INTEROPen CareConnect Base STU3 Implementation Guide
3.0.0 - CI Build

INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions

StructureDefinition: CareConnect-CarePlan-1 - Detailed Descriptions

Definitions for the CareConnect-CarePlan-1 Profile.

1. CarePlan
Definition

Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.

Control0..*
Alternate NamesCare Team
InvariantsDefined on this element
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: 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: 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())
2. CarePlan.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. CarePlan.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
4. CarePlan.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

5. CarePlan.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Max Binding: All Languages
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

6. CarePlan.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

7. CarePlan.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

8. CarePlan.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

9. CarePlan.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

10. CarePlan.identifier
Definition

This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Need to allow connection to a wider workflow.

11. CarePlan.identifier.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
12. CarePlan.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on CarePlan.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
13. CarePlan.identifier.use
Definition

The purpose of this identifier.

Control0..1
BindingIdentifies the purpose for this identifier, if known .
The codes SHALL be taken from IdentifierUse
Typecode
Is Modifiertrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

14. CarePlan.identifier.type
Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Control0..1
BindingA coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

15. CarePlan.identifier.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Control0..1
Typeuri
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example
General:http://www.acme.com/identifiers/patient
16. CarePlan.identifier.value
Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Control0..1
Typestring
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

Example
General:123456
17. CarePlan.identifier.period
Definition

Time period during which identifier is/was valid for use.

Control0..1
TypePeriod
18. CarePlan.identifier.assigner
Definition

Organization that issued/manages the identifier.

Control0..1
TypeReference(CareConnect-Organization-1)
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

19. CarePlan.definition
Definition

Identifies the protocol, questionnaire, guideline or other specification the care plan should be conducted in accordance with.

Control0..*
TypeReference(PlanDefinition | Questionnaire)
20. CarePlan.basedOn
Definition

A care plan that is fulfilled in whole or in part by this care plan.

Control0..*
TypeReference(CareConnect-CarePlan-1)
Requirements

Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.

Alternate Namesfulfills
21. CarePlan.replaces
Definition

Completed or terminated care plan whose function is taken by this new care plan.

Control0..*
TypeReference(CareConnect-CarePlan-1)
Requirements

Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.

Alternate Namessupersedes
Comments

The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.

22. CarePlan.partOf
Definition

A larger care plan of which this particular care plan is a component or step.

Control0..*
TypeReference(CareConnect-CarePlan-1)
Comments

Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.

23. CarePlan.status
Definition

Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

Control1..1
BindingIndicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
The codes SHALL be taken from CarePlanStatus
Typecode
Is Modifiertrue
Requirements

Allows clinicians to determine whether the plan is actionable or not.

Comments

The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.

This element is labeled as a modifier because the status contains the code entered-in-error] that marks the plan as not currently valid.

24. CarePlan.intent
Definition

Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.

Control1..1
BindingCodes indicating the degree of authority/intentionality associated with a care plan
The codes SHALL be taken from CarePlanIntent
Typecode
Is Modifiertrue
Requirements

Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.

Comments

This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

25. CarePlan.category
Definition

Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc.

Control0..*
BindingIdentifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
For example codes, see Care Plan Category
TypeCodeableConcept
Requirements

Used for filtering what plan(s) are retrieved and displayed to different types of users.

Comments

There may be multiple axis of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.

26. CarePlan.title
Definition

Human-friendly name for the CarePlan.

Control0..1
Typestring
27. CarePlan.description
Definition

A description of the scope and nature of the plan.

Control0..1
Typestring
Requirements

Provides more detail than conveyed by category.

28. CarePlan.subject
Definition

Identifies the patient or group whose intended care is described by the plan.

Control1..1
TypeReference(Group | CareConnect-Patient-1)
Alternate Namespatient
29. CarePlan.context
Definition

Identifies the original context in which this particular CarePlan was created.

Control0..1
TypeReference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)
Alternate Namesencounter
Comments

Activities conducted as a result of the care plan may well occur as part of other encounters/episodes.

30. CarePlan.period
Definition

Indicates when the plan did (or is intended to) come into effect and end.

Control0..1
TypePeriod
Requirements

Allows tracking what plan(s) are in effect at a particular time.

Alternate Namestiming
Comments

Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).

31. CarePlan.author
Definition

Identifies the individual(s) or ogranization who is responsible for the content of the care plan.

Control0..*
TypeReference(CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-CareTeam-1 | CareConnect-RelatedPerson-1)
Comments

Collaborative care plans may have multiple authors.

32. CarePlan.careTeam
Definition

Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.

Control0..*
TypeReference(CareConnect-CareTeam-1)
Requirements

Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.

33. CarePlan.addresses
Definition

Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.

Control0..*
TypeReference(CareConnect-Condition-1)
Requirements

Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like "at risk for hypertension" or "fall risk".) Also scopes plans - multiple plans may exist addressing different concerns.

34. CarePlan.supportingInfo
Definition

Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include co-morbidities, recent procedures, limitations, recent assessments, etc.

Control0..*
TypeReference(Resource)
Requirements

Identifies barriers and other considerations associated with the care plan.

Comments

Use "concern" to identify specific conditions addressed by the care plan.

35. CarePlan.goal
Definition

Describes the intended objective(s) of carrying out the care plan.

Control0..*
TypeReference(Goal)
Requirements

Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.

Comments

Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.

36. CarePlan.activity
Definition

Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.

Control0..*
TypeBackboneElement
Requirements

Allows systems to prompt for performance of planned activities, and validate plans against best practice.

InvariantsDefined on this element
cpl-3: Provide a reference or detail, not both (: detail.empty() or reference.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
37. CarePlan.activity.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
38. CarePlan.activity.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

39. CarePlan.activity.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

40. CarePlan.activity.outcomeCodeableConcept
Definition

Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).

Control0..*
BindingIdentifies the results of the activity
For example codes, see Care Plan Activity Outcome
TypeCodeableConcept
Comments

Note that this should not duplicate the activity status (e.g. completed or in progress).

41. CarePlan.activity.outcomeReference
Definition

Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).

Control0..*
TypeReference(Resource)
Requirements

Links plan to resulting actions.

Comments

The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lb and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.

42. CarePlan.activity.progress
Definition

Notes about the adherence/status/progress of the activity.

Control0..*
TypeAnnotation
Requirements

Can be used to capture information about adherence, progress, concerns, etc.

Comments

This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.

43. CarePlan.activity.progress.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
44. CarePlan.activity.progress.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on CarePlan.activity.progress.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
45. CarePlan.activity.progress.author[x]
Definition

The individual responsible for making the annotation.

Control0..1
TypeChoice of: string, Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1)
[x] NoteSee Choice of Data Types for further information about how to use [x]
46. CarePlan.activity.progress.time
Definition

Indicates when this particular annotation was made.

Control0..1
TypedateTime
47. CarePlan.activity.progress.text
Definition

The text of the annotation.

Control1..1
Typestring
48. CarePlan.activity.reference
Definition

The details of the proposed activity represented in a specific resource.

Control0..1 This element is affected by the following invariants: cpl-3
TypeReference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ReferralRequest | VisionPrescription | RequestGroup | CareConnect-ProcedureRequest-1 | CareConnect-MedicationRequest-1)
Requirements

Details in a form consistent with other applications and contexts of use.

Comments

Standard extension exists (goal-pertainstogoal) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.
The goal should be visible when the resource referenced by CarePlan.activity.reference is viewed indepedently from the CarePlan. Requests that are pointed to by a CarePlan using this element should not point to this CarePlan using the "basedOn" element. i.e. Requests that are part of a CarePlan are not "based on" the CarePlan.

49. CarePlan.activity.detail
Definition

A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.

Control0..1 This element is affected by the following invariants: cpl-3
TypeBackboneElement
Requirements

Details in a simple form for generic care plan systems.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
50. CarePlan.activity.detail.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
51. CarePlan.activity.detail.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

52. CarePlan.activity.detail.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

53. CarePlan.activity.detail.category
Definition

High-level categorization of the type of activity in a care plan.

Control0..1
BindingHigh-level categorization of the type of activity in a care plan.
For example codes, see CarePlanActivityCategory
TypeCodeableConcept
Requirements

May determine what types of extensions are permitted.

54. CarePlan.activity.detail.definition
Definition

Identifies the protocol, questionnaire, guideline or other specification the planned activity should be conducted in accordance with.

