xShare Project CarePlan
1.0.0-ci - ci-build 150

xShare Project CarePlan, published by xShare Project. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xshare-careplan/ and changes regularly. See the Directory of published versions

Care Plan Mapping

Logical to implementable Care Plan model map
Yellow row/cells: In this ballot publication, some row/cells of the mapping table have been left in yellow to indicate areas requiring further review or refinement; including feedback from the Xt-EHR joint action (see note above). These highlights will be addressed in subsequent updates to ensure accuracy and completeness of the mappings.

Logical to implementable Care Plan model map

This page explains how conceptual elements from the CarePlanXShareModel logical model are expressed in the corresponding xShare Care Plan and Goal profiles used by this Implementation Guide.

The revised logical model now derives from EHDSDataSet. Header elements inherited from that parent remain mapped here where they are relevant to the xShare Care Plan profile, while newly introduced or renamed care plan elements are aligned with the current R4 representation used by this guide.

Mapping Context

CarePlanXShareModel to xShare CarePlan map
CarePlanXShareModel (Logical Model) Relationship Target FHIR representation
Element Description Relation Resource Element Description Notes
header Basic metadata for this information. related-to CarePlan . Header-level metadata represented by native CarePlan resource metadata and elements. The parent header is a grouping element; its child elements are mapped individually below.
header.identifier Identifier for the care plan. equivalent CarePlan identifier External identifiers for the care plan.
header.subject The patient whose intended care is described in the plan. equivalent CarePlan subject Who the care plan is for.
header.author[x] The responsible party (custodian) for the care plan. equivalent CarePlan author Who authored or is responsible for the care plan.
header.status Indicates whether the plan is currently being acted upon, represents future intentions, or is now a historical record. equivalent CarePlan status Current status of the care plan.
header.date Date and optionally time of authoring/issuing. equivalent CarePlan created Date the plan was created.
header.source Source of information, e.g. patient, patient's representative, or health professional. narrower CarePlan contributor Who provided the content of the care plan.
header.language Language in which the resource is written. equivalent CarePlan language Language of the resource content.
title Human-friendly title of the care plan. equivalent CarePlan title Title of the care plan.
description Narrative description of the care plan. equivalent CarePlan description Description of the care plan.
period Time period the care plan covers. equivalent CarePlan period Period over which the care plan is in effect.
realizeUri Identifier or reference to the guidelines that this care plan realizes. related-to CarePlan instantiatesUri URI identifying an external protocol, guideline, or definition instantiated by the plan.
realizeReference Identifier or reference to the guidelines that this care plan realizes. related-to CarePlan instantiatesCanonical Canonical identifier for the guideline instantiated by the plan. Use when the referenced guideline or definition can be represented by a canonical URL.
category Categorization of the care plan. equivalent CarePlan category Type/category of the care plan.
careTeam Care team/organization in charge of the plan. equivalent CarePlan careTeam CareTeam(s) responsible for the plan. References the CareTeam resource(s) carrying the participants.
careTeam.member[x] References to practitioners, organizations, or related persons involved in the care plan. related-to CareTeam participant.member Member of the care team. Reached through CarePlan.careTeam.
addresses[x] Problems/health concerns prompting the care plan. equivalent CarePlan addresses Conditions/concerns addressed by the plan.
activity Planned or performed activities as part of the care plan. related-to CarePlan activity Activities that are part of the plan. Acts as the logical grouping for the mapped activity components below.
activity.activityCodeableConcept The details of the proposed activity represented as a code. related-to Referenced activity resource code Code describing the requested, scheduled or performed activity. The xShare R4 CarePlan profile constrains CarePlan.activity.detail to 0..0; coded activity details should therefore be carried by the referenced activity resource where applicable.
activity.activityReference The details of the proposed activity represented in a specific resource. equivalent CarePlan activity.reference Reference to the request, task, encounter, procedure, appointment, or other activity resource.
activity.workflowStatus Workflow status of the activity. related-to CarePlan activity.reference Reference to the activity resource. The activity status is captured in the referenced resource, e.g. ServiceRequest.status, Task.status, Procedure.status, or Appointment.status.
activity.description Human-readable description of the activity. related-to CarePlan activity Activity-specific description may also be represented in the referenced resource narrative.
activity.progress Outcome(s) or progress notes captured for the activity. equivalent CarePlan activity.progress Annotation(s) describing progress or outcome. The revised logical model expresses outcome/progress as Annotation rather than separate summary/evidence sub-elements.
activity.performed References to the performed activities. related-to CarePlan activity.outcomeReference References to resources documenting performed outcomes or events. Used when the plan links to the activity that was actually performed, such as a Procedure or Encounter.
goal Goals defined for the care plan, including treatment goals and patient goals. related-to CarePlan goal Goals addressed by the plan. CarePlan.goal references Goal resources; the logical-model goal details are represented in the referenced Goal.
goal.description Describes the intended objective(s) of carrying out the care plan. related-to Goal description Human-readable or coded description of the goal. Reached through CarePlan.goal. FHIR R4 Goal.description is mandatory and is the closest representation for the logical goal code.
goal.category Categorization of the goal, e.g. treatment goal or patient goal. equivalent Goal category Category of the goal. Reached through CarePlan.goal.
goal.target Target of the goal. equivalent Goal target Target value, measure, or state to be achieved. Use the appropriate Goal.target parts, including detail[x], depending on how the target is represented.
goal.due Date by which the goal should be met or reviewed. related-to Goal target.dueDate Date by which the goal should be met. Use Goal.statusDate instead if a future refinement needs to record when an achieved/improving status took effect.
goal.outcome Outcome of the goal represented as an observation or other outcome evidence. equivalent Goal outcomeReference Reference to information that documents whether or how the goal was achieved. Use an Observation profile, such as an EHDS observation representation, when the outcome is captured as a clinical observation.
supportingInfo Evidence/supporting information used as the basis for this care plan. equivalent CarePlan supportingInfo Supporting information for the plan.