Nictiz FHIR NL R4 Zib2020
0.9.0 - CI Build
Nictiz FHIR NL R4 Zib2020
0.9.0 - CI Build
Nictiz FHIR NL R4 Zib2020 - Local Development build (v0.9.0). See the Directory of published versions
| Official URL: http://nictiz.nl/fhir/StructureDefinition/nl-core-HelpFromOthers | Version: 0.9.0 | |||
| Draft as of 2023-10-17 | Computable Name: NlcoreHelpFromOthers | |||
Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
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There are often multiple people or parties involved in the care for a patient with a disorder or disability, particularly in the event of home care. Their efforts enable the patient to function more or less independently. This includes not only caregivers, but also professional help such as that offered by home care organizations, nurses, aids and helpers. Current doctors and staff from the facility to which a patient is admitted do not fall under this concept.
A derived profile from zib-HelpFromOthers to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ZibHelpFromOthers
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  CarePlan | 0..* | ZibHelpFromOthers | HelpFromOthers | |
  subject | 1..1 | Reference(Patient | Group | nl core Patient) | Who the care plan is for | |
  activity | ||||
 detail | ||||
 performer:healthProfessional | 0..1 | PatternNlCoreHealthProfessionalReference(nl core HealthProfessional PractitionerRole) | A reference from one resource to another | |
| performer:caregiver | 0..1 | Reference(nl core ContactPerson) | Caregiver | |
 performer:healthcareProvider | 0..1 | Reference(nl core HealthcareProvider Organization) | HealthcareProvider | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | ZibHelpFromOthers | HelpFromOthers | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| 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. |
  Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this 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. |
  category:helpFromOthers | Σ | 1..1 | 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. Required Pattern: At least the following |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 243114000 | |
| subject | Σ | 1..1 | Reference(Patient | Group | nl core Patient) | Who the care plan is for |
 activity | C | 0..1 | BackboneElement | Action to occur as part of plan |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note | 0..1 | Annotation | Comments about the plan | |
| text | Σ | 1..1 | markdown | Comment |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| CarePlan.status | required | RequestStatus |
| CarePlan.intent | required | CarePlanIntent |
| CarePlan.category | example | CarePlanCategory |
| CarePlan.category:helpFromOthers | example | Pattern: SNOMED CT code 243114000 |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CarePlan | 0..* | ZibHelpFromOthers | HelpFromOthers | |||||
| 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.
| |||||
| 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 | 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 | 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. | ||||
| Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this 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. | ||||
| category:helpFromOthers | Σ | 1..1 | 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. Required Pattern: At least the following | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
 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://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 243114000 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
 text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | nl core Patient) | Who the care plan is for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period | Σ | 0..1 | Period | Time period plan covers | ||||
| created | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party | ||||
| 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 | 0..1 | BackboneElement | Action to occur as part of plan | ||||
| 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 | TypeOfHelp Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20200901000000 (extensible) | |||||
| 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 | ||||
| Slices for scheduled[x] | 0..1 | When activity is to occur Slice: Unordered, Open by type:$this | ||||||
 scheduledTiming | Timing | |||||||
| scheduledPeriod | Period | |||||||
| scheduledString | string | |||||||
 scheduled[x]:scheduledString | 0..1 | string | Frequency | |||||
| location | 0..1 | Reference(Location) | Where it should happen | |||||
| Slices for performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | CareAid Slice: Unordered, Open by profile:resolve() | |||||
| performer:healthProfessional | 0..1 | PatternNlCoreHealthProfessionalReference(nl core HealthProfessional PractitionerRole) | A reference from one resource to another | |||||
| performer:caregiver | 0..1 | Reference(nl core ContactPerson) | Caregiver | |||||
| performer:healthcareProvider | 0..1 | Reference(nl core HealthcareProvider Organization) | HealthcareProvider | |||||
 product[x] | 0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
| productCodeableConcept | CodeableConcept | |||||||
| productReference | Reference(Medication | Substance) | |||||||
| dailyAmount | 0..1 | SimpleQuantity | How to consume/day? | |||||
| quantity | 0..1 | SimpleQuantity | How much to administer/supply/consume | |||||
| description | 0..1 | string | Nature | |||||
| note | 0..1 | Annotation | Comments about the plan | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | When the annotation was made | ||||
| text | Σ | 1..1 | markdown | Comment | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| CarePlan.language | preferred | CommonLanguages
| ||||
| CarePlan.status | required | RequestStatus | ||||
| CarePlan.intent | required | CarePlanIntent | ||||
