HL7 FHIR Implementation Guide Dossier Farmaceutico
0.1.1 - ci-build Italy flag

HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions

Resource Profile: CarePlan - Dossier Farmaceutico

Official URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/CarePlan-it-dossierPharma Version: 0.1.1
Draft as of 2024-10-22 Computable Name: CarePlanItDossierPharma

Rappresentazione del piano terapeutico tramite il profilo CarePlan

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan CarePlan
... identifier 1..1 Identifier ID piano terapeutico
.... system 0..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per il piano terapeutico (required)
.... value 0..1 string Identificativo univoco del Piano Terapeutico
... period 1..1 Period Durata prevista della terapia
.... start 1..1 dateTime Starting time with inclusive boundary
.... end 1..1 dateTime End time with inclusive boundary, if not ongoing
... created 1..1 dateTime Data della prescrizione del piano terapeutico
... activity 1..* BackboneElement Action to occur as part of plan
.... detail
..... Slices for product[x] 1..1 CodeableConcept, Reference(Medication | Substance) What is to be administered/supplied
Slice: Unordered, Open by type:$this
...... product[x]:productReference 0..1 Reference(Medication - Dossier Farmaceutico) What is to be administered/supplied
...... product[x]:productCodeableConcept 0..1 CodeableConcept What is to be administered/supplied
....... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
........ coding:All Slices Content/Rules for all slices
......... system 1..1 uri Identity of the terminology system
......... code 1..1 code Symbol in syntax defined by the system
........ coding:ATC 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
........ coding:AIC 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
........ coding:gruppoEquivalenza 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
........ coding:eccezioni 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
....... text 0..1 string Descrizione testuale del farmaco
..... dailyAmount 1..1 SimpleQuantity Assunzione giornaliera
..... quantity 1..1 SimpleQuantity Dose per singola assunzione

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.identifier.systemrequiredVsOidPT
http://hl7.it/fhir/dossier-pharma/ValueSet/oidpt-it-dossierPharma
from this IG
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic
from this IG
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier ID piano terapeutico
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 0..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per il piano terapeutico (required)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo univoco del Piano Terapeutico
Example General: 123456
... intent ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.

... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... period Σ 1..1 Period Durata prevista della terapia
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
.... end ΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... created Σ 1..1 dateTime Data della prescrizione del piano terapeutico
... author Σ 1..1 Reference(PractitionerRole - Medico Prescrittore) Medico prescrittore del piano terapeutico
... activity C 1..* BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CarePlan.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CarePlan.identifier.systemrequiredVsOidPT
http://hl7.it/fhir/dossier-pharma/ValueSet/oidpt-it-dossierPharma
from this IG
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier ID piano terapeutico
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 0..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per il piano terapeutico (required)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo univoco del Piano Terapeutico
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan) Fulfills CarePlan
... replaces Σ 0..* Reference(CarePlan) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!Σ 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 ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.

... category Σ 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 Σ 0..1 string Human-friendly name for the care plan
... description Σ 0..1 string Summary of nature of plan
... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 1..1 Period Durata prevista della terapia
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
.... end ΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... created Σ 1..1 dateTime Data della prescrizione del piano terapeutico
... author Σ 1..1 Reference(PractitionerRole - Medico Prescrittore) Medico prescrittore del piano terapeutico
... contributor 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(Condition) Health issues this plan addresses
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 1..* BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.


.... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
.... progress 0..* Annotation Comments about the activity status/progress
.... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail C 0..1 BackboneElement In-line definition of activity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... kind 0..1 code Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

..... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
..... instantiatesUri 0..* uri Instantiates external protocol or definition
..... code 0..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.


..... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
..... goal 0..* Reference(Goal) Goals this activity relates to
..... status ?! 1..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

..... statusReason 0..1 CodeableConcept Reason for current status
..... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
..... scheduled[x] 0..1 When activity is to occur
...... scheduledTiming Timing
...... scheduledPeriod Period
...... scheduledString string
..... location 0..1 Reference(Location) Where it should happen
..... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
..... Slices for product[x] 1..1 What is to be administered/supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.

...... productCodeableConcept CodeableConcept
...... productReference Reference(Medication | Substance)
...... product[x]:productReference 0..1 Reference(Medication - Dossier Farmaceutico) What is to be administered/supplied
...... product[x]:productCodeableConcept 0..1 CodeableConcept What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.

....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
........ coding:All Slices Content/Rules for all slices
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system Σ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code Σ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ coding:ATC Σ 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
........ coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
........ coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
........ coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Descrizione testuale del farmaco
..... dailyAmount 1..1 SimpleQuantity Assunzione giornaliera
..... quantity 1..1 SimpleQuantity Dose per singola assunzione
..... description 0..1 string Extra info describing activity to perform
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CarePlan.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CarePlan.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CarePlan.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CarePlan.identifier.systemrequiredVsOidPT
http://hl7.it/fhir/dossier-pharma/ValueSet/oidpt-it-dossierPharma
from this IG
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
CarePlan.categoryexampleCarePlanCategory
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.activity.outcomeCodeableConceptexampleCarePlanActivityOutcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome
from the FHIR Standard
CarePlan.activity.detail.kindrequiredCarePlanActivityKind
http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1
from the FHIR Standard
CarePlan.activity.detail.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
CarePlan.activity.detail.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
CarePlan.activity.detail.product[x]:productCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic
from this IG
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG

This structure is derived from CarePlan

Summary

Mandatory: 7 elements(6 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of CarePlan.activity.detail.product[x]
  • The element 1 is sliced based on the value of CarePlan.activity.detail.product[x].coding

Differential View

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan CarePlan
... identifier 1..1 Identifier ID piano terapeutico
.... system 0..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per il piano terapeutico (required)
.... value 0..1 string Identificativo univoco del Piano Terapeutico
... period 1..1 Period Durata prevista della terapia
.... start 1..1 dateTime Starting time with inclusive boundary
.... end 1..1 dateTime End time with inclusive boundary, if not ongoing
... created 1..1 dateTime Data della prescrizione del piano terapeutico
... activity 1..* BackboneElement Action to occur as part of plan
.... detail
..... Slices for product[x] 1..1 CodeableConcept, Reference(Medication | Substance) What is to be administered/supplied
Slice: Unordered, Open by type:$this
...... product[x]:productReference 0..1 Reference(Medication - Dossier Farmaceutico) What is to be administered/supplied
...... product[x]:productCodeableConcept 0..1 CodeableConcept What is to be administered/supplied
....... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
........ coding:All Slices Content/Rules for all slices
......... system 1..1 uri Identity of the terminology system
......... code 1..1 code Symbol in syntax defined by the system
........ coding:ATC 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
........ coding:AIC 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
........ coding:gruppoEquivalenza 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
........ coding:eccezioni 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
....... text 0..1 string Descrizione testuale del farmaco
..... dailyAmount 1..1 SimpleQuantity Assunzione giornaliera
..... quantity 1..1 SimpleQuantity Dose per singola assunzione

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.identifier.systemrequiredVsOidPT
http://hl7.it/fhir/dossier-pharma/ValueSet/oidpt-it-dossierPharma
from this IG
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic
from this IG
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier ID piano terapeutico
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 0..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per il piano terapeutico (required)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo univoco del Piano Terapeutico
Example General: 123456
... intent ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.

... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... period Σ 1..1 Period Durata prevista della terapia
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
.... end ΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... created Σ 1..1 dateTime Data della prescrizione del piano terapeutico
... author Σ 1..1 Reference(PractitionerRole - Medico Prescrittore) Medico prescrittore del piano terapeutico
... activity C 1..* BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CarePlan.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CarePlan.identifier.systemrequiredVsOidPT
http://hl7.it/fhir/dossier-pharma/ValueSet/oidpt-it-dossierPharma
from this IG
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier ID piano terapeutico
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 0..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per il piano terapeutico (required)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo univoco del Piano Terapeutico
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan) Fulfills CarePlan
... replaces Σ 0..* Reference(CarePlan) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!Σ 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 ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.

... category Σ 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 Σ 0..1 string Human-friendly name for the care plan
... description Σ 0..1 string Summary of nature of plan
... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 1..1 Period Durata prevista della terapia
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
.... end ΣC 1..1 dateTime End time with inclusive boundary, if not ongoing
... created Σ 1..1 dateTime Data della prescrizione del piano terapeutico
... author Σ 1..1 Reference(PractitionerRole - Medico Prescrittore) Medico prescrittore del piano terapeutico
... contributor 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(Condition) Health issues this plan addresses
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 1..* BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.


.... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
.... progress 0..* Annotation Comments about the activity status/progress
.... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail C 0..1 BackboneElement In-line definition of activity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... kind 0..1 code Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

..... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
..... instantiatesUri 0..* uri Instantiates external protocol or definition
..... code 0..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.


..... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
..... goal 0..* Reference(Goal) Goals this activity relates to
..... status ?! 1..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

..... statusReason 0..1 CodeableConcept Reason for current status
..... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
..... scheduled[x] 0..1 When activity is to occur
...... scheduledTiming Timing
...... scheduledPeriod Period
...... scheduledString string
..... location 0..1 Reference(Location) Where it should happen
..... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
..... Slices for product[x] 1..1 What is to be administered/supplied
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.

...... productCodeableConcept CodeableConcept
...... productReference Reference(Medication | Substance)
...... product[x]:productReference 0..1 Reference(Medication - Dossier Farmaceutico) What is to be administered/supplied
...... product[x]:productCodeableConcept 0..1 CodeableConcept What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.

....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
........ coding:All Slices Content/Rules for all slices
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system Σ 1..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code Σ 1..1 code Symbol in syntax defined by the system
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ coding:ATC Σ 0..1 Coding Code defined by a terminology system
Binding: WHO ATC (required)
........ coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA AIC (required)
........ coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: AIFA Gruppo di Equivalenza (required)
........ coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Descrizione testuale del farmaco
..... dailyAmount 1..1 SimpleQuantity Assunzione giornaliera
..... quantity 1..1 SimpleQuantity Dose per singola assunzione
..... description 0..1 string Extra info describing activity to perform
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CarePlan.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CarePlan.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CarePlan.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CarePlan.identifier.systemrequiredVsOidPT
http://hl7.it/fhir/dossier-pharma/ValueSet/oidpt-it-dossierPharma
from this IG
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
CarePlan.categoryexampleCarePlanCategory
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.activity.outcomeCodeableConceptexampleCarePlanActivityOutcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome
from the FHIR Standard
CarePlan.activity.detail.kindrequiredCarePlanActivityKind
http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1
from the FHIR Standard
CarePlan.activity.detail.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
CarePlan.activity.detail.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
CarePlan.activity.detail.product[x]:productCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:AICrequiredVsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic
from this IG
CarePlan.activity.detail.product[x]:productCodeableConcept.coding:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG

This structure is derived from CarePlan

Summary

Mandatory: 7 elements(6 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of CarePlan.activity.detail.product[x]
  • The element 1 is sliced based on the value of CarePlan.activity.detail.product[x].coding

 

Other representations of profile: CSV, Excel, Schematron