IntegrierteVersorgungDiabetes, published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-IV-Diabetes-R4/ and changes regularly. See the Directory of published versions
Logical Model: Plan Of Care (IPS)
| Official URL: https://diab.iv.elga.gv.at/StructureDefinition/PlanOfCare-ips | Version: 0.1.0 | |||
| Draft as of 2024-11-11 | Computable Name: PlanOfCareIps | |||
Abbildung der Datenfelder, die für den Entwurf der Datenspezifikation des Rahmenkonzepts Integrierte Versorgung Diabetes Mellitus Typ 2 erforderlich sind, auf dem des IPS-Modul "Plan Of Care".
Refer to the mapping from the logical model of diabetes to the logical model based on the International Patient Summary (IPS) in order to get an idea how the IPS relates to diabetes.
Usage:
- This Logical Model Profile is not used by any profiles in this Implementation Guide
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  PlanOfCare-ips |
0..* | Base | Plan Of Care (IPS) Instances of this logical model are not marked to be the target of a Reference | |
  instantiatesUri |
1..1 | uri | Instantiates external protocol or definition Fixed Value: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitssystem-und-Qualitaetssicherung/Qualitaetsstandards/Rahmenkonzept-Integrierte-Versorgung-Diabetes-mellitus-Typ-2.html | |
 subject |
1..1 | Subject-ips | Who the care plan is for | |
 period |
0..1 | Period | Time period plan covers | |
 author |
1..1 | Reference(Practitioner | PractitionerRole) | Who is the designated responsible party | |
 careTeam |
0..* | BackboneElement | Who's involved in plan? | |
  participant |
0..* | BackboneElement | Members of the team | |
 role |
0..* | CodeableConcept | Type of involvement | |
| member |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who is involved | |
 period |
0..1 | Period | Time period of participant | |
| goal |
0..* | Reference(Goal) | Desired outcome of plan | |
| activity |
0..* | BackboneElement | Action to occur as part of plan | |
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required) | |
| code |
0..1 | CodeableConcept | Detail type of activity | |
| status |
1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required) | |
 scheduled[x] |
0..1 | When activity is to occur | ||
| scheduledTiming |
Timing | |||
| scheduledPeriod |
Period | |||
| scheduledString |
string | |||
| performer |
0..* | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who will be responsible? | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| PlanOfCare-ips.activity.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kindfrom the FHIR Standard | |
| PlanOfCare-ips.activity.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-statusfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| PlanOfCare-ips |
0..* | Base | Plan Of Care (IPS) Instances of this logical model are not marked to be the target of a Reference | |
| instantiatesUri |
1..1 | uri | Instantiates external protocol or definition Fixed Value: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitssystem-und-Qualitaetssicherung/Qualitaetsstandards/Rahmenkonzept-Integrierte-Versorgung-Diabetes-mellitus-Typ-2.html | |
| subject |
1..1 | Subject-ips | Who the care plan is for | |
| period |
0..1 | Period | Time period plan covers | |
| author |
1..1 | Reference(Practitioner | PractitionerRole) | Who is the designated responsible party | |
| careTeam |
0..* | BackboneElement | Who's involved in plan? | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| participant |
0..* | BackboneElement | Members of the team | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| role |
0..* | CodeableConcept | Type of involvement | |
| member |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who is involved | |
| period |
0..1 | Period | Time period of participant | |
| goal |
0..* | Reference(Goal) | Desired outcome of plan | |
| activity |
0..* | BackboneElement | Action to occur as part of plan | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required) | |
| code |
0..1 | CodeableConcept | Detail type of activity | |
| status |
1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required) | |
| scheduled[x] |
0..1 | When activity is to occur | ||
| scheduledTiming |
Timing | |||
| scheduledPeriod |
Period | |||
| scheduledString |
string | |||
| performer |
0..* | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who will be responsible? | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| PlanOfCare-ips.activity.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kindfrom the FHIR Standard | |
| PlanOfCare-ips.activity.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-statusfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| PlanOfCare-ips |
0..* | Base | Plan Of Care (IPS) Instances of this logical model are not marked to be the target of a Reference | |
| instantiatesUri |
1..1 | uri | Instantiates external protocol or definition Fixed Value: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitssystem-und-Qualitaetssicherung/Qualitaetsstandards/Rahmenkonzept-Integrierte-Versorgung-Diabetes-mellitus-Typ-2.html | |
| subject |
1..1 | Subject-ips | Who the care plan is for | |
| period |
0..1 | Period | Time period plan covers | |
| author |
1..1 | Reference(Practitioner | PractitionerRole) | Who is the designated responsible party | |
| careTeam |
0..* | BackboneElement | Who's involved in plan? | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| participant |
0..* | BackboneElement | Members of the team | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| role |
0..* | CodeableConcept | Type of involvement | |
| member |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who is involved | |
| period |
0..1 | Period | Time period of participant | |
| goal |
0..* | Reference(Goal) | Desired outcome of plan | |
| activity |
0..* | BackboneElement | Action to occur as part of plan | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required) | |
| code |
0..1 | CodeableConcept | Detail type of activity | |
| status |
1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required) | |
| scheduled[x] |
0..1 | When activity is to occur | ||
| scheduledTiming |
Timing | |||
| scheduledPeriod |
Period | |||
| scheduledString |
string | |||
| performer |
0..* | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who will be responsible? | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| PlanOfCare-ips.activity.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kindfrom the FHIR Standard | |
| PlanOfCare-ips.activity.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-statusfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| PlanOfCare-ips |
0..* | Base | Plan Of Care (IPS) Instances of this logical model are not marked to be the target of a Reference | |
| instantiatesUri |
1..1 | uri | Instantiates external protocol or definition Fixed Value: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitssystem-und-Qualitaetssicherung/Qualitaetsstandards/Rahmenkonzept-Integrierte-Versorgung-Diabetes-mellitus-Typ-2.html | |
| subject |
1..1 | Subject-ips | Who the care plan is for | |
| period |
0..1 | Period | Time period plan covers | |
| author |
1..1 | Reference(Practitioner | PractitionerRole) | Who is the designated responsible party | |
| careTeam |
0..* | BackboneElement | Who's involved in plan? | |
| participant |
0..* | BackboneElement | Members of the team | |
| role |
0..* | CodeableConcept | Type of involvement | |
| member |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who is involved | |
| period |
0..1 | Period | Time period of participant | |
| goal |
0..* | Reference(Goal) | Desired outcome of plan | |
| activity |
0..* | BackboneElement | Action to occur as part of plan | |
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required) | |
| code |
0..1 | CodeableConcept | Detail type of activity | |
| status |
1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required) | |
| scheduled[x] |
0..1 | When activity is to occur | ||
| scheduledTiming |
Timing | |||
| scheduledPeriod |
Period | |||
| scheduledString |
string | |||
| performer |
0..* | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who will be responsible? | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| PlanOfCare-ips.activity.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kindfrom the FHIR Standard | |
| PlanOfCare-ips.activity.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-statusfrom the FHIR Standard |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| PlanOfCare-ips |
0..* | Base | Plan Of Care (IPS) Instances of this logical model are not marked to be the target of a Reference | |
| instantiatesUri |
1..1 | uri | Instantiates external protocol or definition Fixed Value: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitssystem-und-Qualitaetssicherung/Qualitaetsstandards/Rahmenkonzept-Integrierte-Versorgung-Diabetes-mellitus-Typ-2.html | |
| subject |
1..1 | Subject-ips | Who the care plan is for | |
| period |
0..1 | Period | Time period plan covers | |
| author |
1..1 | Reference(Practitioner | PractitionerRole) | Who is the designated responsible party | |
| careTeam |
0..* | BackboneElement | Who's involved in plan? | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| participant |
0..* | BackboneElement | Members of the team | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| role |
0..* | CodeableConcept | Type of involvement | |
| member |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who is involved | |
| period |
0..1 | Period | Time period of participant | |
| goal |
0..* | Reference(Goal) | Desired outcome of plan | |
| activity |
0..* | BackboneElement | Action to occur as part of plan | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required) | |
| code |
0..1 | CodeableConcept | Detail type of activity | |
| status |
1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required) | |
| scheduled[x] |
0..1 | When activity is to occur | ||
| scheduledTiming |
Timing | |||
| scheduledPeriod |
Period | |||
| scheduledString |
string | |||
| performer |
0..* | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who will be responsible? | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| PlanOfCare-ips.activity.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kindfrom the FHIR Standard | |
| PlanOfCare-ips.activity.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-statusfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| PlanOfCare-ips |
0..* | Base | Plan Of Care (IPS) Instances of this logical model are not marked to be the target of a Reference | |
| instantiatesUri |
1..1 | uri | Instantiates external protocol or definition Fixed Value: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitssystem-und-Qualitaetssicherung/Qualitaetsstandards/Rahmenkonzept-Integrierte-Versorgung-Diabetes-mellitus-Typ-2.html | |
| subject |
1..1 | Subject-ips | Who the care plan is for | |
| period |
0..1 | Period | Time period plan covers | |
| author |
1..1 | Reference(Practitioner | PractitionerRole) | Who is the designated responsible party | |
| careTeam |
0..* | BackboneElement | Who's involved in plan? | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| participant |
0..* | BackboneElement | Members of the team | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| role |
0..* | CodeableConcept | Type of involvement | |
| member |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who is involved | |
| period |
0..1 | Period | Time period of participant | |
| goal |
0..* | Reference(Goal) | Desired outcome of plan | |
| activity |
0..* | BackboneElement | Action to occur as part of plan | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| outcomeReference |
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |
| kind |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required) | |
| code |
0..1 | CodeableConcept | Detail type of activity | |
| status |
1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required) | |
| scheduled[x] |
0..1 | When activity is to occur | ||
| scheduledTiming |
Timing | |||
| scheduledPeriod |
Period | |||
| scheduledString |
string | |||
| performer |
0..* | Reference(Practitioner | PractitionerRole | RelatedPerson | Organization) | Who will be responsible? | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| PlanOfCare-ips.activity.kind | required | CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kindfrom the FHIR Standard | |
| PlanOfCare-ips.activity.status | required | CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-statusfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base