| CarePlan.category | example | CarePlanCategory | ||||
| CarePlan.category:helpFromOthers | example | Pattern: SNOMED CT code 243114000 | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKind | ||||
| CarePlan.activity.detail.code | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20200901000000 | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatus | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ZibHelpFromOthers
Summary
Structures
This structure refers to these other structures:
Differential View
This structure is derived from ZibHelpFromOthers
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | ZibHelpFromOthers | HelpFromOthers | |
| subject | 1..1 | Reference(Patient | Group | nl core Patient) | Who the care plan is for | |
| activity | ||||
| detail | ||||
| performer:healthProfessional | 0..1 | PatternNlCoreHealthProfessionalReference(nl core HealthProfessional PractitionerRole) | A reference from one resource to another | |
| performer:caregiver | 0..1 | Reference(nl core ContactPerson) | Caregiver | |
| performer:healthcareProvider | 0..1 | Reference(nl core HealthcareProvider Organization) | HealthcareProvider | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CarePlan | 0..* | ZibHelpFromOthers | HelpFromOthers | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| 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. |
| Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this 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. |
| category:helpFromOthers | Σ | 1..1 | 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 243114000 | |
| subject | Σ | 1..1 | Reference(Patient | Group | nl core Patient) | Who the care plan is for |
| activity | C | 0..1 | BackboneElement | Action to occur as part of plan |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note | 0..1 | Annotation | Comments about the plan | |
| text | Σ | 1..1 | markdown | Comment |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| CarePlan.status | required | RequestStatus |
| CarePlan.intent | required | CarePlanIntent |
| CarePlan.category | example | CarePlanCategory |
| CarePlan.category:helpFromOthers | example | Pattern: SNOMED CT code 243114000 |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CarePlan | 0..* | ZibHelpFromOthers | HelpFromOthers | |||||
| 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.
| |||||
| 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 | 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 | 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. | ||||
| Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this 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. | ||||
| category:helpFromOthers | Σ | 1..1 | 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| 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://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 243114000 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | nl core Patient) | Who the care plan is for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period | Σ | 0..1 | Period | Time period plan covers | ||||
| created | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party | ||||
| 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 | 0..1 | BackboneElement | Action to occur as part of plan | ||||
| 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 | TypeOfHelp Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20200901000000 (extensible) | |||||
| 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 | ||||
| Slices for scheduled[x] | 0..1 | When activity is to occur Slice: Unordered, Open by type:$this | ||||||
| scheduledTiming | Timing | |||||||
| scheduledPeriod | Period | |||||||
| scheduledString | string | |||||||
| scheduled[x]:scheduledString | 0..1 | string | Frequency | |||||
| location | 0..1 | Reference(Location) | Where it should happen | |||||
| Slices for performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | CareAid Slice: Unordered, Open by profile:resolve() | |||||
| performer:healthProfessional | 0..1 | PatternNlCoreHealthProfessionalReference(nl core HealthProfessional PractitionerRole) | A reference from one resource to another | |||||
| performer:caregiver | 0..1 | Reference(nl core ContactPerson) | Caregiver | |||||
| performer:healthcareProvider | 0..1 | Reference(nl core HealthcareProvider Organization) | HealthcareProvider | |||||
| product[x] | 0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
| productCodeableConcept | CodeableConcept | |||||||
| productReference | Reference(Medication | Substance) | |||||||
| dailyAmount | 0..1 | SimpleQuantity | How to consume/day? | |||||
| quantity | 0..1 | SimpleQuantity | How much to administer/supply/consume | |||||
| description | 0..1 | string | Nature | |||||
| note | 0..1 | Annotation | Comments about the plan | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | When the annotation was made | ||||
| text | Σ | 1..1 | markdown | Comment | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| CarePlan.language | preferred | CommonLanguages
| ||||
| CarePlan.status | required | RequestStatus | ||||
| CarePlan.intent | required | CarePlanIntent | ||||
| CarePlan.category | example | CarePlanCategory | ||||
| CarePlan.category:helpFromOthers | example | Pattern: SNOMED CT code 243114000 | ||||
| CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome | ||||
| CarePlan.activity.detail.kind | required | CarePlanActivityKind | ||||
| CarePlan.activity.detail.code | extensible | http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20200901000000 | ||||
| CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings | ||||
| CarePlan.activity.detail.status | required | CarePlanActivityStatus | ||||
| CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() | |
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ZibHelpFromOthers
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron