This is the set of resources that conform to both Multiple Chronic Care Condition Care Plan (http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan) and Multiple Chronic Care Condition Care Plan (http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
CarePlan | 0..* | Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | S | 0..1 | Narrative | (USCDI) Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
status | S | 1..1 | code | (USCDI) generated | extensions | additional | empty Binding: ?? (required): Constrained value set of narrative statuses. ele-1: All FHIR elements must have a @value or children | ||||
div | SC | 1..1 | xhtml | (USCDI) Limited xhtml content ele-1: All FHIR elements must have a @value or children txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content | ||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | Σ | 0..* | Identifier | External Ids for this plan ele-1: All FHIR elements must have a @value or children | ||||
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition ele-1: All FHIR elements must have a @value or children | ||||
basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan ele-1: All FHIR elements must have a @value or children | ||||
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan ele-1: All FHIR elements must have a @value or children | ||||
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan ele-1: All FHIR elements must have a @value or children | ||||
status | ?!SΣ | 1..1 | code | (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. ele-1: All FHIR elements must have a @value or children | ||||
intent | ?!SΣ | 1..1 | code | (USCDI) proposal | plan | order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan ele-1: All FHIR elements must have a @value or children | ||||
category | SΣ | 1..* | CodeableConcept | left: Care Plan category code describes the type of care plan. Please see CarePlan.category detail for guidance.; right: (USCDI) Type of plan Binding: ?? (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. ele-1: All FHIR elements must have a @value or children | ||||
title | Σ | 0..1 | string | Human-friendly name for the care plan ele-1: All FHIR elements must have a @value or children | ||||
description | Σ | 0..1 | string | Summary of nature of plan ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who the care plan is for ele-1: All FHIR elements must have a @value or children | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of ele-1: All FHIR elements must have a @value or children | ||||
period | Σ | 0..1 | Period | Time period plan covers ele-1: All FHIR elements must have a @value or children | ||||
created | Σ | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children | ||||
author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5. ele-1: All FHIR elements must have a @value or children | ||||
contributor | S | 0..* | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core Organization Profile | RelatedPerson | Device | Multiple Chronic Condition Care Plan Care Team) | Who provided the content of the care plan ele-1: All FHIR elements must have a @value or children | ||||
careTeam | S | 0..* | Reference(Multiple Chronic Condition Care Plan Care Team | US Core CareTeam Profile | #sd-MCCCareTeam-MCCCareTeam) | Who's involved in plan? ele-1: All FHIR elements must have a @value or children | ||||
addresses | SΣ | 0..* | Reference(http://hl7.org/fhir/us/mcc/StructureDefinition/MCCChronCondHealthConcern | US Core Condition Encounter Diagnosis Profile) | Health issues this plan addresses ele-1: All FHIR elements must have a @value or children | ||||
supportingInfo | S | 0..* | Reference(US Core Blood Pressure Profile | US Core BMI Profile | US Core Body Weight Profile | Multiple Chronic Condition Care Plan Chronic Disease Conditions | Multiple Chronic Condition Care Plan Laboratory Result Observation | Multiple Chronic Condition Care Plan Diagnostic Report and Note | Multiple Chronic Condition Care Plan Procedure | US Core Immunization Profile | Multiple Chronic Condition Care Plan Family History | Document Reference to Patient's Personal Advance Care Plan (Advance Directive) | SDC Questionnaire Response | Multiple Chronic Condition Care Plan Symptom Observation | Multiple Chronic Condition Care Plan Service Request | Multiple Chronic Condition Care Plan Observation SDOH Assessment | Multiple Chronic Condition Care Plan Immunization | Multiple Chronic Condition Care Plan Nutrition Order | Multiple Chronic Condition Care Plan Clinical Impression | Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation | Multiple Chronic Condition Care Plan Questionnaire Response | Multiple Chronic Condition Care Plan Caregiver Considerations Observation | Multiple Chronic Condition Care Plan Clinical Test Observation | US Core RelatedPerson Profile | US Core Observation Occupation Profile) | 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 ele-1: All FHIR elements must have a @value or children | ||||
goal | 0..* | Reference(Multiple Chronic Condition Care Plan Goal | #sd-MCCGoal-MCCGoal) | This Goal represents one or more overarching goal applicable to the entire care plan ele-1: All FHIR elements must have a @value or children | |||||
activity | SC | 0..* | BackboneElement | 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 cpl-3: Provide a reference or detail, not both ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
outcomeCodeableConcept | 0..* | CodeableConcept | Results of the activity Binding: ?? (example): Identifies the results of the activity. ele-1: All FHIR elements must have a @value or children | |||||
outcomeReference | S | 0..* | Reference(Multiple Chronic Condition Care Plan Procedure | Multiple Chronic Condition Care Plan Laboratory Result Observation | US Core Immunization Profile | Multiple Chronic Condition Care Plan Diagnostic Report and Note | US Core Immunization Profile | Multiple Chronic Condition Care Plan Medication Request | Multiple Chronic Condition Care Plan Chronic Disease Conditions | US Core Body Weight Profile | US Core Blood Pressure Profile | Multiple Chronic Condition Care Plan Goal | US Core BMI Profile | Multiple Chronic Condition Care Plan Symptom Observation | #sd-MCCProcedure-MCCProcedure) | 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 ele-1: All FHIR elements must have a @value or children | ||||
progress | 0..* | Annotation | Comments about the activity status/progress ele-1: All FHIR elements must have a @value or children | |||||
reference | S | 0..1 | Reference(NutritionOrder | Multiple Chronic Condition Care Plan Medication Request | CommunicationRequest | DeviceRequest | Task | ServiceRequest | VisionPrescription | RequestGroup | Appointment) | 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 ele-1: All FHIR elements must have a @value or children | ||||
note | 0..* | Annotation | Comments about the plan ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |