Lithuanian CVD Implementation Guide
0.0.1 - ci-build Lithuania flag

Lithuanian CVD Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-cvd/ and changes regularly. See the Directory of published versions

Resource Profile: Care Plan: CVD prevention measures (LT)

Official URL: https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd Version: 0.0.1
Computable Name: CarePlanLtCvd

Care plan for cardiovascular disease prevention within the Lithuanian CVD screening programme. Captures prevention targets (LDL cholesterol, blood pressure, BMI), lifestyle interventions (smoking cessation, diet, physical activity), and follow-up achievement evaluation.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlanLt(0.3.0) Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskGroup 0..1 CodeableConcept CVD Risk Group Extension
URL: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd
Binding: https://tx.hl7.lt/fhir/CodeSystem/risk-group (required)
Constraints: ext-1
.... extension:activityOtherDesc 0..1 string Other Activity Description
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/activity-other-description-ext-lt-lifestyle
Constraints: ext-1
.... extension:otherDietaryChanges 0..1 string Other Desired Dietary Changes
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/other-dietary-changes-ext-lt-lifestyle
Constraints: ext-1
... identifier SΣ 0..* Identifier External Ids for this plan
... basedOn SΣ 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | RequestOrchestration | NutritionOrder) Fulfills plan, proposal or order
... replaces SΣ 0..* Reference(CarePlanLt(0.3.0)) CarePlan replaced by this CarePlan
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
... intent ?!SΣ 1..1 code proposal | plan | order | option | directive
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
... title SΣ 0..1 string Human-friendly name for the care plan
.... Slices for extension Content/Rules for all slices
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
... description SΣ 0..1 string Summary of nature of plan
.... Slices for extension Content/Rules for all slices
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who the care plan is for
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) The Encounter during which this CarePlan was created
... created SΣ 0..1 dateTime Date record was first recorded
... custodian SΣ 0..1 Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who is the designated responsible party
... contributor S 0..* Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who provided the content of the care plan
... Slices for goal S 0..* Reference(GoalLt(0.3.0)) Desired outcome of plan
Slice: Unordered, Open by value:display
.... goal:ldlTarget S 0..1 Reference(GoalLt(0.3.0)) Target LDL cholesterol goal (<2.6 / <1.8 / <1.4 mmol/l by risk group)
.... goal:bpTarget S 0..1 Reference(GoalLt(0.3.0)) Target blood pressure goal (120–129/<80 mmHg)
.... goal:bmiTarget S 0..1 Reference(GoalLt(0.3.0)) Target BMI goal
.... goal:weightLoss5pct S 0..1 Reference(GoalLt(0.3.0)) Weight loss ≥5% of initial body weight goal
... activity S 0..* BackboneElement Lifestyle interventions (smoking, diet, exercise)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... plannedActivityReference S 0..1 Reference(AppointmentLt(0.3.0) | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequestLt(0.3.0) | VisionPrescription | RequestOrchestration | ImmunizationRecommendation | SupplyRequest) Activity that is intended to be part of the care plan
... note S 0..* Annotation Other recommendations, informational text (healthy nutrition, healthy weight, regular medication)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍5.0.0 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍5.0.0 FHIR Std.
