Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

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

Resource Profile: nl-core-careplan

Official URL: http://fhir.nl/fhir/StructureDefinition/nl-core-careplan Version: 1.3.15
Active as of 2025-09-22 Computable Name: nl-core-careplan

Copyright/Legal: CC0

An 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 an HCIM, because no HCIM exists for the CarePlan concept.

Multiple HCIMs are better interpreted in a coherent set than by themselves. These are the HCIMs NursingIntervention, TreatmentObjective and TreatmentOutcome. They constitute a CarePlan, hence the reason to create a CarePlan profile.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... text 0..1 Narrative Text summary of the resource, for human interpretation
... identifier 0..* Identifier External Ids for this plan
... subject 1..1 Reference(nl-core-patient | Group) Who care plan is for
... 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
..... extension: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
Constraints: hicm-outcomeofcare-1
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:comment 0..1 (Complex) Comment
URL: http://nictiz.nl/fhir/StructureDefinition/Comment
....... Slices for valueString Content/Rules for all slices
........ 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
....... extension:medicalDevice 0..* (Complex) MedicalDevice
URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
........ Slices for valueReference Content/Rules for all slices
......... 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:$this
........ coding:interventionNICCodelist 0..1 Coding interventionNICCodelist
Binding: InterventieNICCodelijst (required): 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 (required): 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
...... Slices for scheduledTiming Content/Rules for all slices
....... scheduledTiming:scheduledTiming 0..1 Timing When activity is to occur
........ repeat
......... Slices for boundsPeriod Content/Rules for all slices
.......... 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
........ extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
...... description 0..1 string Instruction

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelistrequiredInterventieNICCodelijst(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:interventionSnomedCodelistrequiredInterventieSnomedCodelijst
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

IdGradePath(s)DetailsRequirements
hicm-outcomeofcare-1errorCarePlan.activity:nursingInterventionProvide a HealthcareResult text or a reference, not both
: outcomeCodeableConcept.empty() or outcomeReference.empty()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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
..... extension: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
Constraints: cpl-3
.... 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
Constraints: cpl-3, hicm-outcomeofcare-1
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension: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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CarePlan.statusrequiredCarePlanStatus
http://hl7.org/fhir/ValueSet/care-plan-status|3.0.2
From the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConceptexampleCare Plan Activity Outcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|3.0.2
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activity, CarePlan.activity:nursingInterventionProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-1errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hicm-outcomeofcare-1errorCarePlan.activity:nursingInterventionProvide a HealthcareResult text or a reference, not both
: outcomeCodeableConcept.empty() or outcomeReference.empty()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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
..... extension: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
Constraints: cpl-3
.... 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
Constraints: cpl-3, hicm-outcomeofcare-1
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension: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:$this
........ value[x]:valueString 0..1 string Comment
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
..... outcomeCodeableConcept 0..1 CodeableConcept Results of the activity
Binding: Care Plan Activity Outcome (example): Identifies the results of the activity
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string HealthcareResult
..... outcomeReference 0..1 Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus) MeasurementValue / HealthCondition
..... progress 0..* Annotation Comments about the activity status/progress
..... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
..... detail C 0..1 BackboneElement In-line definition of activity
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:medicalDevice 0..* (Complex) MedicalDevice
URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
........ id 0..1 string xml:id (or equivalent in JSON)
........ extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
........ Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$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:$this
........ coding:interventionNICCodelist Σ 0..1 Coding interventionNICCodelist
Binding: InterventieNICCodelijst (required): 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 (required): 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
Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4
......... 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
........ extension: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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additional Bindings Purpose
All Languages Max Binding
CarePlan.statusrequiredCarePlanStatus
http://hl7.org/fhir/ValueSet/care-plan-status|3.0.2
From the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|3.0.2
From the FHIR Standard
CarePlan.categoryexampleCare Plan Category
http://hl7.org/fhir/ValueSet/care-plan-category|3.0.2
From the FHIR Standard
CarePlan.activity.outcomeCodeableConceptexampleCare Plan Activity Outcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|3.0.2
From the FHIR Standard
CarePlan.activity.detail.categoryexampleCarePlanActivityCategory
http://hl7.org/fhir/ValueSet/care-plan-activity-category|1.0.0
From the FHIR Standard
CarePlan.activity.detail.codeexampleCare Plan Activity
http://hl7.org/fhir/ValueSet/care-plan-activity|3.0.2
From the FHIR Standard
CarePlan.activity.detail.reasonCodeexampleActivity Reason
http://hl7.org/fhir/ValueSet/activity-reason|3.0.2
From the FHIR Standard
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|3.0.2
From the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMED CT Medication Codes
http://hl7.org/fhir/ValueSet/medication-codes|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConceptexampleCare Plan Activity Outcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.categoryexamplePattern Value: SNOMED-CT Code 9632001
http://hl7.org/fhir/ValueSet/care-plan-activity-category|1.0.0
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.codeexampleCare Plan Activity
http://hl7.org/fhir/ValueSet/care-plan-activity|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelistrequiredInterventieNICCodelijst(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:interventionSnomedCodelistrequiredInterventieSnomedCodelijst
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.reasonCodeexampleActivity Reason
http://hl7.org/fhir/ValueSet/activity-reason|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.product[x]exampleSNOMED CT Medication Codes
http://hl7.org/fhir/ValueSet/medication-codes|3.0.2
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activity, CarePlan.activity:nursingInterventionProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-1errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hicm-outcomeofcare-1errorCarePlan.activity:nursingInterventionProvide a HealthcareResult text or a reference, not both
: outcomeCodeableConcept.empty() or outcomeReference.empty()
tim-1errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf 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-10errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf 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:

Extensions

This structure refers to these extensions:

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... text 0..1 Narrative Text summary of the resource, for human interpretation
... identifier 0..* Identifier External Ids for this plan
... subject 1..1 Reference(nl-core-patient | Group) Who care plan is for
... 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
..... extension: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
Constraints: hicm-outcomeofcare-1
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:comment 0..1 (Complex) Comment
URL: http://nictiz.nl/fhir/StructureDefinition/Comment
....... Slices for valueString Content/Rules for all slices
........ 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
....... extension:medicalDevice 0..* (Complex) MedicalDevice
URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
........ Slices for valueReference Content/Rules for all slices
......... 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:$this
........ coding:interventionNICCodelist 0..1 Coding interventionNICCodelist
Binding: InterventieNICCodelijst (required): 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 (required): 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
...... Slices for scheduledTiming Content/Rules for all slices
....... scheduledTiming:scheduledTiming 0..1 Timing When activity is to occur
........ repeat
......... Slices for boundsPeriod Content/Rules for all slices
.......... 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
........ extension:practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
...... description 0..1 string Instruction

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelistrequiredInterventieNICCodelijst(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:interventionSnomedCodelistrequiredInterventieSnomedCodelijst
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

IdGradePath(s)DetailsRequirements
hicm-outcomeofcare-1errorCarePlan.activity:nursingInterventionProvide a HealthcareResult text or a reference, not both
: outcomeCodeableConcept.empty() or outcomeReference.empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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
..... extension: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
Constraints: cpl-3
.... 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
Constraints: cpl-3, hicm-outcomeofcare-1
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension: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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CarePlan.statusrequiredCarePlanStatus
http://hl7.org/fhir/ValueSet/care-plan-status|3.0.2
From the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConceptexampleCare Plan Activity Outcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|3.0.2
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activity, CarePlan.activity:nursingInterventionProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-1errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hicm-outcomeofcare-1errorCarePlan.activity:nursingInterventionProvide a HealthcareResult text or a reference, not both
: outcomeCodeableConcept.empty() or outcomeReference.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
All Languages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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
..... extension: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
Constraints: cpl-3
.... 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
Constraints: cpl-3, hicm-outcomeofcare-1
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension: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:$this
........ value[x]:valueString 0..1 string Comment
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
..... outcomeCodeableConcept 0..1 CodeableConcept Results of the activity
Binding: Care Plan Activity Outcome (example): Identifies the results of the activity
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string HealthcareResult
..... outcomeReference 0..1 Reference(HCIM General Measurement | HCIM FunctionalOrMentalStatus) MeasurementValue / HealthCondition
..... progress 0..* Annotation Comments about the activity status/progress
..... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | HCIM ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
..... detail C 0..1 BackboneElement In-line definition of activity
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:medicalDevice 0..* (Complex) MedicalDevice
URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
........ id 0..1 string xml:id (or equivalent in JSON)
........ extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice"
........ Slices for value[x] 0..1 Reference() Value of extension
Slice: Unordered, Closed by type:$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:$this
........ coding:interventionNICCodelist Σ 0..1 Coding interventionNICCodelist
Binding: InterventieNICCodelijst (required): 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 (required): 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
Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4
......... 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
........ extension: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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.languageextensibleCommon Languages
http://hl7.org/fhir/ValueSet/languages|3.0.2
From the FHIR Standard
Additional Bindings Purpose
All Languages Max Binding
CarePlan.statusrequiredCarePlanStatus
http://hl7.org/fhir/ValueSet/care-plan-status|3.0.2
From the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent|3.0.2
From the FHIR Standard
CarePlan.categoryexampleCare Plan Category
http://hl7.org/fhir/ValueSet/care-plan-category|3.0.2
From the FHIR Standard
CarePlan.activity.outcomeCodeableConceptexampleCare Plan Activity Outcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|3.0.2
From the FHIR Standard
CarePlan.activity.detail.categoryexampleCarePlanActivityCategory
http://hl7.org/fhir/ValueSet/care-plan-activity-category|1.0.0
From the FHIR Standard
CarePlan.activity.detail.codeexampleCare Plan Activity
http://hl7.org/fhir/ValueSet/care-plan-activity|3.0.2
From the FHIR Standard
CarePlan.activity.detail.reasonCodeexampleActivity Reason
http://hl7.org/fhir/ValueSet/activity-reason|3.0.2
From the FHIR Standard
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|3.0.2
From the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMED CT Medication Codes
http://hl7.org/fhir/ValueSet/medication-codes|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.outcomeCodeableConceptexampleCare Plan Activity Outcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.categoryexamplePattern Value: SNOMED-CT Code 9632001
http://hl7.org/fhir/ValueSet/care-plan-activity-category|1.0.0
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.codeexampleCare Plan Activity
http://hl7.org/fhir/ValueSet/care-plan-activity|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.code.coding:interventionNICCodelistrequiredInterventieNICCodelijst(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:interventionSnomedCodelistrequiredInterventieSnomedCodelijst
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.reasonCodeexampleActivity Reason
http://hl7.org/fhir/ValueSet/activity-reason|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation|3.0.2
From the FHIR Standard
CarePlan.activity:nursingIntervention.detail.product[x]exampleSNOMED CT Medication Codes
http://hl7.org/fhir/ValueSet/medication-codes|3.0.2
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activity, CarePlan.activity:nursingInterventionProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-1errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
hicm-outcomeofcare-1errorCarePlan.activity:nursingInterventionProvide a HealthcareResult text or a reference, not both
: outcomeCodeableConcept.empty() or outcomeReference.empty()
tim-1errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf 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-10errorCarePlan.activity:nursingIntervention.detail.scheduled[x]:scheduledTiming.repeatIf 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:

Extensions

This structure refers to these extensions:

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

 

Other representations of profile: CSV, Excel, Schematron