The specification herewith documented is a working specification. No liability can be inferred from the use or misuse of this specification, or its consequences.

Scope

This guide specifies how - based on the input collected by the xShare project - a Care Plan should be represented in HL7 FHIR.

Purpose

This FHIR Implementation guide is designed to assist users in implementing Care Plans.

In the context of the European Health Data Space (EHDS), this guide supports extending the European Electronic Health Record Exchange Format (EHRxF) to represent Care Plans as a dedicated Health Information Domain. It focuses on care plans as structured, standardised, guideline-informed and machine-readable artefacts that can support coordinated multidisciplinary care, continuity across settings and borders, and better use of health data for decision support, quality improvement and research.

How to read

The content of this guide is organized following the BDAT (business, data, application, and technology) model, as illustrated in the figure below.

Where:

• The business domain describes the business rationale of the use cases in clinical research that rely on the Care Plan use case.
• The application domain describes three use cases in clinical research in detail.
• The data domain describes the Care Plan data model.
• The technology domain describes the technology stack, the use cases flow referencing the infrastructure components required to support these use cases.