CarePlan.category Base example Care Plan Category 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CarePlan If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan A resource should have narrative for robust management text.`div`.exists()
ele-1 error CarePlan.implicitRules, CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.identifier, CarePlan.basedOn, CarePlan.replaces, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.title, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description, CarePlan.description.extension:xthml, CarePlan.subject, CarePlan.encounter, CarePlan.created, CarePlan.custodian, CarePlan.contributor, CarePlan.goal, CarePlan.goal:ldlTarget, CarePlan.goal:bpTarget, CarePlan.goal:bmiTarget, CarePlan.goal:weightLoss5pct, CarePlan.activity, CarePlan.activity.modifierExtension, CarePlan.activity.plannedActivityReference, CarePlan.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description.extension:xthml, CarePlan.activity.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlanLt(0.3.0) Healthcare plan for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:riskGroup 0..1 CodeableConcept CVD Risk Group Extension
URL: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd
Binding: https://tx.hl7.lt/fhir/CodeSystem/risk-group (required)
.... extension:activityOtherDesc 0..1 string Other Activity Description
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/activity-other-description-ext-lt-lifestyle
.... extension:otherDietaryChanges 0..1 string Other Desired Dietary Changes
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/other-dietary-changes-ext-lt-lifestyle
... subject 1..1 Reference(PatientLt(0.3.0)) Who the care plan is for
... created S 0..1 dateTime Date record was first recorded
... Slices for goal S 0..* Reference(GoalLt(0.3.0)) Desired outcome of plan
Slice: Unordered, Open by value:display
.... goal:ldlTarget S 0..1 Reference(GoalLt(0.3.0)) Target LDL cholesterol goal (<2.6 / <1.8 / <1.4 mmol/l by risk group)
.... goal:bpTarget S 0..1 Reference(GoalLt(0.3.0)) Target blood pressure goal (120–129/<80 mmHg)
.... goal:bmiTarget S 0..1 Reference(GoalLt(0.3.0)) Target BMI goal
.... goal:weightLoss5pct S 0..1 Reference(GoalLt(0.3.0)) Weight loss ≥5% of initial body weight goal
... activity 0..* BackboneElement Lifestyle interventions (smoking, diet, exercise)
... note 0..* Annotation Other recommendations, informational text (healthy nutrition, healthy weight, regular medication)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlanLt(0.3.0) Healthcare plan for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskGroup 0..1 CodeableConcept CVD Risk Group Extension
URL: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd
Binding: https://tx.hl7.lt/fhir/CodeSystem/risk-group (required)
Constraints: ext-1
.... extension:activityOtherDesc 0..1 string Other Activity Description
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/activity-other-description-ext-lt-lifestyle
Constraints: ext-1
.... extension:otherDietaryChanges 0..1 string Other Desired Dietary Changes
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/other-dietary-changes-ext-lt-lifestyle
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier External Ids for this plan
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | RequestOrchestration | NutritionOrder) Fulfills plan, proposal or order
... replaces SΣ 0..* Reference(CarePlanLt(0.3.0)) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
... intent ?!SΣ 1..1 code proposal | plan | order | option | directive
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
... title SΣ 0..1 string Human-friendly name for the care plan
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
.... value 0..1 string Primitive value for string
Max Length:1048576
... description SΣ 0..1 string Summary of nature of plan
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
.... value 0..1 string Primitive value for string
Max Length:1048576
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who the care plan is for
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) The Encounter during which this CarePlan was created
... period Σ 0..1 Period Time period plan covers
... created SΣ 0..1 dateTime Date record was first recorded
... custodian SΣ 0..1 Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who is the designated responsible party
... contributor S 0..* Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeamLt(0.3.0)) Who's involved in plan?
... addresses Σ 0..* CodeableReference(ConditionLt(0.3.0)) Health issues this plan addresses
Binding: SNOMEDCTClinicalFindings (example): Codes that describe the health issues this plan addresses.
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... Slices for goal S 0..* Reference(GoalLt(0.3.0)) Desired outcome of plan
Slice: Unordered, Open by value:display
.... goal:ldlTarget S 0..1 Reference(GoalLt(0.3.0)) Target LDL cholesterol goal (<2.6 / <1.8 / <1.4 mmol/l by risk group)
.... goal:bpTarget S 0..1 Reference(GoalLt(0.3.0)) Target blood pressure goal (120–129/<80 mmHg)
.... goal:bmiTarget S 0..1 Reference(GoalLt(0.3.0)) Target BMI goal
.... goal:weightLoss5pct S 0..1 Reference(GoalLt(0.3.0)) Weight loss ≥5% of initial body weight goal
... activity S 0..* BackboneElement Lifestyle interventions (smoking, diet, exercise)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... performedActivity 0..* CodeableReference(Resource) Results of the activity (concept, or Appointment, Encounter, Procedure, etc.)
Binding: CarePlanActivityPerformed (example): Identifies the results of the activity.
.... progress 0..* Annotation Comments about the activity status/progress
.... plannedActivityReference S 0..1 Reference(AppointmentLt(0.3.0) | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequestLt(0.3.0) | VisionPrescription | RequestOrchestration | ImmunizationRecommendation | SupplyRequest) Activity that is intended to be part of the care plan
... note S 0..* Annotation Other recommendations, informational text (healthy nutrition, healthy weight, regular medication)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.language Base required All Languages 📍5.0.0 FHIR Std.
CarePlan.status Base required RequestStatus 📍5.0.0 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍5.0.0 FHIR Std.
CarePlan.category Base example Care Plan Category 📍5.0.0 FHIR Std.
CarePlan.addresses Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.
CarePlan.activity.performedActivity Base example Care Plan Activity Performed 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CarePlan If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan A resource should have narrative for robust management text.`div`.exists()
ele-1 error CarePlan.meta, CarePlan.implicitRules, CarePlan.language, CarePlan.text, CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.identifier, CarePlan.instantiatesCanonical, CarePlan.instantiatesUri, CarePlan.basedOn, CarePlan.replaces, CarePlan.partOf, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.title, CarePlan.title.extension, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description, CarePlan.description.extension, CarePlan.description.extension:xthml, CarePlan.subject, CarePlan.encounter, CarePlan.period, CarePlan.created, CarePlan.custodian, CarePlan.contributor, CarePlan.careTeam, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.goal, CarePlan.goal:ldlTarget, CarePlan.goal:bpTarget, CarePlan.goal:bmiTarget, CarePlan.goal:weightLoss5pct, CarePlan.activity, CarePlan.activity.extension, CarePlan.activity.modifierExtension, CarePlan.activity.performedActivity, CarePlan.activity.progress, CarePlan.activity.plannedActivityReference, CarePlan.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.title.extension, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description.extension, CarePlan.description.extension:xthml, CarePlan.activity.extension, CarePlan.activity.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlanLt(0.3.0) Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskGroup 0..1 CodeableConcept CVD Risk Group Extension
URL: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd
Binding: https://tx.hl7.lt/fhir/CodeSystem/risk-group (required)
Constraints: ext-1
.... extension:activityOtherDesc 0..1 string Other Activity Description
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/activity-other-description-ext-lt-lifestyle
Constraints: ext-1
.... extension:otherDietaryChanges 0..1 string Other Desired Dietary Changes
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/other-dietary-changes-ext-lt-lifestyle
Constraints: ext-1
... identifier SΣ 0..* Identifier External Ids for this plan
... basedOn SΣ 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | RequestOrchestration | NutritionOrder) Fulfills plan, proposal or order
... replaces SΣ 0..* Reference(CarePlanLt(0.3.0)) CarePlan replaced by this CarePlan
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
... intent ?!SΣ 1..1 code proposal | plan | order | option | directive
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
... title SΣ 0..1 string Human-friendly name for the care plan
.... Slices for extension Content/Rules for all slices
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
... description SΣ 0..1 string Summary of nature of plan
.... Slices for extension Content/Rules for all slices
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who the care plan is for
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) The Encounter during which this CarePlan was created
... created SΣ 0..1 dateTime Date record was first recorded
... custodian SΣ 0..1 Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who is the designated responsible party
... contributor S 0..* Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who provided the content of the care plan
... Slices for goal S 0..* Reference(GoalLt(0.3.0)) Desired outcome of plan
Slice: Unordered, Open by value:display
.... goal:ldlTarget S 0..1 Reference(GoalLt(0.3.0)) Target LDL cholesterol goal (<2.6 / <1.8 / <1.4 mmol/l by risk group)
.... goal:bpTarget S 0..1 Reference(GoalLt(0.3.0)) Target blood pressure goal (120–129/<80 mmHg)
.... goal:bmiTarget S 0..1 Reference(GoalLt(0.3.0)) Target BMI goal
.... goal:weightLoss5pct S 0..1 Reference(GoalLt(0.3.0)) Weight loss ≥5% of initial body weight goal
... activity S 0..* BackboneElement Lifestyle interventions (smoking, diet, exercise)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... plannedActivityReference S 0..1 Reference(AppointmentLt(0.3.0) | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequestLt(0.3.0) | VisionPrescription | RequestOrchestration | ImmunizationRecommendation | SupplyRequest) Activity that is intended to be part of the care plan
... note S 0..* Annotation Other recommendations, informational text (healthy nutrition, healthy weight, regular medication)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍5.0.0 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍5.0.0 FHIR Std.
CarePlan.category Base example Care Plan Category 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CarePlan If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan A resource should have narrative for robust management text.`div`.exists()
ele-1 error CarePlan.implicitRules, CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.identifier, CarePlan.basedOn, CarePlan.replaces, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.title, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description, CarePlan.description.extension:xthml, CarePlan.subject, CarePlan.encounter, CarePlan.created, CarePlan.custodian, CarePlan.contributor, CarePlan.goal, CarePlan.goal:ldlTarget, CarePlan.goal:bpTarget, CarePlan.goal:bmiTarget, CarePlan.goal:weightLoss5pct, CarePlan.activity, CarePlan.activity.modifierExtension, CarePlan.activity.plannedActivityReference, CarePlan.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description.extension:xthml, CarePlan.activity.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlanLt(0.3.0) Healthcare plan for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:riskGroup 0..1 CodeableConcept CVD Risk Group Extension
URL: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd
Binding: https://tx.hl7.lt/fhir/CodeSystem/risk-group (required)
.... extension:activityOtherDesc 0..1 string Other Activity Description
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/activity-other-description-ext-lt-lifestyle
.... extension:otherDietaryChanges 0..1 string Other Desired Dietary Changes
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/other-dietary-changes-ext-lt-lifestyle
... subject 1..1 Reference(PatientLt(0.3.0)) Who the care plan is for
... created S 0..1 dateTime Date record was first recorded
... Slices for goal S 0..* Reference(GoalLt(0.3.0)) Desired outcome of plan
Slice: Unordered, Open by value:display
.... goal:ldlTarget S 0..1 Reference(GoalLt(0.3.0)) Target LDL cholesterol goal (<2.6 / <1.8 / <1.4 mmol/l by risk group)
.... goal:bpTarget S 0..1 Reference(GoalLt(0.3.0)) Target blood pressure goal (120–129/<80 mmHg)
.... goal:bmiTarget S 0..1 Reference(GoalLt(0.3.0)) Target BMI goal
.... goal:weightLoss5pct S 0..1 Reference(GoalLt(0.3.0)) Weight loss ≥5% of initial body weight goal
... activity 0..* BackboneElement Lifestyle interventions (smoking, diet, exercise)
... note 0..* Annotation Other recommendations, informational text (healthy nutrition, healthy weight, regular medication)

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlanLt(0.3.0) Healthcare plan for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskGroup 0..1 CodeableConcept CVD Risk Group Extension
URL: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd
Binding: https://tx.hl7.lt/fhir/CodeSystem/risk-group (required)
Constraints: ext-1
.... extension:activityOtherDesc 0..1 string Other Activity Description
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/activity-other-description-ext-lt-lifestyle
Constraints: ext-1
.... extension:otherDietaryChanges 0..1 string Other Desired Dietary Changes
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/other-dietary-changes-ext-lt-lifestyle
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier External Ids for this plan
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | RequestOrchestration | NutritionOrder) Fulfills plan, proposal or order
... replaces SΣ 0..* Reference(CarePlanLt(0.3.0)) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
... intent ?!SΣ 1..1 code proposal | plan | order | option | directive
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
... title SΣ 0..1 string Human-friendly name for the care plan
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
..... extension:translation S 0..* (Complex) Language Translation (Localization)
URL: http://hl7.org/fhir/StructureDefinition/translation
Constraints: ext-1
.... value 0..1 string Primitive value for string
Max Length:1048576
... description SΣ 0..1 string Summary of nature of plan
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:xthml 0..1 string String equivalent with html markup
URL: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
Constraints: ext-1
.... value 0..1 string Primitive value for string
Max Length:1048576
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who the care plan is for
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) The Encounter during which this CarePlan was created
... period Σ 0..1 Period Time period plan covers
... created SΣ 0..1 dateTime Date record was first recorded
... custodian SΣ 0..1 Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who is the designated responsible party
... contributor S 0..* Reference(PractitionerRoleLt(0.3.0) | CareTeamLt(0.3.0) | PatientLt(0.3.0) | RelatedPersonLt(0.3.0) | Device) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeamLt(0.3.0)) Who's involved in plan?
... addresses Σ 0..* CodeableReference(ConditionLt(0.3.0)) Health issues this plan addresses
Binding: SNOMEDCTClinicalFindings (example): Codes that describe the health issues this plan addresses.
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... Slices for goal S 0..* Reference(GoalLt(0.3.0)) Desired outcome of plan
Slice: Unordered, Open by value:display
.... goal:ldlTarget S 0..1 Reference(GoalLt(0.3.0)) Target LDL cholesterol goal (<2.6 / <1.8 / <1.4 mmol/l by risk group)
.... goal:bpTarget S 0..1 Reference(GoalLt(0.3.0)) Target blood pressure goal (120–129/<80 mmHg)
.... goal:bmiTarget S 0..1 Reference(GoalLt(0.3.0)) Target BMI goal
.... goal:weightLoss5pct S 0..1 Reference(GoalLt(0.3.0)) Weight loss ≥5% of initial body weight goal
... activity S 0..* BackboneElement Lifestyle interventions (smoking, diet, exercise)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... performedActivity 0..* CodeableReference(Resource) Results of the activity (concept, or Appointment, Encounter, Procedure, etc.)
Binding: CarePlanActivityPerformed (example): Identifies the results of the activity.
.... progress 0..* Annotation Comments about the activity status/progress
.... plannedActivityReference S 0..1 Reference(AppointmentLt(0.3.0) | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequestLt(0.3.0) | VisionPrescription | RequestOrchestration | ImmunizationRecommendation | SupplyRequest) Activity that is intended to be part of the care plan
... note S 0..* Annotation Other recommendations, informational text (healthy nutrition, healthy weight, regular medication)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.language Base required All Languages 📍5.0.0 FHIR Std.
CarePlan.status Base required RequestStatus 📍5.0.0 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍5.0.0 FHIR Std.
CarePlan.category Base example Care Plan Category 📍5.0.0 FHIR Std.
CarePlan.addresses Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.
CarePlan.activity.performedActivity Base example Care Plan Activity Performed 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CarePlan If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan A resource should have narrative for robust management text.`div`.exists()
ele-1 error CarePlan.meta, CarePlan.implicitRules, CarePlan.language, CarePlan.text, CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.identifier, CarePlan.instantiatesCanonical, CarePlan.instantiatesUri, CarePlan.basedOn, CarePlan.replaces, CarePlan.partOf, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.title, CarePlan.title.extension, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description, CarePlan.description.extension, CarePlan.description.extension:xthml, CarePlan.subject, CarePlan.encounter, CarePlan.period, CarePlan.created, CarePlan.custodian, CarePlan.contributor, CarePlan.careTeam, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.goal, CarePlan.goal:ldlTarget, CarePlan.goal:bpTarget, CarePlan.goal:bmiTarget, CarePlan.goal:weightLoss5pct, CarePlan.activity, CarePlan.activity.extension, CarePlan.activity.modifierExtension, CarePlan.activity.performedActivity, CarePlan.activity.progress, CarePlan.activity.plannedActivityReference, CarePlan.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error CarePlan.extension, CarePlan.extension:riskGroup, CarePlan.extension:activityOtherDesc, CarePlan.extension:otherDietaryChanges, CarePlan.modifierExtension, CarePlan.title.extension, CarePlan.title.extension:xthml, CarePlan.title.extension:translation, CarePlan.description.extension, CarePlan.description.extension:xthml, CarePlan.activity.extension, CarePlan.activity.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron