought of as Health Concerns within the Care Plan context. \nIn the MCC Care Plan, supportingInfo should refer to MCC Profiles. In most cases these profiles are profiles derived from US Core, with additional requirements or guidance for the use of these profiles within a Care Plan.\nProfiles not specifically referenced may also be used and are not precluded.\">supportingInfo</a><a name=\"CarePlan.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-blood-pressure.html\">US Core Blood Pressure Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-bmi.html\">US Core BMI Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-weight.html\">US Core Body Weight Profile</a> | <a href=\"StructureDefinition-MCCChronCondHealthConcern.html\">MCC Chronic Condition and Health Concern Profile</a> | <a href=\"StructureDefinition-MCCLaboratoryResultObservation.html\">Multiple Chronic Condition Care Plan Laboratory Result Observation</a> | <a href=\"StructureDefinition-MCCDiagnosticReportAndNote.html\">Multiple Chronic Condition Care Plan Diagnostic Report and Note</a> | <a href=\"StructureDefinition-MCCProcedure.html\">Multiple Chronic Condition Care Plan Procedure</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a> | <a href=\"StructureDefinition-MCCFamilyHistory.html\">Multiple Chronic Condition Care Plan Family History</a> | <a href=\"StructureDefinition-DocRefPACP.html\">Document Reference to Patient's Personal Advance Care Plan (Advance Directive)</a> | <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaireresponse.html\">SDC Questionnaire Response</a> | <a href=\"StructureDefinition-MCCSymptomObservation.html\">Multiple Chronic Condition Care Plan Symptom Observation</a> | <a href=\"StructureDefinition-MCCServiceRequest.html\">Multiple Chronic Condition Care Plan Service Request</a> | <a href=\"StructureDefinition-MCCObservationSDOHAssessment.html\">Multiple Chronic Condition Care Plan Observation SDOH Assessment</a> | <a href=\"StructureDefinition-MCCImmunization.html\">Multiple Chronic Condition Care Plan Immunization</a> | <a href=\"StructureDefinition-MCCNutritionOrder.html\">Multiple Chronic Condition Care Plan Nutrition Order</a> | <a href=\"StructureDefinition-MCCClinicalImpression.html\">Multiple Chronic Condition Care Plan Clinical Impression</a> | <a href=\"StructureDefinition-MCCPatientCaregiverConditionStatus.html\">Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation</a> | <a href=\"StructureDefinition-MCCQuestionnaireResponse.html\">Multiple Chronic Condition Care Plan Questionnaire Response</a> | <a href=\"StructureDefinition-MCCCaregiverConsiderationsObservation.html\">Multiple Chronic Condition Care Plan Caregiver Considerations Observation</a> | <a href=\"StructureDefinition-MCCClinicalResultObservation.html\">Multiple Chronic Condition Care Plan Clinical Test Observation</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-relatedperson.html\">US Core RelatedPerson Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-occupation.html\">US Core Observation Occupation Profile</a> | <a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.supportingInfo</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.goal\" title=\"Describes the intended objective(s) of carrying out the care plan. In the MCC Care Plan, CarePlan.goal When used US Core Goal should be used.\">goal</a><a name=\"CarePlan.goal\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-MCCGoal.html\">Multiple Chronic Condition Care Plan Goal</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">This Goal represents one or more overarching goal applicable to the entire care plan</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.activity\">activity</a><a name=\"CarePlan.activity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Action to occur as part of plan. This is the backbone element of the care plan that is the root of care coordination activities. While there can be many activities in a care plan, each activity has only one planned.activityRefence</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.activity.outcomeReference\" title=\"This element details the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred over outcomeCodeableConcept.\nPlease see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference of activity.outcomeReference for details.\">outcomeReference</a><a name=\"CarePlan.activity.outcomeReference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-MCCProcedure.html\">Multiple Chronic Condition Care Plan Procedure</a> | <a href=\"StructureDefinition-MCCLaboratoryResultObservation.html\">Multiple Chronic Condition Care Plan Laboratory Result Observation</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a> | <a href=\"StructureDefinition-MCCDiagnosticReportAndNote.html\">Multiple Chronic Condition Care Plan Diagnostic Report and Note</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a> | <a href=\"StructureDefinition-MCCMedicationRequest.html\">Multiple Chronic Condition Care Plan Medication Request</a> | <a href=\"StructureDefinition-MCCChronCondHealthConcern.html\">MCC Chronic Condition and Health Concern Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-weight.html\">US Core Body Weight Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-blood-pressure.html\">US Core Blood Pressure Profile</a> | <a href=\"StructureDefinition-MCCGoal.html\">Multiple Chronic Condition Care Plan Goal</a> | <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-bmi.html\">US Core BMI Profile</a> | <a href=\"StructureDefinition-MCCSymptomObservation.html\">Multiple Chronic Condition Care Plan Symptom Observation</a> | <a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">This CarePlan element represents a PERFORMED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccCarePlan-definitions.html#CarePlan.activity.reference\" title=\"This CarePlan element holds the details of the proposed activity represented in a specific resource. \nPlanned activities represent ordered or planned activities that are part of the Care Plan. \n\nPlease see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for when serviceRequest is used within a FHIR Care Plan\n\nThere is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference for activity.reference to provide details.\">reference</a><a name=\"CarePlan.activity.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/nutritionorder.html\">NutritionOrder</a> | <a href=\"StructureDefinition-MCCMedicationRequest.html\">Multiple Chronic Condition Care Plan Medication Request</a> | <a href=\"http://hl7.org/fhir/R4/communicationrequest.html\">CommunicationRequest</a> | <a href=\"http://hl7.org/fhir/R4/devicerequest.html\">DeviceRequest</a> | <a href=\"http://hl7.org/fhir/R4/task.html\">Task</a> | <a href=\"http://hl7.org/fhir/R4/servicerequest.html\">ServiceRequest</a> | <a href=\"http://hl7.org/fhir/R4/visionprescription.html\">VisionPrescription</a> | <a href=\"http://hl7.org/fhir/R4/requestgroup.html\">RequestGroup</a> | <a href=\"http://hl7.org/fhir/R4/appointment.html\">Appointment</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">detail</span><a name=\"CarePlan.activity.detail\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pc"
}
],
"url" : "http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan",
"version" : "1.0.0",
"name" : "MCCCarePlan",
"title" : "Multiple Chronic Care Condition Care Plan",
"status" : "active",
"date" : "2022-04-13",
"publisher" : "HL7 International / Patient Care",
"contact" : [
{
"name" : "HL7 International - Patient Care",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/patientcare"
}
]
}
],
"description" : "This profile constrains the [US Core FHIR Care Plan Resource](http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-careplan.html) to represent the requirements of a care plan for patients with multiple chronic conditions.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
],
"text" : "United States"
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "CarePlan",
"baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "CarePlan",
"path" : "CarePlan",
"short" : "Healthcare plan for patient or group",
"definition" : "\\-",
"comment" : "\\-",
"alias" : [
"Care Team"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "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",
"expression" : "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()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Request"
},
{
"identity" : "rim",
"map" : "Act[classCode=PCPR, moodCode=INT]"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan"
}
]
},
{
"id" : "CarePlan.id",
"path" : "CarePlan.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "CarePlan.meta",
"path" : "CarePlan.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "CarePlan.implicitRules",
"path" : "CarePlan.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "CarePlan.language",
"path" : "CarePlan.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
}
],
"strength" : "preferred",
"description" : "A human language.",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "CarePlan.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.text",
"short" : "(USCDI) Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan.text"
}
]
},
{
"id" : "CarePlan.text.id",
"path" : "CarePlan.text.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "CarePlan.text.extension",
"path" : "CarePlan.text.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "CarePlan.text.status",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.text.status",
"short" : "(USCDI) generated | extensions | additional | empty",
"definition" : "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Narrative.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "required",
"description" : "Constrained value set of narrative statuses.",
"valueSet" : "http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status"
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan.text.status"
}
]
},
{
"id" : "CarePlan.text.div",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.text.div",
"short" : "(USCDI) Limited xhtml content",
"definition" : "The actual narrative content, a stripped down version of XHTML.",
"comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Narrative.div",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "xhtml"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "txt-1",
"severity" : "error",
"human" : "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",
"expression" : "htmlChecks()",
"xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])",
"source" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
},
{
"key" : "txt-2",
"severity" : "error",
"human" : "The narrative SHALL have some non-whitespace content",
"expression" : "htmlChecks()",
"xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]",
"source" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "CarePlan.contained",
"path" : "CarePlan.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "CarePlan.extension",
"path" : "CarePlan.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "CarePlan.extension:custodian",
"path" : "CarePlan.extension",
"sliceName" : "custodian",
"short" : "When populated, the custodian is responsible for the care and maintenance of the care plan. The care plan is attributed to the custodian. The custodian might or might not be a contributor. This CarePlan.custodian extension should be used instead of CarePlan.author which in R4 is currently identified as the designated responsible party and in R5 has been removed.",
"definition" : "When populated, the custodian is responsible for the care and maintenance of the care plan. The care plan is attributed to the custodian. The custodian might or might not be a contributor. This CarePlan.custodian extension should be used instead of CarePlan.author which in R4 is currently identified as the designated responsible party and in R5 has been removed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/custodian"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false
},
{
"id" : "CarePlan.modifierExtension",
"path" : "CarePlan.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "CarePlan.identifier",
"path" : "CarePlan.identifier",
"short" : "External Ids for this plan",
"definition" : "Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"comment" : "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"requirements" : "Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "v2",
"map" : "PTH-3"
},
{
"identity" : "rim",
"map" : ".id"
}
]
},
{
"id" : "CarePlan.instantiatesCanonical",
"path" : "CarePlan.instantiatesCanonical",
"short" : "Instantiates FHIR protocol or definition",
"definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.instantiatesCanonical",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "canonical",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/PlanDefinition"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Questionnaire"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Measure"🔗 ,
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition"🔗 ,
"http://hl7.org/fhir/StructureDefinition/OperationDefinition"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.instantiatesCanonical"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "CarePlan.instantiatesUri",
"path" : "CarePlan.instantiatesUri",
"short" : "Instantiates external protocol or definition",
"definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.",
"comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.instantiatesUri",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.instantiatesUri"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "CarePlan.basedOn",
"path" : "CarePlan.basedOn",
"short" : "Fulfills CarePlan",
"definition" : "A care plan that is fulfilled in whole or in part by this care plan.",
"requirements" : "Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.",
"alias" : [
"fulfills"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
"valueBoolean" : true
}
],
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/CarePlan"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.basedOn"
}
]
},
{
"id" : "CarePlan.replaces",
"path" : "CarePlan.replaces",
"short" : "CarePlan replaced by this CarePlan",
"definition" : "Completed or terminated care plan whose function is taken by this new care plan.",
"comment" : "The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.",
"requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.",
"alias" : [
"supersedes"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.replaces",
"min" : 0,
"max" : "*"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
"valueBoolean" : true
}
],
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/CarePlan"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.replaces"
}
]
},
{
"id" : "CarePlan.partOf",
"path" : "CarePlan.partOf",
"short" : "Part of referenced CarePlan",
"definition" : "A larger care plan of which this particular care plan is a component or step.",
"comment" : "Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
"valueBoolean" : true
}
],
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/CarePlan"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "CarePlan.status",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.status",
"short" : "(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown",
"definition" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
"comment" : "The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.",
"requirements" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CarePlan.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
"valueSet" : "http://hl7.org/fhir/ValueSet/request-status"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.status {uses different ValueSet}"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "v2",
"map" : "PTH-5"
},
{
"identity" : "rim",
"map" : ".statusCode planned = new active = active completed = completed"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan.status"
}
]
},
{
"id" : "CarePlan.intent",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.intent",
"short" : "(USCDI) proposal | plan | order | option",
"definition" : "Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.",
"comment" : "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
"requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CarePlan.intent",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : true,
"isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request\"",
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "Codes indicating the degree of authority/intentionality associated with a care plan",
"valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-intent"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.intent"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "NA (new element in STU3)"
}
]
},
{
"id" : "CarePlan.category",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.category",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "$this"
}
],
"rules" : "open"
},
"short" : "(USCDI) Type of plan",
"definition" : "Type of plan.",
"comment" : "There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.",
"requirements" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "CarePlan.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanCategory"
}
],
"strength" : "example",
"description" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.",
"valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan.category"
}
]
},
{
"id" : "CarePlan.category:AssessPlan",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.category",
"sliceName" : "AssessPlan",
"short" : "(USCDI) Type of plan",
"definition" : "Type of plan.",
"comment" : "There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.",
"requirements" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CarePlan.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code" : "assess-plan"
}
]
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanCategory"
}
],
"strength" : "example",
"description" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.",
"valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan.category"
}
]
},
{
"id" : "CarePlan.title",
"path" : "CarePlan.title",
"short" : "Human-friendly name for the care plan",
"definition" : "Human-friendly name for the care plan.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "CarePlan.description",
"path" : "CarePlan.description",
"short" : "Summary of nature of plan",
"definition" : "A description of the scope and nature of the plan.",
"requirements" : "Provides more detail than conveyed by category.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.description",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.what[x]"
}
]
},
{
"id" : "CarePlan.subject",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "CarePlan.subject",
"short" : "(USCDI) Who the care plan is for",
"definition" : "Who care plan is for.",
"requirements" : "Identifies the patient or group whose intended care is described by the plan.",
"alias" : [
"patient"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "CarePlan.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=PAT].role[classCode=PAT]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "CarePlan.subject"
}
]
},
{
"id" : "CarePlan.encounter",
"path" : "CarePlan.encounter",
"short" : "Encounter created as part of",
"definition" : "The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.",
"comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.context"
},
{
"identity" : "w5",
"map" : "FiveWs.context"
},
{
"identity" : "v2",
"map" : "Associated PV1"
},
{
"identity" : "rim",
"map" : "."
}
]
},
{
"id" : "CarePlan.period",
"path" : "CarePlan.period",
"short" : "Time period plan covers",
"definition" : "Indicates when the plan did (or is intended to) come into effect and end.",
"comment" : "Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).",
"requirements" : "Allows tracking what plan(s) are in effect at a particular time.",
"alias" : [
"timing"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.period",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Period"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.planned"
},
{
"identity" : "v2",
"map" : "GOL-7 / GOL-8"
},
{
"identity" : "rim",
"map" : ".effectiveTime"
}
]
},
{
"id" : "CarePlan.created",
"path" : "CarePlan.created",
"short" : "Date record was first recorded",
"definition" : "Represents when this particular CarePlan record was created in the system, which is often a system-generated date.",
"alias" : [
"authoredOn"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.created",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.authoredOn"
},
{
"identity" : "w5",
"map" : "FiveWs.recorded"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].time"
}
]
},
{
"id" : "CarePlan.author",
"path" : "CarePlan.author",
"short" : "Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5.",
"definition" : "Use of CarePlan.author is discouraged. It is removed from the R5 CarePlan Resource and replaced with CarePlan.custodian and should not be used to indicate the responsible party. CarePlan custodian extension should be used to identify a responsible party in the MCC CarePlan Profile",
"comment" : "The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.author",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Patient"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 ,
"http://hl7.org/fhir/StructureDefinition/PractitionerRole"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Device"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Organization"🔗 ,
"http://hl7.org/fhir/StructureDefinition/CareTeam"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.requester"
},
{
"identity" : "w5",
"map" : "FiveWs.author"
}
]
},
{
"id" : "CarePlan.contributor",
"path" : "CarePlan.contributor",
"short" : "Who provided the content of the care plan",
"definition" : "CarePlan.contributor SHALL be used to represent contributors to the care plan instead of author in the MCC CarePlan. Contributors can range from devices (e.g. a home BP monitor) to an individual, team or organization",
"comment" : "Collaborative care plans may have multiple contributors.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.contributor",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Device"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCareTeam"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "CarePlan.careTeam",
"path" : "CarePlan.careTeam",
"short" : "Who's involved in plan?",
"definition" : "Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.",
"requirements" : "Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.careTeam",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCareTeam"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"
],
"_targetProfile" : [
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean" : true
}
]
},
null
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.performer {similar but does not entail CareTeam}"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
}
]
},
{
"id" : "CarePlan.addresses",
"path" : "CarePlan.addresses",
"short" : "Health issues this plan addresses",
"definition" : "Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.",
"comment" : "When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.",
"requirements" : "Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like \"at risk for hypertension\" or \"fall risk\".) Also scopes plans - multiple plans may exist addressing different concerns.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.addresses",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.reasonReference"
},
{
"identity" : "w5",
"map" : "FiveWs.why[x]"
},
{
"identity" : "v2",
"map" : "PRB-4"
},
{
"identity" : "rim",
"map" : ".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"
}
]
},
{
"id" : "CarePlan.supportingInfo",
"path" : "CarePlan.supportingInfo",
"short" : "Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.supportingInfo",
"definition" : "Identifies portions of the patient's record that specifically influenced the formation of the overall plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. These may be thought of as Health Concerns within the Care Plan context. \nIn the MCC Care Plan, supportingInfo should refer to MCC Profiles. In most cases these profiles are profiles derived from US Core, with additional requirements or guidance for the use of these profiles within a Care Plan.\nProfiles not specifically referenced may also be used and are not precluded.",
"comment" : "Use \"concern\" to identify specific conditions addressed by the care plan.",
"requirements" : "Identifies barriers and other considerations associated with the care plan.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.supportingInfo",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCProcedure"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCFamilyHistory"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/DocRefPACP"🔗 ,
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCSymptomObservation"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCServiceRequest"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCObservationSDOHAssessment"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCImmunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCNutritionOrder"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCPatientCaregiverConditionStatus"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCQuestionnaireResponse"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCaregiverConsiderationsObservation"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalResultObservation"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.supportingInfo"
}
]
},
{
"id" : "CarePlan.goal",
"path" : "CarePlan.goal",
"short" : "This Goal represents one or more overarching goal applicable to the entire care plan",
"definition" : "Describes the intended objective(s) of carrying out the care plan. In the MCC Care Plan, CarePlan.goal When used US Core Goal should be used.",
"comment" : "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.",
"requirements" : "Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.goal",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "GOL.1"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode<=OBJ]."
}
]
},
{
"id" : "CarePlan.activity",
"path" : "CarePlan.activity",
"short" : "Action to occur as part of plan. This is the backbone element of the care plan that is the root of care coordination activities. While there can be many activities in a care plan, each activity has only one planned.activityRefence",
"definition" : "Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.",
"requirements" : "Allows systems to prompt for performance of planned activities, and validate plans against best practice.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "cpl-3",
"severity" : "error",
"human" : "Provide a reference or detail, not both",
"expression" : "detail.empty() or reference.empty()",
"xpath" : "not(exists(f:detail)) or not(exists(f:reference))",
"source" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
},
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "{no mapping\nNOTE: This is a list of contained Request-Event tuples!}"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].target"
}
]
},
{
"id" : "CarePlan.activity.id",
"path" : "CarePlan.activity.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "CarePlan.activity.extension",
"path" : "CarePlan.activity.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "CarePlan.activity.modifierExtension",
"path" : "CarePlan.activity.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "CarePlan.activity.outcomeCodeableConcept",
"path" : "CarePlan.activity.outcomeCodeableConcept",
"short" : "Results of the activity",
"definition" : "Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).",
"comment" : "Note that this should not duplicate the activity status (e.g. completed or in progress).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.outcomeCodeableConcept",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanActivityOutcome"
}
],
"strength" : "example",
"description" : "Identifies the results of the activity.",
"valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-outcome"
}
},
{
"id" : "CarePlan.activity.outcomeReference",
"path" : "CarePlan.activity.outcomeReference",
"short" : "This CarePlan element represents a PERFORMED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference",
"definition" : "This element details the outcome or action resulting from the activity. The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred over outcomeCodeableConcept.\nPlease see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference of activity.outcomeReference for details.",
"comment" : "The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.",
"requirements" : "Links plan to resulting actions.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.outcomeReference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCProcedure"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCMedicationRequest"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCSymptomObservation"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "{Event that is outcome of Request in activity.reference}"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=FLFS].source"
}
]
},
{
"id" : "CarePlan.activity.progress",
"path" : "CarePlan.activity.progress",
"short" : "Comments about the activity status/progress",
"definition" : "Notes about the adherence/status/progress of the activity.",
"comment" : "This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.",
"requirements" : "Can be used to capture information about adherence, progress, concerns, etc.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.progress",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "NTE?"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
},
{
"id" : "CarePlan.activity.reference",
"path" : "CarePlan.activity.reference",
"label" : "Label",
"short" : "This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference",
"definition" : "This CarePlan element holds the details of the proposed activity represented in a specific resource. \nPlanned activities represent ordered or planned activities that are part of the Care Plan. \n\nPlease see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for when serviceRequest is used within a FHIR Care Plan\n\nThere is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference for activity.reference to provide details.",
"comment" : "Standard extension exists ([resource-pertainsToGoal](http://hl7.org/fhir/R4/extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference. \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan. Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element. i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan.",
"requirements" : "Details in a form consistent with other applications and contexts of use.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/NutritionOrder"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCMedicationRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/CommunicationRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/DeviceRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Task"🔗 ,
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/VisionPrescription"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RequestGroup"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Appointment"
]
}
],
"condition" : [
"cpl-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "{Request that resulted in Event in activity.actionResulting}"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].target"
}
]
},
{
"id" : "CarePlan.activity.detail",
"path" : "CarePlan.activity.detail",
"label" : "Machine assisted dynamic care planning and coordination required referencing and re-use of profiles.",
"short" : "CarePlan.activity.detail SHALL NOT be used in the MCC eCare Plan",
"definition" : "A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.",
"requirements" : "Details in a simple form for generic care plan systems.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CarePlan.activity.detail",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"cpl-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target"
}
]
},
{
"id" : "CarePlan.activity.detail.id",
"path" : "CarePlan.activity.detail.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "CarePlan.activity.detail.extension",
"path" : "CarePlan.activity.detail.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "CarePlan.activity.detail.modifierExtension",
"path" : "CarePlan.activity.detail.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "CarePlan.activity.detail.kind",
"path" : "CarePlan.activity.detail.kind",
"short" : "Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription",
"definition" : "A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.",
"requirements" : "May determine what types of extensions are permitted.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.kind",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanActivityKind"
}
],
"strength" : "required",
"description" : "Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.",
"valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=LIST].code"
}
]
},
{
"id" : "CarePlan.activity.detail.instantiatesCanonical",
"path" : "CarePlan.activity.detail.instantiatesCanonical",
"short" : "Instantiates FHIR protocol or definition",
"definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.",
"requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.detail.instantiatesCanonical",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "canonical",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/PlanDefinition"🔗 ,
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Questionnaire"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Measure"🔗 ,
"http://hl7.org/fhir/StructureDefinition/OperationDefinition"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.instantiatesCanonical"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "CarePlan.activity.detail.instantiatesUri",
"path" : "CarePlan.activity.detail.instantiatesUri",
"short" : "Instantiates external protocol or definition",
"definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.",
"comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
"requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.detail.instantiatesUri",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.instantiatesUri"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "CarePlan.activity.detail.code",
"path" : "CarePlan.activity.detail.code",
"short" : "Detail type of activity",
"definition" : "Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.",
"comment" : "Tends to be less relevant for activities involving particular products. Codes should not convey negation - use \"prohibited\" instead.",
"requirements" : "Allows matching performed to planned as well as validation against protocols.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanActivityType"
}
],
"strength" : "example",
"description" : "Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.code"
},
{
"identity" : "v2",
"map" : "OBR-4 / RXE-2 / RXO-1 / RXD-2"
},
{
"identity" : "rim",
"map" : ".code"
}
]
},
{
"id" : "CarePlan.activity.detail.reasonCode",
"path" : "CarePlan.activity.detail.reasonCode",
"short" : "Why activity should be done or why activity was prohibited",
"definition" : "Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.",
"comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.detail.reasonCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanActivityReason"
}
],
"strength" : "example",
"description" : "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.",
"valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.reasonCode"
}
]
},
{
"id" : "CarePlan.activity.detail.reasonReference",
"path" : "CarePlan.activity.detail.reasonReference",
"short" : "Why activity is needed",
"definition" : "Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.",
"comment" : "Conditions can be identified at the activity level that are not identified as reasons for the overall plan.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.detail.reasonReference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Observation"🔗 ,
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport"🔗 ,
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.reasonReference"
}
]
},
{
"id" : "CarePlan.activity.detail.goal",
"path" : "CarePlan.activity.detail.goal",
"short" : "Goals this activity relates to",
"definition" : "Internal reference that identifies the goals that this activity is intended to contribute towards meeting.",
"requirements" : "So that participants know the link explicitly.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.detail.goal",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Goal"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode<=OBJ]."
}
]
},
{
"id" : "CarePlan.activity.detail.status",
"path" : "CarePlan.activity.detail.status",
"short" : "not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error",
"definition" : "Identifies what progress is being made for the specific activity.",
"comment" : "Some aspects of status can be inferred based on the resources linked in actionTaken. Note that \"status\" is only as current as the plan was most recently updated. \nThe unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.",
"requirements" : "Indicates progress against the plan, whether the activity is still relevant for the plan.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid",
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanActivityStatus"
}
],
"strength" : "required",
"description" : "Codes that reflect the current state of a care plan activity within its overall life cycle.",
"valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.status"
},
{
"identity" : "v2",
"map" : "ORC-5?"
},
{
"identity" : "rim",
"map" : ".statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted"
}
]
},
{
"id" : "CarePlan.activity.detail.statusReason",
"path" : "CarePlan.activity.detail.statusReason",
"short" : "Reason for current status",
"definition" : "Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.",
"comment" : "Will generally not be present if status is \"complete\". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.statusReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.statusReason"
}
]
},
{
"id" : "CarePlan.activity.detail.doNotPerform",
"path" : "CarePlan.activity.detail.doNotPerform",
"short" : "If true, activity is prohibiting action",
"definition" : "If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.",
"comment" : "This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.",
"requirements" : "Captures intention to not do something that may have been previously typical.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.doNotPerform",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"meaningWhenMissing" : "If missing indicates that the described activity is one that should be engaged in when following the plan.",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.",
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.doNotPerform"
},
{
"identity" : "rim",
"map" : "actionNegationInd"
}
]
},
{
"id" : "CarePlan.activity.detail.scheduled[x]",
"path" : "CarePlan.activity.detail.scheduled[x]",
"short" : "When activity is to occur",
"definition" : "The period, timing or frequency upon which the described activity is to occur.",
"requirements" : "Allows prompting for activities and detection of missed planned activities.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.scheduled[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Timing"
},
{
"code" : "Period"
},
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.occurrence[x]"
},
{
"identity" : "v2",
"map" : "TQ1"
},
{
"identity" : "rim",
"map" : ".effectiveTime"
}
]
},
{
"id" : "CarePlan.activity.detail.location",
"path" : "CarePlan.activity.detail.location",
"short" : "Where it should happen",
"definition" : "Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.",
"comment" : "May reference a specific clinical location or may identify a type of location.",
"requirements" : "Helps in planning of activity.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.location",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Location"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBR-24(???!!)"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=LOC].role"
}
]
},
{
"id" : "CarePlan.activity.detail.performer",
"path" : "CarePlan.activity.detail.performer",
"short" : "Who will be responsible?",
"definition" : "Identifies who's expected to be involved in the activity.",
"comment" : "A performer MAY also be a participant in the care plan.",
"requirements" : "Helps in planning of activity.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.activity.detail.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 ,
"http://hl7.org/fhir/StructureDefinition/PractitionerRole"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Organization"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Patient"🔗 ,
"http://hl7.org/fhir/StructureDefinition/CareTeam"🔗 ,
"http://hl7.org/fhir/StructureDefinition/HealthcareService"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Device"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.performer"
},
{
"identity" : "v2",
"map" : "PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=PFM]"
}
]
},
{
"id" : "CarePlan.activity.detail.product[x]",
"path" : "CarePlan.activity.detail.product[x]",
"short" : "What is to be administered/supplied",
"definition" : "Identifies the food, drug or other product to be consumed or supplied in the activity.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.product[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
},
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Medication"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Substance"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CarePlanProduct"
}
],
"strength" : "example",
"description" : "A product supplied or administered as part of a care plan activity.",
"valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
},
"mapping" : [
{
"identity" : "v2",
"map" : "RXE-2 / RXO-1 / RXD-2"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=PRD].role"
}
]
},
{
"id" : "CarePlan.activity.detail.dailyAmount",
"path" : "CarePlan.activity.detail.dailyAmount",
"short" : "How to consume/day?",
"definition" : "Identifies the quantity expected to be consumed in a given day.",
"requirements" : "Allows rough dose checking.",
"alias" : [
"daily dose"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.dailyAmount",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "RXO-23 / RXE-19 / RXD-12"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity"
}
]
},
{
"id" : "CarePlan.activity.detail.quantity",
"path" : "CarePlan.activity.detail.quantity",
"short" : "How much to administer/supply/consume",
"definition" : "Identifies the quantity expected to be supplied, administered or consumed by the subject.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.quantity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 / TQ1-2.1 *and* RXO-12 / RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP][classCode=SPLY].quantity"
}
]
},
{
"id" : "CarePlan.activity.detail.description",
"path" : "CarePlan.activity.detail.description",
"short" : "Extra info describing activity to perform",
"definition" : "This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CarePlan.activity.detail.description",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "NTE?"
},
{
"identity" : "rim",
"map" : ".text"
}
]
},
{
"id" : "CarePlan.note",
"path" : "CarePlan.note",
"short" : "Comments about the plan",
"definition" : "General notes about the care plan not covered elsewhere.",
"requirements" : "Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CarePlan.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Request.note"
},
{
"identity" : "v2",
"map" : "NTE?"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "CarePlan",
"path" : "CarePlan"
},
{
"id" : "CarePlan.extension:custodian",
"path" : "CarePlan.extension",
"sliceName" : "custodian",
"short" : "When populated, the custodian is responsible for the care and maintenance of the care plan. The care plan is attributed to the custodian. The custodian might or might not be a contributor. This CarePlan.custodian extension should be used instead of CarePlan.author which in R4 is currently identified as the designated responsible party and in R5 has been removed.",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/custodian"
]
}
]
},
{
"id" : "CarePlan.author",
"path" : "CarePlan.author",
"short" : "Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5.",
"definition" : "Use of CarePlan.author is discouraged. It is removed from the R5 CarePlan Resource and replaced with CarePlan.custodian and should not be used to indicate the responsible party. CarePlan custodian extension should be used to identify a responsible party in the MCC CarePlan Profile"
},
{
"id" : "CarePlan.contributor",
"path" : "CarePlan.contributor",
"definition" : "CarePlan.contributor SHALL be used to represent contributors to the care plan instead of author in the MCC CarePlan. Contributors can range from devices (e.g. a home BP monitor) to an individual, team or organization",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Device"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCareTeam"
]
}
],
"mustSupport" : true
},
{
"id" : "CarePlan.careTeam",
"path" : "CarePlan.careTeam",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCareTeam"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"
],
"_targetProfile" : [
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean" : true
}
]
},
null
]
}
],
"mustSupport" : true
},
{
"id" : "CarePlan.addresses",
"path" : "CarePlan.addresses",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"
]
}
],
"mustSupport" : true
},
{
"id" : "CarePlan.supportingInfo",
"path" : "CarePlan.supportingInfo",
"short" : "Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.supportingInfo",
"definition" : "Identifies portions of the patient's record that specifically influenced the formation of the overall plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. These may be thought of as Health Concerns within the Care Plan context. \nIn the MCC Care Plan, supportingInfo should refer to MCC Profiles. In most cases these profiles are profiles derived from US Core, with additional requirements or guidance for the use of these profiles within a Care Plan.\nProfiles not specifically referenced may also be used and are not precluded.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCProcedure"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCFamilyHistory"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/DocRefPACP"🔗 ,
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCSymptomObservation"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCServiceRequest"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCObservationSDOHAssessment"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCImmunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCNutritionOrder"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCPatientCaregiverConditionStatus"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCQuestionnaireResponse"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCaregiverConsiderationsObservation"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalResultObservation"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"mustSupport" : true
},
{
"id" : "CarePlan.goal",
"path" : "CarePlan.goal",
"short" : "This Goal represents one or more overarching goal applicable to the entire care plan",
"definition" : "Describes the intended objective(s) of carrying out the care plan. In the MCC Care Plan, CarePlan.goal When used US Core Goal should be used.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal"
]
}
],
"mustSupport" : false
},
{
"id" : "CarePlan.activity",
"path" : "CarePlan.activity",
"short" : "Action to occur as part of plan. This is the backbone element of the care plan that is the root of care coordination activities. While there can be many activities in a care plan, each activity has only one planned.activityRefence",
"mustSupport" : true
},
{
"id" : "CarePlan.activity.outcomeReference",
"path" : "CarePlan.activity.outcomeReference",
"short" : "This CarePlan element represents a PERFORMED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference",
"definition" : "This element details the outcome or action resulting from the activity. The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred over outcomeCodeableConcept.\nPlease see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference of activity.outcomeReference for details.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCProcedure"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCLaboratoryResultObservation"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCMedicationRequest"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCSymptomObservation"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"mustSupport" : true
},
{
"id" : "CarePlan.activity.reference",
"path" : "CarePlan.activity.reference",
"label" : "Label",
"short" : "This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference",
"definition" : "This CarePlan element holds the details of the proposed activity represented in a specific resource. \nPlanned activities represent ordered or planned activities that are part of the Care Plan. \n\nPlease see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for when serviceRequest is used within a FHIR Care Plan\n\nThere is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference for activity.reference to provide details.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/NutritionOrder"🔗 ,
"http://hl7.org/fhir/us/mcc/StructureDefinition/MCCMedicationRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/CommunicationRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/DeviceRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Task"🔗 ,
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"🔗 ,
"http://hl7.org/fhir/StructureDefinition/VisionPrescription"🔗 ,
"http://hl7.org/fhir/StructureDefinition/RequestGroup"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Appointment"
]
}
],
"mustSupport" : true
},
{
"id" : "CarePlan.activity.detail",
"path" : "CarePlan.activity.detail",
"label" : "Machine assisted dynamic care planning and coordination required referencing and re-use of profiles.",
"short" : "CarePlan.activity.detail SHALL NOT be used in the MCC eCare Plan",
"max" : "0"
}
]
}
}
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.us.mcc#1.0.0 based on FHIR 4.0.1. Generated 2024-08-13
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