Logical model representing a Care Plan structure with metadata, care team participation, subject and clinical context, goals, supporting information, planned or performed activities, and activity outcomes.

Basic metadata for this information

The patient whose intended care is described in the plan.

Identifier for the care plan

The responsible party (custodian) for the care plan.

Date and optionally time of authoring/issuing

Indicates whether the plan is currently being acted upon, represents future intentions, or is now a historical record.

HL7 Request status

Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.

Language in which the resource is written. Language is expressed by the IETF language tag.

BCP 47

Human-friendly name for the care plan

A description of the scope and nature of the plan.

Indicates when the plan did (or is intended to) come into effect and end.

Conditions/problems/concerns/diagnoses/etc whose management and/or mitigation are handled by this plan.

ICD-10, SNOMED CT, Orphacode

The details of the proposed activity represented in a specific resource.

Describes the intended objective(s) of carrying out the care plan.

Identifier or reference to the guidelines that this care plan realizes.

Categorization of the care plan (e.g., rehab, chronic care, oncology).

Care team or responsible organization in charge of the plan.

References to practitioners, organizations, or related persons involved in the care plan.

Evidence or other supporting information used as the basis for this care plan.

Goals defined for the care plan, including treatment goals defined by the care team and patient goals expressed by the patient.

Categorization of the goal (e.g., treatment goal, patient goal).

Target of the goal.

Date by which the goal should be met or reviewed.

Planned or performed activities as part of the care plan.

Workflow status of the activity (e.g., planned, in-progress, completed, stopped).

Human-readable narrative describing the activity.

Outcome(s) or progresses captured for the activity.

References to the performed activities.

Logical model representing a Care Plan structure with metadata, care team participation, subject and clinical context, goals, supporting information, planned or performed activities, and activity outcomes.

Identifier or reference to the guidelines that this care plan realizes.

Categorization of the care plan (e.g., rehab, chronic care, oncology).

Care team or responsible organization in charge of the plan.

References to practitioners, organizations, or related persons involved in the care plan.

Evidence or other supporting information used as the basis for this care plan.

Goals defined for the care plan, including treatment goals defined by the care team and patient goals expressed by the patient.

Categorization of the goal (e.g., treatment goal, patient goal).

Target of the goal.

Date by which the goal should be met or reviewed.

Planned or performed activities as part of the care plan.

Workflow status of the activity (e.g., planned, in-progress, completed, stopped).

Human-readable narrative describing the activity.

Outcome(s) or progresses captured for the activity.

References to the performed activities.

Logical model representing a Care Plan structure with metadata, care team participation, subject and clinical context, goals, supporting information, planned or performed activities, and activity outcomes.

Basic metadata for this information

The patient whose intended care is described in the plan.

Identifier for the care plan

The responsible party (custodian) for the care plan.

Date and optionally time of authoring/issuing

Indicates whether the plan is currently being acted upon, represents future intentions, or is now a historical record.

HL7 Request status

Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.

Language in which the resource is written. Language is expressed by the IETF language tag.

BCP 47

Human-friendly name for the care plan

A description of the scope and nature of the plan.

Indicates when the plan did (or is intended to) come into effect and end.

Conditions/problems/concerns/diagnoses/etc whose management and/or mitigation are handled by this plan.

ICD-10, SNOMED CT, Orphacode

The details of the proposed activity represented in a specific resource.

Describes the intended objective(s) of carrying out the care plan.

Identifier or reference to the guidelines that this care plan realizes.

Categorization of the care plan (e.g., rehab, chronic care, oncology).

Care team or responsible organization in charge of the plan.

References to practitioners, organizations, or related persons involved in the care plan.

Evidence or other supporting information used as the basis for this care plan.

Goals defined for the care plan, including treatment goals defined by the care team and patient goals expressed by the patient.

Categorization of the goal (e.g., treatment goal, patient goal).

Target of the goal.

Date by which the goal should be met or reviewed.

Planned or performed activities as part of the care plan.

Workflow status of the activity (e.g., planned, in-progress, completed, stopped).

Human-readable narrative describing the activity.

Outcome(s) or progresses captured for the activity.

References to the performed activities.