Control0..1
TypeReference(PlanDefinition | ActivityDefinition | Questionnaire)
Requirements

Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.

55. CarePlan.activity.detail.code
Definition

Detailed description of the type of planned activity; e.g. What lab test, what procedure, what kind of encounter.

Control0..1
BindingDetailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
For example codes, see Care Plan Activity
TypeCodeableConcept
Requirements

Allows matching performed to planned as well as validation against protocols.

Comments

Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.

56. CarePlan.activity.detail.reasonCode
Definition

Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.

Control0..*
BindingIdentifies 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.
For example codes, see Activity Reason
TypeCodeableConcept
Comments

This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.

57. CarePlan.activity.detail.reasonReference
Definition

Provides the health condition(s) that drove the inclusion of this particular activity as part of the plan.

Control0..*
TypeReference(CareConnect-Condition-1)
Comments

Conditions can be identified at the activity level that are not identified as reasons for the overall plan.

58. CarePlan.activity.detail.goal
Definition

Internal reference that identifies the goals that this activity is intended to contribute towards meeting.

Control0..*
TypeReference(Goal)
Requirements

So that participants know the link explicitly.

59. CarePlan.activity.detail.status
Definition

Identifies what progress is being made for the specific activity.

Control1..1
BindingIndicates where the activity is at in its overall life cycle.
The codes SHALL be taken from CarePlanActivityStatus
Typecode
Is Modifiertrue
Requirements

Indicates progress against the plan, whether the activity is still relevant for the plan.

Comments

Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.
The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.

60. CarePlan.activity.detail.statusReason
Definition

Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.

Control0..1
Typestring
Comments

Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.

61. CarePlan.activity.detail.prohibited
Definition

If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, indicates that the described activity is one that should be engaged in when following the plan.

Control0..1
Typeboolean
Is Modifiertrue
Requirements

Captures intention to not do something that may have been previously typical.

Comments

This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.

Default Valuefalse
62. CarePlan.activity.detail.scheduled[x]
Definition

The period, timing or frequency upon which the described activity is to occur.

Control0..1
TypeChoice of: Timing, Period, string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Allows prompting for activities and detection of missed planned activities.

63. CarePlan.activity.detail.location
Definition

Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.

Control0..1
TypeReference(CareConnect-Location-1)
Requirements

Helps in planning of activity.

Comments

May reference a specific clinical location or may identify a type of location.

64. CarePlan.activity.detail.performer
Definition

Identifies who's expected to be involved in the activity.

Control0..*
TypeReference(CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-CareTeam-1 | CareConnect-RelatedPerson-1)
Requirements

Helps in planning of activity.

Comments

A performer MAY also be a participant in the care plan.

65. CarePlan.activity.detail.product[x]
Definition

Identifies the food, drug or other product to be consumed or supplied in the activity.

Control0..1
BindingA product supplied or administered as part of a care plan activity.
For example codes, see SNOMED CT Medication Codes
TypeChoice of: CodeableConcept, Reference(Substance | CareConnect-Medication-1)
[x] NoteSee Choice of Data Types for further information about how to use [x]
66. CarePlan.activity.detail.dailyAmount
Definition

Identifies the quantity expected to be consumed in a given day.

Control0..1
TypeQuantity(SimpleQuantity)
Requirements

Allows rough dose checking.

Alternate Namesdaily dose
67. CarePlan.activity.detail.quantity
Definition

Identifies the quantity expected to be supplied, administered or consumed by the subject.

Control0..1
TypeQuantity(SimpleQuantity)
68. CarePlan.activity.detail.description
Definition

This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.

Control0..1
Typestring
69. CarePlan.note
Definition

General notes about the care plan not covered elsewhere.

Control0..*
TypeAnnotation
Requirements

Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.

70. CarePlan.note.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
71. CarePlan.note.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on CarePlan.note.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
72. CarePlan.note.author[x]
Definition

The individual responsible for making the annotation.

Control0..1
TypeChoice of: string, Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1)
[x] NoteSee Choice of Data Types for further information about how to use [x]
73. CarePlan.note.time
Definition

Indicates when this particular annotation was made.

Control0..1
TypedateTime
74. CarePlan.note.text
Definition

The text of the annotation.

Control1..1
Typestring