Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: nl-core-careplan

A nl-core base CarePlan profile, that references to all relating Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) profiles. This profile is not based on a HCIM, beceause no HCIM exists for a CarePlan concept.

Multiple HCIM are better interperted in a coherent set then by them selfs. These are the HCIMs NursingIntervention, TreatmentObjective, and TreatmentOutcome. They consistute a CarePlan, hence the reason to create a CarePlan profile.

Usage:

• Refer to this Resource Profile: HCIM OutcomeOfCare
• Examples for this Resource Profile: CarePlan/nl-core-careplan-01

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
identifier		0..*	Identifier	External Ids for this plan
subject		1..1	Reference(nl-core-patient | Group)	Who care plan is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created in context of
period		0..1	Period	Time period plan covers
author		0..*	Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization | nl-core-careteam)	Who is responsible for contents of the plan
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
goal		0..*	Reference(HCIM TreatmentObjective)	Desired outcome of plan
Slices for activity		0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by pattern:detail.category
activity:nursingIntervention	C	0..*	BackboneElement	Action to occur as part of plan hicm-outcomeofcare-1: Provide a HealthcareResult text or a reference, not both
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
valueString:valueString		0..1	string	Comment
outcomeCodeableConcept		0..1	CodeableConcept	Results of the activity
text		0..1	string	HealthcareResult
outcomeReference		0..1	Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus)	MeasurementValue / HealthCondition
reference		0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicalDevice		0..*	(Complex)	MedicalDevice URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
valueReference:valueReference		0..1	Reference()	Value of extension
category		1..1	CodeableConcept	Nursing procedure 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: 9632001
code		1..1	CodeableConcept	Intervention
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist		0..1	Coding	interventionNICCodelist Binding: InterventieNICCodelijst (extensible): NIC - All Values
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:interventionSnomedCodelist		0..1	Coding	interventionSnomedCodelist Binding: InterventieSnomedCodelijst (extensible): SNOMED CT - SNOMED CT: <<71388002 | procedure |
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
reasonReference		0..1	Reference(HCIM Problem)	Indication
goal		0..1	Reference(HCIM TreatmentObjective)	TreatmentObjective
scheduledTiming:scheduledTiming		0..1	Timing	When activity is to occur
repeat
boundsPeriod:boundsPeriod		0..1	Period	Length/Range of lengths, or (Start and/or end) limits
start		0..1	dateTime	ProcedureStartDateTime
end		0..1	dateTime	ProcedureEndDateTime
frequency		0..1	integer	Frequency
period		0..1	decimal	Interval
location		0..1	Reference(nl-core-location)	Where it should happen
performer		0..*	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson | nl-core-patient | nl-core-careteam)	Performer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
description		0..1	string	Instruction
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist	extensible	InterventieNICCodelijst (a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 from this IG
CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist	extensible	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
hicm-outcomeofcare-1	error	CarePlan.activity:nursingIntervention	Provide a HealthcareResult text or a reference, not both : outcomeCodeableConcept.empty() or outcomeReference.empty()

Name	Flags	Card.	Type	Description & Constraints
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	0..*	Identifier	External Ids for this plan
status	?!Σ	1..1	code	draft | active | suspended | completed | entered-in-error | cancelled | unknown Binding: CarePlanStatus (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
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who care plan is for
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created in context of
period	Σ	0..1	Period	Time period plan covers
author	Σ	0..*	Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization | nl-core-careteam)	Who is responsible for contents of the plan
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
goal		0..*	Reference(HCIM TreatmentObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by pattern:detail.category cpl-3: Provide a reference or detail, not both
activity:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
activity:nursingIntervention	C	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both hicm-outcomeofcare-1: Provide a HealthcareResult text or a reference, not both
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/Comment"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
outcomeCodeableConcept		0..1	CodeableConcept	Results of the activity Binding: Care Plan Activity Outcome (example): Identifies the results of the activity
text	Σ	0..1	string	HealthcareResult
outcomeReference		0..1	Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus)	MeasurementValue / HealthCondition
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.status	required	CarePlanStatus http://hl7.org/fhir/ValueSet/care-plan-status from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConcept	example	Care Plan Activity Outcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:nursingIntervention	Provide a reference or detail, not both : detail.empty() or reference.empty()
dom-1	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hicm-outcomeofcare-1	error	CarePlan.activity:nursingIntervention	Provide a HealthcareResult text or a reference, not both : outcomeCodeableConcept.empty() or outcomeReference.empty()

Name	Flags	Card.	Type	Description & Constraints
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: Common Languages (extensible): A human language. Additional Bindings Purpose 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	0..*	Identifier	External Ids for this plan
definition	Σ	0..*	Reference(PlanDefinition | Questionnaire)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills care plan
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 | suspended | completed | entered-in-error | cancelled | unknown Binding: CarePlanStatus (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: Care Plan Category (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 CarePlan
description	Σ	0..1	string	Summary of nature of plan
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who care plan is for
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created in context of
period	Σ	0..1	Period	Time period plan covers
author	Σ	0..*	Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization | nl-core-careteam)	Who is responsible for contents of the plan
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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(HCIM TreatmentObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by pattern:detail.category cpl-3: Provide a reference or detail, not both
activity:All Slices				Content/Rules for all slices
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: Care Plan Activity Outcome (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 | ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
category		0..1	CodeableConcept	diet | drug | encounter | observation | procedure | supply | other Binding: CarePlanActivityCategory (example): High-level categorization of the type of activity in a care plan.
definition		0..1	Reference(PlanDefinition | ActivityDefinition | Questionnaire)	Protocol or definition
code		0..1	CodeableConcept	Detail type of activity Binding: Care Plan Activity (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: Activity Reason (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)	Condition triggering need for activity
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown Binding: CarePlanActivityStatus (required): Indicates where the activity is at in its overall life cycle.
statusReason		0..1	string	Reason for current status
prohibited	?!	0..1	boolean	Do NOT do
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 | Organization | RelatedPerson | Patient | CareTeam)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMED CT Medication Codes (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	Extra info describing activity to perform
activity:nursingIntervention	C	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both hicm-outcomeofcare-1: Provide a HealthcareResult text or a reference, not both
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/Comment"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
outcomeCodeableConcept		0..1	CodeableConcept	Results of the activity Binding: Care Plan Activity Outcome (example): Identifies the results of the activity
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	HealthcareResult
outcomeReference		0..1	Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus)	MeasurementValue / HealthCondition
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicalDevice		0..*	(Complex)	MedicalDevice URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
Slices for value[x]		0..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference()	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
category		1..1	CodeableConcept	Nursing procedure Binding: CarePlanActivityCategory (example): High-level categorization of the type of activity in a care plan. Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	xml:id (or equivalent in JSON)
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: 9632001
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
definition		0..1	Reference(PlanDefinition | ActivityDefinition | Questionnaire)	Protocol or definition
code		1..1	CodeableConcept	Intervention Binding: Care Plan Activity (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist	Σ	0..1	Coding	interventionNICCodelist Binding: InterventieNICCodelijst (extensible): NIC - All Values
id		0..1	string	xml:id (or equivalent in JSON)
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:interventionSnomedCodelist	Σ	0..1	Coding	interventionSnomedCodelist Binding: InterventieSnomedCodelijst (extensible): SNOMED CT - SNOMED CT: <<71388002 | procedure |
id		0..1	string	xml:id (or equivalent in JSON)
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
text	Σ	0..1	string	Plain text representation of the concept
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: Activity Reason (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..1	Reference(HCIM Problem)	Indication
goal		0..1	Reference(HCIM TreatmentObjective)	TreatmentObjective
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown Binding: CarePlanActivityStatus (required): Indicates where the activity is at in its overall life cycle.
statusReason		0..1	string	Reason for current status
prohibited	?!	0..1	boolean	Do NOT do
Slices for scheduled[x]		0..1	Timing	When activity is to occur Slice: Unordered, Closed by type:$this
scheduled[x]:scheduledTiming		0..1	Timing	When activity is to occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-1: if there's a duration, there needs to be duration units tim-10: If there's a timeOfDay, there cannot be be a when, or vice versa tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for bounds[x]	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
bounds[x]:boundsPeriod	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProcedureStartDateTime
end	ΣC	0..1	dateTime	ProcedureEndDateTime
count	Σ	0..1	integer	Number of times to repeat
countMax	Σ	0..1	integer	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	integer	Frequency
frequencyMax	Σ	0..1	integer	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Interval
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Regular life events the event is tied to Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
location		0..1	Reference(nl-core-location)	Where it should happen
performer		0..*	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson | nl-core-patient | nl-core-careteam)	Performer
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
product[x]		0..1		What is to be administered/supplied Binding: SNOMED CT Medication Codes (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	Instruction
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CarePlan.status	required	CarePlanStatus http://hl7.org/fhir/ValueSet/care-plan-status from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.category	example	Care Plan Category http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	Care Plan Activity Outcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity.detail.category	example	CarePlanActivityCategory http://hl7.org/fhir/ValueSet/care-plan-activity-category from the FHIR Standard
CarePlan.activity.detail.code	example	Care Plan Activity http://hl7.org/fhir/ValueSet/care-plan-activity from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	Activity Reason http://hl7.org/fhir/ValueSet/activity-reason from the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status from the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMED CT Medication Codes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConcept	example	Care Plan Activity Outcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.category	example	Pattern: SNOMED CT code 9632001 http://hl7.org/fhir/ValueSet/care-plan-activity-category from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.code	example	Care Plan Activity http://hl7.org/fhir/ValueSet/care-plan-activity from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist	extensible	InterventieNICCodelijst (a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 from this IG
CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist	extensible	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 from this IG
CarePlan.activity:nursingIntervention.detail.reasonCode	example	Activity Reason http://hl7.org/fhir/ValueSet/activity-reason from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.product[x]	example	SNOMED CT Medication Codes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:nursingIntervention	Provide a reference or detail, not both : detail.empty() or reference.empty()
dom-1	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hicm-outcomeofcare-1	error	CarePlan.activity:nursingIntervention	Provide a HealthcareResult text or a reference, not both : outcomeCodeableConcept.empty() or outcomeReference.empty()
tim-1	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a timeOfDay, there cannot be be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from CarePlan

Summary

Mandatory: 0 element(6 nested mandatory elements)

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-careteam (http://fhir.nl/fhir/StructureDefinition/nl-core-careteam)
• HCIM TreatmentObjective (http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective)
• HCIM General Measurement (http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement)
• HCIM FunctionalOrMentalStatus (http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus)
• HCIM ProcedureRequest (http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
• http://nictiz.nl/fhir/StructureDefinition/Comment
• http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.activity
• The element 1 is sliced based on the value of CarePlan.activity.detail.code.coding

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
identifier		0..*	Identifier	External Ids for this plan
subject		1..1	Reference(nl-core-patient | Group)	Who care plan is for
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created in context of
period		0..1	Period	Time period plan covers
author		0..*	Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization | nl-core-careteam)	Who is responsible for contents of the plan
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
goal		0..*	Reference(HCIM TreatmentObjective)	Desired outcome of plan
Slices for activity		0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by pattern:detail.category
activity:nursingIntervention	C	0..*	BackboneElement	Action to occur as part of plan hicm-outcomeofcare-1: Provide a HealthcareResult text or a reference, not both
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
valueString:valueString		0..1	string	Comment
outcomeCodeableConcept		0..1	CodeableConcept	Results of the activity
text		0..1	string	HealthcareResult
outcomeReference		0..1	Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus)	MeasurementValue / HealthCondition
reference		0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicalDevice		0..*	(Complex)	MedicalDevice URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
valueReference:valueReference		0..1	Reference()	Value of extension
category		1..1	CodeableConcept	Nursing procedure 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: 9632001
code		1..1	CodeableConcept	Intervention
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist		0..1	Coding	interventionNICCodelist Binding: InterventieNICCodelijst (extensible): NIC - All Values
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:interventionSnomedCodelist		0..1	Coding	interventionSnomedCodelist Binding: InterventieSnomedCodelijst (extensible): SNOMED CT - SNOMED CT: <<71388002 | procedure |
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
reasonReference		0..1	Reference(HCIM Problem)	Indication
goal		0..1	Reference(HCIM TreatmentObjective)	TreatmentObjective
scheduledTiming:scheduledTiming		0..1	Timing	When activity is to occur
repeat
boundsPeriod:boundsPeriod		0..1	Period	Length/Range of lengths, or (Start and/or end) limits
start		0..1	dateTime	ProcedureStartDateTime
end		0..1	dateTime	ProcedureEndDateTime
frequency		0..1	integer	Frequency
period		0..1	decimal	Interval
location		0..1	Reference(nl-core-location)	Where it should happen
performer		0..*	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson | nl-core-patient | nl-core-careteam)	Performer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
description		0..1	string	Instruction
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist	extensible	InterventieNICCodelijst (a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 from this IG
CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist	extensible	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
hicm-outcomeofcare-1	error	CarePlan.activity:nursingIntervention	Provide a HealthcareResult text or a reference, not both : outcomeCodeableConcept.empty() or outcomeReference.empty()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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	0..*	Identifier	External Ids for this plan
status	?!Σ	1..1	code	draft | active | suspended | completed | entered-in-error | cancelled | unknown Binding: CarePlanStatus (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
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who care plan is for
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created in context of
period	Σ	0..1	Period	Time period plan covers
author	Σ	0..*	Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization | nl-core-careteam)	Who is responsible for contents of the plan
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
goal		0..*	Reference(HCIM TreatmentObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by pattern:detail.category cpl-3: Provide a reference or detail, not both
activity:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
activity:nursingIntervention	C	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both hicm-outcomeofcare-1: Provide a HealthcareResult text or a reference, not both
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/Comment"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
outcomeCodeableConcept		0..1	CodeableConcept	Results of the activity Binding: Care Plan Activity Outcome (example): Identifies the results of the activity
text	Σ	0..1	string	HealthcareResult
outcomeReference		0..1	Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus)	MeasurementValue / HealthCondition
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.status	required	CarePlanStatus http://hl7.org/fhir/ValueSet/care-plan-status from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConcept	example	Care Plan Activity Outcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:nursingIntervention	Provide a reference or detail, not both : detail.empty() or reference.empty()
dom-1	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hicm-outcomeofcare-1	error	CarePlan.activity:nursingIntervention	Provide a HealthcareResult text or a reference, not both : outcomeCodeableConcept.empty() or outcomeReference.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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: Common Languages (extensible): A human language. Additional Bindings Purpose 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	0..*	Identifier	External Ids for this plan
definition	Σ	0..*	Reference(PlanDefinition | Questionnaire)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills care plan
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 | suspended | completed | entered-in-error | cancelled | unknown Binding: CarePlanStatus (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: Care Plan Category (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 CarePlan
description	Σ	0..1	string	Summary of nature of plan
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who care plan is for
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Created in context of
period	Σ	0..1	Period	Time period plan covers
author	Σ	0..*	Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization | nl-core-careteam)	Who is responsible for contents of the plan
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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(HCIM TreatmentObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by pattern:detail.category cpl-3: Provide a reference or detail, not both
activity:All Slices				Content/Rules for all slices
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: Care Plan Activity Outcome (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 | ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
category		0..1	CodeableConcept	diet | drug | encounter | observation | procedure | supply | other Binding: CarePlanActivityCategory (example): High-level categorization of the type of activity in a care plan.
definition		0..1	Reference(PlanDefinition | ActivityDefinition | Questionnaire)	Protocol or definition
code		0..1	CodeableConcept	Detail type of activity Binding: Care Plan Activity (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: Activity Reason (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)	Condition triggering need for activity
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown Binding: CarePlanActivityStatus (required): Indicates where the activity is at in its overall life cycle.
statusReason		0..1	string	Reason for current status
prohibited	?!	0..1	boolean	Do NOT do
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 | Organization | RelatedPerson | Patient | CareTeam)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMED CT Medication Codes (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	Extra info describing activity to perform
activity:nursingIntervention	C	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both hicm-outcomeofcare-1: Provide a HealthcareResult text or a reference, not both
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/Comment"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
outcomeCodeableConcept		0..1	CodeableConcept	Results of the activity Binding: Care Plan Activity Outcome (example): Identifies the results of the activity
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	HealthcareResult
outcomeReference		0..1	Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus)	MeasurementValue / HealthCondition
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicalDevice		0..*	(Complex)	MedicalDevice URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
Slices for value[x]		0..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		0..1	Reference()	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
category		1..1	CodeableConcept	Nursing procedure Binding: CarePlanActivityCategory (example): High-level categorization of the type of activity in a care plan. Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	xml:id (or equivalent in JSON)
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: 9632001
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
definition		0..1	Reference(PlanDefinition | ActivityDefinition | Questionnaire)	Protocol or definition
code		1..1	CodeableConcept	Intervention Binding: Care Plan Activity (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist	Σ	0..1	Coding	interventionNICCodelist Binding: InterventieNICCodelijst (extensible): NIC - All Values
id		0..1	string	xml:id (or equivalent in JSON)
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:interventionSnomedCodelist	Σ	0..1	Coding	interventionSnomedCodelist Binding: InterventieSnomedCodelijst (extensible): SNOMED CT - SNOMED CT: <<71388002 | procedure |
id		0..1	string	xml:id (or equivalent in JSON)
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
text	Σ	0..1	string	Plain text representation of the concept
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: Activity Reason (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..1	Reference(HCIM Problem)	Indication
goal		0..1	Reference(HCIM TreatmentObjective)	TreatmentObjective
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown Binding: CarePlanActivityStatus (required): Indicates where the activity is at in its overall life cycle.
statusReason		0..1	string	Reason for current status
prohibited	?!	0..1	boolean	Do NOT do
Slices for scheduled[x]		0..1	Timing	When activity is to occur Slice: Unordered, Closed by type:$this
scheduled[x]:scheduledTiming		0..1	Timing	When activity is to occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-1: if there's a duration, there needs to be duration units tim-10: If there's a timeOfDay, there cannot be be a when, or vice versa tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for bounds[x]	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
bounds[x]:boundsPeriod	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProcedureStartDateTime
end	ΣC	0..1	dateTime	ProcedureEndDateTime
count	Σ	0..1	integer	Number of times to repeat
countMax	Σ	0..1	integer	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	integer	Frequency
frequencyMax	Σ	0..1	integer	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Interval
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Regular life events the event is tied to Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
location		0..1	Reference(nl-core-location)	Where it should happen
performer		0..*	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson | nl-core-patient | nl-core-careteam)	Performer
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
product[x]		0..1		What is to be administered/supplied Binding: SNOMED CT Medication Codes (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	Instruction
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CarePlan.status	required	CarePlanStatus http://hl7.org/fhir/ValueSet/care-plan-status from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.category	example	Care Plan Category http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	Care Plan Activity Outcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity.detail.category	example	CarePlanActivityCategory http://hl7.org/fhir/ValueSet/care-plan-activity-category from the FHIR Standard
CarePlan.activity.detail.code	example	Care Plan Activity http://hl7.org/fhir/ValueSet/care-plan-activity from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	Activity Reason http://hl7.org/fhir/ValueSet/activity-reason from the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status from the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMED CT Medication Codes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConcept	example	Care Plan Activity Outcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.category	example	Pattern: SNOMED CT code 9632001 http://hl7.org/fhir/ValueSet/care-plan-activity-category from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.code	example	Care Plan Activity http://hl7.org/fhir/ValueSet/care-plan-activity from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelist	extensible	InterventieNICCodelijst (a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 from this IG
CarePlan.activity:nursingIntervention.detail.code.coding:interventionSnomedCodelist	extensible	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 from this IG
CarePlan.activity:nursingIntervention.detail.reasonCode	example	Activity Reason http://hl7.org/fhir/ValueSet/activity-reason from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
CarePlan.activity:nursingIntervention.detail.product[x]	example	SNOMED CT Medication Codes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:nursingIntervention	Provide a reference or detail, not both : detail.empty() or reference.empty()
dom-1	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hicm-outcomeofcare-1	error	CarePlan.activity:nursingIntervention	Provide a HealthcareResult text or a reference, not both : outcomeCodeableConcept.empty() or outcomeReference.empty()
tim-1	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat	If there's a timeOfDay, there cannot be be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from CarePlan

Summary

Mandatory: 0 element(6 nested mandatory elements)

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-careteam (http://fhir.nl/fhir/StructureDefinition/nl-core-careteam)
• HCIM TreatmentObjective (http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective)
• HCIM General Measurement (http://nictiz.nl/fhir/StructureDefinition/zib-GeneralMeasurement)
• HCIM FunctionalOrMentalStatus (http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus)
• HCIM ProcedureRequest (http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
• http://nictiz.nl/fhir/StructureDefinition/Comment
• http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.activity
• The element 1 is sliced based on the value of CarePlan.activity.detail.code.coding