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: HCIM HelpFromOthers

HelpFromOthers as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.0, release 2017.

There are often multiple people or parties involved in the care for a patient with a disorder or disability, particularly in the event of home care. Their efforts enable the patient to function more or less independently. This includes not only caregivers, but also professional help such as that offered by home care organizations, nurses, aids and helpers. Current doctors and staff from the facility to which a patient is admitted do not fall under this concept.

Information on help from others can provide a good estimate of the availability of the care required by the patient. If this care is not sufficiently available, measures can be taken to facilitate the required care. This plays a particularly important role in for example discharges from the hospital or from a nursing home.

Usage:

• Examples for this Resource Profile: CarePlan/zib-helpfromothers-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
intent		1..1	code	plan Fixed Value: plan
category		1..1	CodeableConcept	Type of plan
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:helpFromOthersCode		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 243114000
display		0..1	string	Representation defined by the system
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
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
careTeam		0..*	Reference(nl-core-careteam)	Who's involved in plan?
activity		0..*	BackboneElement	HelpFromOthers
detail
category		0..1	CodeableConcept	TypeOfHelp Binding: SoortHulpCodelijst (extensible): SoortHulpCodelijst
code		0..1	CodeableConcept	Nature
text		0..1	string	Plain text representation of the concept
scheduledString:scheduledString		0..1	string	Frequency
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson)	Aid
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	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.category	extensible	SoortHulpCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20171231000000 from this IG

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	plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Fixed Value: plan
category	Σ	1..1	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.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:helpFromOthersCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 243114000
display	Σ	0..1	string	Representation defined by the system
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
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
careTeam		0..*	Reference(nl-core-careteam)	Who's involved in plan?
activity	C	0..*	BackboneElement	HelpFromOthers cpl-3: Provide a reference or detail, not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.status	required	CarePlanStatus http://hl7.org/fhir/ValueSet/care-plan-status from the FHIR Standard
CarePlan.intent	required	Fixed Value: plan 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

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity	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())

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	plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Fixed Value: plan
category	Σ	1..1	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.
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	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:helpFromOthersCode	Σ	1..1	Coding	Code defined by a terminology system
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 Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 243114000
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
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(nl-core-careteam)	Who's involved in plan?
addresses	Σ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal		0..*	Reference(Goal)	Desired outcome of plan
activity	C	0..*	BackboneElement	HelpFromOthers cpl-3: Provide a reference or detail, not both
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	TypeOfHelp Binding: SoortHulpCodelijst (extensible): SoortHulpCodelijst
definition		0..1	Reference(PlanDefinition | ActivityDefinition | Questionnaire)	Protocol or definition
code		0..1	CodeableConcept	Nature 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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..*	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
Slices for scheduled[x]		0..1	string	When activity is to occur Slice: Unordered, Closed by type:$this
scheduled[x]:scheduledString		0..1	string	Frequency
location		0..1	Reference(Location)	Where it should happen
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson)	Aid
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	Comment
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	Fixed Value: plan 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	extensible	SoortHulpCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20171231000000 from this IG
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

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity	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())

This structure is derived from CarePlan

Summary

Mandatory: 5 elements
Fixed: 3 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)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.category.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
intent		1..1	code	plan Fixed Value: plan
category		1..1	CodeableConcept	Type of plan
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:helpFromOthersCode		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 243114000
display		0..1	string	Representation defined by the system
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
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
careTeam		0..*	Reference(nl-core-careteam)	Who's involved in plan?
activity		0..*	BackboneElement	HelpFromOthers
detail
category		0..1	CodeableConcept	TypeOfHelp Binding: SoortHulpCodelijst (extensible): SoortHulpCodelijst
code		0..1	CodeableConcept	Nature
text		0..1	string	Plain text representation of the concept
scheduledString:scheduledString		0..1	string	Frequency
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson)	Aid
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	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.category	extensible	SoortHulpCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20171231000000 from this IG

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	plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Fixed Value: plan
category	Σ	1..1	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.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:helpFromOthersCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 243114000
display	Σ	0..1	string	Representation defined by the system
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
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
careTeam		0..*	Reference(nl-core-careteam)	Who's involved in plan?
activity	C	0..*	BackboneElement	HelpFromOthers cpl-3: Provide a reference or detail, not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.status	required	CarePlanStatus http://hl7.org/fhir/ValueSet/care-plan-status from the FHIR Standard
CarePlan.intent	required	Fixed Value: plan 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

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity	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())

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	plan Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Fixed Value: plan
category	Σ	1..1	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.
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	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:helpFromOthersCode	Σ	1..1	Coding	Code defined by a terminology system
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 Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 243114000
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
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(nl-core-careteam)	Who's involved in plan?
addresses	Σ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal		0..*	Reference(Goal)	Desired outcome of plan
activity	C	0..*	BackboneElement	HelpFromOthers cpl-3: Provide a reference or detail, not both
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	TypeOfHelp Binding: SoortHulpCodelijst (extensible): SoortHulpCodelijst
definition		0..1	Reference(PlanDefinition | ActivityDefinition | Questionnaire)	Protocol or definition
code		0..1	CodeableConcept	Nature 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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..*	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
Slices for scheduled[x]		0..1	string	When activity is to occur Slice: Unordered, Closed by type:$this
scheduled[x]:scheduledString		0..1	string	Frequency
location		0..1	Reference(Location)	Where it should happen
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-relatedperson)	Aid
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	Comment
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	Fixed Value: plan 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	extensible	SoortHulpCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.2.1--20171231000000 from this IG
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

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity	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())

This structure is derived from CarePlan

Summary

Mandatory: 5 elements
Fixed: 3 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)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.category.coding

Other representations of profile: CSV, Excel, Schematron