FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

9.5 Resource CarePlan - Content

Patient Care Work GroupMaturity Level: 2 Trial UseCompartments: Patient, Practitioner, RelatedPerson

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.

CarePlan is one of the request resources in the FHIR workflow specification.

Care Plans are used in many areas of healthcare with a variety of scopes. They can be as simple as a general practitioner keeping track of when their patient is next due for a tetanus immunization through to a detailed plan for an oncology patient covering diet, chemotherapy, radiation, lab work and counseling with detailed timing relationships, pre-conditions and goals. They may be used in veterinary care or clinical research to describe the care of a herd or other collection of animals. In public health, they may describe education or immunization campaigns.

This resource takes an intermediate approach to complexity. It captures basic details about who is involved and what actions are intended without dealing in discrete data about dependencies and timing relationships. These can be supported where necessary using the extension mechanism.

The scope of care plans may vary widely. Examples include:

  • Multi-disciplinary cross-organizational care plans; e.g. An oncology plan including the oncologist, home nursing staff, pharmacy and others
  • Plans to manage specific disease/condition(s) (e.g. nutritional plan for a patient post bowel resection, neurological plan post head injury, pre-natal plan, post-partum plan, grief management plan, etc.)
  • Decision support-generated plans following specific practice guidelines (e.g. stroke care plan, diabetes plan, falls prevention, etc.)
  • Self-maintained patient or care-giver authored plans identifying their goals and an integrated understanding of actions to be taken

This resource can be used to represent both proposed plans (for example, recommendations from a decision support engine or returned as part of a consult report) as well as active plans. The nature of the plan is communicated by the status. Some systems may need to filter CarePlans to ensure that only appropriate plans are exposed via a given user interface.

For simplicity sake, CarePlan allows the in-line definition of activities as part of a plan using the activity.detail element. However, activities can also be defined using references to the various "request" resources. These references could be to resources with a status of "planned" or to an active order. It is possible for planned activities to exist (e.g. appointments) without needing a CarePlan at all. CarePlans are used when there's a need to group activities, goals and/or participants together to provide some degree of context.

CarePlans can be tied to specific Conditions however they can also be condition-independent and instead focused on a particular type of care (e.g. psychological, nutritional) or the care delivered by a particular practitioner or group of practitioners.

An ImmunizationRecommendation can be interpreted as a narrow type of Care Plan dealing only with immunization events. Where such information could appear in either resource, the immunization-specific resource is preferred.

CarePlans represent a specific plan instance for a particular patient or group. It is not intended to be used to define generic plans or protocols that are independent of a specific individual or group. CarePlan represents a specific intent, not a general definition. Protocols and order sets are supported through PlanDefinition.

This resource is referenced by DiagnosticReport, GuidanceResponse, ImagingStudy, MedicationRequest, MedicationStatement, Observation, Procedure, QuestionnaireResponse and ReferralRequest

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan DomainResourceHealthcare plan for patient or group
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierExternal Ids for this plan
... definition Σ0..*Reference(PlanDefinition | Questionnaire)Protocol or definition
... basedOn Σ0..*Reference(CarePlan)Fulfills care plan
... replaces Σ0..*Reference(CarePlan)CarePlan replaced by this CarePlan
... partOf Σ0..*Reference(CarePlan)Part of referenced CarePlan
... status ?!Σ1..1codedraft | active | suspended | completed | entered-in-error | cancelled | unknown
CarePlanStatus (Required)
... intent ?!Σ1..1codeproposal | plan | order | option
CarePlanIntent (Required)
... category Σ0..*CodeableConceptType of plan
Care Plan Category (Example)
... title Σ0..1stringHuman-friendly name for the CarePlan
... description Σ0..1stringSummary of nature of plan
... subject Σ1..1Reference(Patient | Group)Who care plan is for
... context Σ0..1Reference(Encounter | EpisodeOfCare)Created in context of
... period Σ0..1PeriodTime period plan covers
... author Σ0..*Reference(Patient | Practitioner | RelatedPerson | Organization | CareTeam)Who is responsible for contents of the plan
... careTeam 0..*Reference(CareTeam)Who's involved in plan?
... addresses Σ0..*Reference(Condition)Health issues this plan addresses
... supportingInfo 0..*Reference(Any)Information considered as part of plan
... goal 0..*Reference(Goal)Desired outcome of plan
... activity I0..*BackboneElementAction to occur as part of plan
+ Provide a reference or detail, not both
.... outcomeCodeableConcept 0..*CodeableConceptResults of the activity
Care Plan Activity Outcome (Example)
.... outcomeReference 0..*Reference(Any)Appointment, Encounter, Procedure, etc.
.... progress 0..*AnnotationComments about the activity status/progress
.... reference I0..1Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)Activity details defined in specific resource
.... detail I0..1BackboneElementIn-line definition of activity
..... category 0..1CodeableConceptdiet | drug | encounter | observation | procedure | supply | other
CarePlanActivityCategory (Example)
..... definition 0..1Reference(PlanDefinition | ActivityDefinition | Questionnaire)Protocol or definition
..... code 0..1CodeableConceptDetail type of activity
Care Plan Activity (Example)
..... reasonCode 0..*CodeableConceptWhy activity should be done or why activity was prohibited
Activity Reason (Example)
..... reasonReference 0..*Reference(Condition)Condition triggering need for activity
..... goal 0..*Reference(Goal)Goals this activity relates to
..... status ?!1..1codenot-started | scheduled | in-progress | on-hold | completed | cancelled | unknown
CarePlanActivityStatus (Required)
..... statusReason 0..1stringReason for current status
..... prohibited ?!0..1booleanDo NOT do
..... scheduled[x] 0..1When activity is to occur
...... scheduledTimingTiming
...... scheduledPeriodPeriod
...... scheduledStringstring
..... location 0..1Reference(Location)Where it should happen
..... performer 0..*Reference(Practitioner | Organization | RelatedPerson | Patient | CareTeam)Who will be responsible?
..... product[x] 0..1What is to be administered/supplied
SNOMED CT Medication Codes (Example)
...... productCodeableConceptCodeableConcept
...... productReferenceReference(Medication | Substance)
..... dailyAmount 0..1SimpleQuantityHow to consume/day?
..... quantity 0..1SimpleQuantityHow much to administer/supply/consume
..... description 0..1stringExtra info describing activity to perform
... note 0..*AnnotationComments about the plan

doco Documentation for this format

UML Diagram (Legend)

CarePlan (DomainResource)📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนidentifier : Identifier [0..*]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdefinition : Reference [0..*] PlanDefinition|Questionnaire 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนbasedOn : Reference [0..*] CarePlan 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreplaces : Reference [0..*] CarePlan 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนpartOf : Reference [0..*] CarePlan 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนstatus : code [1..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanStatus! 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนintent : code [1..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanIntent! 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcategory : CodeableConcept [0..*] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCare Plan Category?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนtitle : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdescription : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนsubject : Reference [1..1] Patient|Group 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcontext : Reference [0..1] Encounter|EpisodeOfCare 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนperiod : Period [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนauthor : Reference [0..*] Patient|Practitioner|RelatedPerson| Organization|CareTeam 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcareTeam : Reference [0..*] CareTeam 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนaddresses : Reference [0..*] Condition 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนsupportingInfo : Reference [0..*] Any 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนgoal : Reference [0..*] Goal 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนnote : Annotation [0..*]Activity📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนoutcomeCodeableConcept : CodeableConcept [0..*] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCare Plan Activity Outcome?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนoutcomeReference : Reference [0..*] Any 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนprogress : Annotation [0..*]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreference : Reference [0..1] Appointment|CommunicationRequest| DeviceRequest|MedicationRequest|NutritionOrder|Task| ProcedureRequest|ReferralRequest|VisionPrescription| RequestGroup Detail📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcategory : CodeableConcept [0..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanActivityCategory?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdefinition : Reference [0..1] PlanDefinition|ActivityDefinition| Questionnaire 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcode : CodeableConcept [0..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCare Plan Activity?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreasonCode : CodeableConcept [0..*] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนActivity Reason?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreasonReference : Reference [0..*] Condition 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนgoal : Reference [0..*] Goal 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนstatus : code [1..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanActivityStatus! 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนstatusReason : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนprohibited : boolean [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนscheduled[x] : Type [0..1] Timing|Period|string 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนlocation : Reference [0..1] Location 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนperformer : Reference [0..*] Practitioner|Organization| RelatedPerson|Patient|CareTeam 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนproduct[x] : Type [0..1] CodeableConcept|Reference(Medication| Substance); 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนSNOMED CT Medication ?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdailyAmount : Quantity(SimpleQuantity) [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนquantity : Quantity(SimpleQuantity) [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdescription : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdetail[0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนactivity[0..*]

XML Template

<CarePlan xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this plan --></identifier>
 <definition><!-- 0..* Reference(PlanDefinition|Questionnaire) Protocol or definition --></definition>
 <basedOn><!-- 0..* Reference(CarePlan) Fulfills care plan --></basedOn>
 <replaces><!-- 0..* Reference(CarePlan) CarePlan replaced by this CarePlan --></replaces>
 <partOf><!-- 0..* Reference(CarePlan) Part of referenced CarePlan --></partOf>
 <status value="[code]"/><!-- 1..1 draft | active | suspended | completed | entered-in-error | cancelled | unknown -->
 <intent value="[code]"/><!-- 1..1 proposal | plan | order | option -->
 <category><!-- 0..* CodeableConcept Type of plan --></category>
 <title value="[string]"/><!-- 0..1 Human-friendly name for the CarePlan -->
 <description value="[string]"/><!-- 0..1 Summary of nature of plan -->
 <subject><!-- 1..1 Reference(Patient|Group) Who care plan is for --></subject>
 <context><!-- 0..1 Reference(Encounter|EpisodeOfCare) Created in context of --></context>
 <period><!-- 0..1 Period Time period plan covers --></period>
 <author><!-- 0..* Reference(Patient|Practitioner|RelatedPerson|Organization|
   CareTeam) Who is responsible for contents of the plan --></author>
 <careTeam><!-- 0..* Reference(CareTeam) Who's involved in plan? --></careTeam>
 <addresses><!-- 0..* Reference(Condition) Health issues this plan addresses --></addresses>
 <supportingInfo><!-- 0..* Reference(Any) Information considered as part of plan --></supportingInfo>
 <goal><!-- 0..* Reference(Goal) Desired outcome of plan --></goal>
 <activity>  <!-- 0..* Action to occur as part of plan -->
  <outcomeCodeableConcept><!-- 0..* CodeableConcept Results of the activity --></outcomeCodeableConcept>
  <outcomeReference><!-- 0..* Reference(Any) Appointment, Encounter, Procedure, etc. --></outcomeReference>
  <progress><!-- 0..* Annotation Comments about the activity status/progress --></progress>
  <reference><!-- ?? 0..1 Reference(Appointment|CommunicationRequest|DeviceRequest|
    MedicationRequest|NutritionOrder|Task|ProcedureRequest|ReferralRequest|
    VisionPrescription|RequestGroup) Activity details defined in specific resource --></reference>
  <detail>  <!-- ?? 0..1 In-line definition of activity -->
   <category><!-- 0..1 CodeableConcept diet | drug | encounter | observation | procedure | supply | other --></category>
   <definition><!-- 0..1 Reference(PlanDefinition|ActivityDefinition|
     Questionnaire) Protocol or definition --></definition>
   <code><!-- 0..1 CodeableConcept Detail type of activity --></code>
   <reasonCode><!-- 0..* CodeableConcept Why activity should be done or why activity was prohibited --></reasonCode>
   <reasonReference><!-- 0..* Reference(Condition) Condition triggering need for activity --></reasonReference>
   <goal><!-- 0..* Reference(Goal) Goals this activity relates to --></goal>
   <status value="[code]"/><!-- 1..1 not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown -->
   <statusReason value="[string]"/><!-- 0..1 Reason for current status -->
   <prohibited value="[boolean]"/><!-- 0..1 Do NOT do -->
   <scheduled[x]><!-- 0..1 Timing|Period|string When activity is to occur --></scheduled[x]>
   <location><!-- 0..1 Reference(Location) Where it should happen --></location>
   <performer><!-- 0..* Reference(Practitioner|Organization|RelatedPerson|Patient|
     CareTeam) Who will be responsible? --></performer>
   <product[x]><!-- 0..1 CodeableConcept|Reference(Medication|Substance) What is to be administered/supplied --></product[x]>
   <dailyAmount><!-- 0..1 Quantity(SimpleQuantity) How to consume/day? --></dailyAmount>
   <quantity><!-- 0..1 Quantity(SimpleQuantity) How much to administer/supply/consume --></quantity>
   <description value="[string]"/><!-- 0..1 Extra info describing activity to perform -->
  </detail>
 </activity>
 <note><!-- 0..* Annotation Comments about the plan --></note>
</CarePlan>

JSON Template

{doco
  "resourceType" : "CarePlan",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this plan
  "definition" : [{ Reference(PlanDefinition|Questionnaire) }], // Protocol or definition
  "basedOn" : [{ Reference(CarePlan) }], // Fulfills care plan
  "replaces" : [{ Reference(CarePlan) }], // CarePlan replaced by this CarePlan
  "partOf" : [{ Reference(CarePlan) }], // Part of referenced CarePlan
  "status" : "<code>", // R!  draft | active | suspended | completed | entered-in-error | cancelled | unknown
  "intent" : "<code>", // R!  proposal | plan | order | option
  "category" : [{ CodeableConcept }], // Type of plan
  "title" : "<string>", // Human-friendly name for the CarePlan
  "description" : "<string>", // Summary of nature of plan
  "subject" : { Reference(Patient|Group) }, // R!  Who care plan is for
  "context" : { Reference(Encounter|EpisodeOfCare) }, // Created in context of
  "period" : { Period }, // Time period plan covers
  "author" : [{ Reference(Patient|Practitioner|RelatedPerson|Organization|
   CareTeam) }], // Who is responsible for contents of the plan
  "careTeam" : [{ Reference(CareTeam) }], // Who's involved in plan?
  "addresses" : [{ Reference(Condition) }], // Health issues this plan addresses
  "supportingInfo" : [{ Reference(Any) }], // Information considered as part of plan
  "goal" : [{ Reference(Goal) }], // Desired outcome of plan
  "activity" : [{ // Action to occur as part of plan
    "outcomeCodeableConcept" : [{ CodeableConcept }], // Results of the activity
    "outcomeReference" : [{ Reference(Any) }], // Appointment, Encounter, Procedure, etc.
    "progress" : [{ Annotation }], // Comments about the activity status/progress
    "reference" : { Reference(Appointment|CommunicationRequest|DeviceRequest|
    MedicationRequest|NutritionOrder|Task|ProcedureRequest|ReferralRequest|
    VisionPrescription|RequestGroup) }, // C? Activity details defined in specific resource
    "detail" : { // C? In-line definition of activity
      "category" : { CodeableConcept }, // diet | drug | encounter | observation | procedure | supply | other
      "definition" : { Reference(PlanDefinition|ActivityDefinition|
     Questionnaire) }, // Protocol or definition
      "code" : { CodeableConcept }, // Detail type of activity
      "reasonCode" : [{ CodeableConcept }], // Why activity should be done or why activity was prohibited
      "reasonReference" : [{ Reference(Condition) }], // Condition triggering need for activity
      "goal" : [{ Reference(Goal) }], // Goals this activity relates to
      "status" : "<code>", // R!  not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown
      "statusReason" : "<string>", // Reason for current status
      "prohibited" : <boolean>, // Do NOT do
      // scheduled[x]: When activity is to occur. One of these 3:
      "scheduledTiming" : { Timing },
      "scheduledPeriod" : { Period },
      "scheduledString" : "<string>",
      "location" : { Reference(Location) }, // Where it should happen
      "performer" : [{ Reference(Practitioner|Organization|RelatedPerson|Patient|
     CareTeam) }], // Who will be responsible?
      // product[x]: What is to be administered/supplied. One of these 2:
      "productCodeableConcept" : { CodeableConcept },
      "productReference" : { Reference(Medication|Substance) },
      "dailyAmount" : { Quantity(SimpleQuantity) }, // How to consume/day?
      "quantity" : { Quantity(SimpleQuantity) }, // How much to administer/supply/consume
      "description" : "<string>" // Extra info describing activity to perform
    }
  }],
  "note" : [{ Annotation }] // Comments about the plan
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:CarePlan;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:CarePlan.identifier [ Identifier ], ... ; # 0..* External Ids for this plan
  fhir:CarePlan.definition [ Reference(PlanDefinition|Questionnaire) ], ... ; # 0..* Protocol or definition
  fhir:CarePlan.basedOn [ Reference(CarePlan) ], ... ; # 0..* Fulfills care plan
  fhir:CarePlan.replaces [ Reference(CarePlan) ], ... ; # 0..* CarePlan replaced by this CarePlan
  fhir:CarePlan.partOf [ Reference(CarePlan) ], ... ; # 0..* Part of referenced CarePlan
  fhir:CarePlan.status [ code ]; # 1..1 draft | active | suspended | completed | entered-in-error | cancelled | unknown
  fhir:CarePlan.intent [ code ]; # 1..1 proposal | plan | order | option
  fhir:CarePlan.category [ CodeableConcept ], ... ; # 0..* Type of plan
  fhir:CarePlan.title [ string ]; # 0..1 Human-friendly name for the CarePlan
  fhir:CarePlan.description [ string ]; # 0..1 Summary of nature of plan
  fhir:CarePlan.subject [ Reference(Patient|Group) ]; # 1..1 Who care plan is for
  fhir:CarePlan.context [ Reference(Encounter|EpisodeOfCare) ]; # 0..1 Created in context of
  fhir:CarePlan.period [ Period ]; # 0..1 Time period plan covers
  fhir:CarePlan.author [ Reference(Patient|Practitioner|RelatedPerson|Organization|CareTeam) ], ... ; # 0..* Who is responsible for contents of the plan
  fhir:CarePlan.careTeam [ Reference(CareTeam) ], ... ; # 0..* Who's involved in plan?
  fhir:CarePlan.addresses [ Reference(Condition) ], ... ; # 0..* Health issues this plan addresses
  fhir:CarePlan.supportingInfo [ Reference(Any) ], ... ; # 0..* Information considered as part of plan
  fhir:CarePlan.goal [ Reference(Goal) ], ... ; # 0..* Desired outcome of plan
  fhir:CarePlan.activity [ # 0..* Action to occur as part of plan
    fhir:CarePlan.activity.outcomeCodeableConcept [ CodeableConcept ], ... ; # 0..* Results of the activity
    fhir:CarePlan.activity.outcomeReference [ Reference(Any) ], ... ; # 0..* Appointment, Encounter, Procedure, etc.
    fhir:CarePlan.activity.progress [ Annotation ], ... ; # 0..* Comments about the activity status/progress
    fhir:CarePlan.activity.reference [ Reference(Appointment|CommunicationRequest|DeviceRequest|MedicationRequest|NutritionOrder|
  Task|ProcedureRequest|ReferralRequest|VisionPrescription|RequestGroup) ]; # 0..1 Activity details defined in specific resource
    fhir:CarePlan.activity.detail [ # 0..1 In-line definition of activity
      fhir:CarePlan.activity.detail.category [ CodeableConcept ]; # 0..1 diet | drug | encounter | observation | procedure | supply | other
      fhir:CarePlan.activity.detail.definition [ Reference(PlanDefinition|ActivityDefinition|Questionnaire) ]; # 0..1 Protocol or definition
      fhir:CarePlan.activity.detail.code [ CodeableConcept ]; # 0..1 Detail type of activity
      fhir:CarePlan.activity.detail.reasonCode [ CodeableConcept ], ... ; # 0..* Why activity should be done or why activity was prohibited
      fhir:CarePlan.activity.detail.reasonReference [ Reference(Condition) ], ... ; # 0..* Condition triggering need for activity
      fhir:CarePlan.activity.detail.goal [ Reference(Goal) ], ... ; # 0..* Goals this activity relates to
      fhir:CarePlan.activity.detail.status [ code ]; # 1..1 not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown
      fhir:CarePlan.activity.detail.statusReason [ string ]; # 0..1 Reason for current status
      fhir:CarePlan.activity.detail.prohibited [ boolean ]; # 0..1 Do NOT do
      # CarePlan.activity.detail.scheduled[x] : 0..1 When activity is to occur. One of these 3
        fhir:CarePlan.activity.detail.scheduledTiming [ Timing ]
        fhir:CarePlan.activity.detail.scheduledPeriod [ Period ]
        fhir:CarePlan.activity.detail.scheduledString [ string ]
      fhir:CarePlan.activity.detail.location [ Reference(Location) ]; # 0..1 Where it should happen
      fhir:CarePlan.activity.detail.performer [ Reference(Practitioner|Organization|RelatedPerson|Patient|CareTeam) ], ... ; # 0..* Who will be responsible?
      # CarePlan.activity.detail.product[x] : 0..1 What is to be administered/supplied. One of these 2
        fhir:CarePlan.activity.detail.productCodeableConcept [ CodeableConcept ]
        fhir:CarePlan.activity.detail.productReference [ Reference(Medication|Substance) ]
      fhir:CarePlan.activity.detail.dailyAmount [ Quantity(SimpleQuantity) ]; # 0..1 How to consume/day?
      fhir:CarePlan.activity.detail.quantity [ Quantity(SimpleQuantity) ]; # 0..1 How much to administer/supply/consume
      fhir:CarePlan.activity.detail.description [ string ]; # 0..1 Extra info describing activity to perform
    ];
  ], ...;
  fhir:CarePlan.note [ Annotation ], ... ; # 0..* Comments about the plan
]

Changes since DSTU2

CarePlan
CarePlan.definition
  • Added Element
CarePlan.basedOn
  • Added Element
CarePlan.replaces
  • Added Element
CarePlan.partOf
  • Added Element
CarePlan.intent
  • Added Element
CarePlan.title
  • Added Element
CarePlan.subject
  • Min Cardinality changed from 0 to 1
CarePlan.author
  • Add Reference(CareTeam)
CarePlan.careTeam
  • Added Element
CarePlan.supportingInfo
  • Renamed from support to supportingInfo
CarePlan.activity.outcomeCodeableConcept
  • Added Element
CarePlan.activity.outcomeReference
  • Renamed from actionResulting to outcomeReference
CarePlan.activity.reference
  • Remove Reference(DiagnosticOrder), Remove Reference(MedicationOrder), Remove Reference(Order), Remove Reference(ProcessRequest), Remove Reference(SupplyRequest), Add Reference(MedicationRequest), Add Reference(Task), Add Reference(RequestGroup)
CarePlan.activity.detail.definition
  • Added Element
CarePlan.activity.detail.status
  • Min Cardinality changed from 0 to 1
CarePlan.activity.detail.statusReason
  • Type changed from CodeableConcept to string
CarePlan.activity.detail.prohibited
  • Min Cardinality changed from 1 to 0
  • Default Value "false" added
CarePlan.activity.detail.performer
  • Add Reference(CareTeam)
CarePlan.note
  • Max Cardinality changed from 1 to *
CarePlan.modified
  • deleted
CarePlan.relatedPlan
  • deleted
CarePlan.participant
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R2 <--> R3 Conversion Maps (status = 10 tests that all execute ok. 8 fail round-trip testing and 10 r3 resources are invalid (33 errors).).

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan DomainResourceHealthcare plan for patient or group
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierExternal Ids for this plan
... definition Σ0..*Reference(PlanDefinition | Questionnaire)Protocol or definition
... basedOn Σ0..*Reference(CarePlan)Fulfills care plan
... replaces Σ0..*Reference(CarePlan)CarePlan replaced by this CarePlan
... partOf Σ0..*Reference(CarePlan)Part of referenced CarePlan
... status ?!Σ1..1codedraft | active | suspended | completed | entered-in-error | cancelled | unknown
CarePlanStatus (Required)
... intent ?!Σ1..1codeproposal | plan | order | option
CarePlanIntent (Required)
... category Σ0..*CodeableConceptType of plan
Care Plan Category (Example)
... title Σ0..1stringHuman-friendly name for the CarePlan
... description Σ0..1stringSummary of nature of plan
... subject Σ1..1Reference(Patient | Group)Who care plan is for
... context Σ0..1Reference(Encounter | EpisodeOfCare)Created in context of
... period Σ0..1PeriodTime period plan covers
... author Σ0..*Reference(Patient | Practitioner | RelatedPerson | Organization | CareTeam)Who is responsible for contents of the plan
... careTeam 0..*Reference(CareTeam)Who's involved in plan?
... addresses Σ0..*Reference(Condition)Health issues this plan addresses
... supportingInfo 0..*Reference(Any)Information considered as part of plan
... goal 0..*Reference(Goal)Desired outcome of plan
... activity I0..*BackboneElementAction to occur as part of plan
+ Provide a reference or detail, not both
.... outcomeCodeableConcept 0..*CodeableConceptResults of the activity
Care Plan Activity Outcome (Example)
.... outcomeReference 0..*Reference(Any)Appointment, Encounter, Procedure, etc.
.... progress 0..*AnnotationComments about the activity status/progress
.... reference I0..1Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ProcedureRequest | ReferralRequest | VisionPrescription | RequestGroup)Activity details defined in specific resource
.... detail I0..1BackboneElementIn-line definition of activity
..... category 0..1CodeableConceptdiet | drug | encounter | observation | procedure | supply | other
CarePlanActivityCategory (Example)
..... definition 0..1Reference(PlanDefinition | ActivityDefinition | Questionnaire)Protocol or definition
..... code 0..1CodeableConceptDetail type of activity
Care Plan Activity (Example)
..... reasonCode 0..*CodeableConceptWhy activity should be done or why activity was prohibited
Activity Reason (Example)
..... reasonReference 0..*Reference(Condition)Condition triggering need for activity
..... goal 0..*Reference(Goal)Goals this activity relates to
..... status ?!1..1codenot-started | scheduled | in-progress | on-hold | completed | cancelled | unknown
CarePlanActivityStatus (Required)
..... statusReason 0..1stringReason for current status
..... prohibited ?!0..1booleanDo NOT do
..... scheduled[x] 0..1When activity is to occur
...... scheduledTimingTiming
...... scheduledPeriodPeriod
...... scheduledStringstring
..... location 0..1Reference(Location)Where it should happen
..... performer 0..*Reference(Practitioner | Organization | RelatedPerson | Patient | CareTeam)Who will be responsible?
..... product[x] 0..1What is to be administered/supplied
SNOMED CT Medication Codes (Example)
...... productCodeableConceptCodeableConcept
...... productReferenceReference(Medication | Substance)
..... dailyAmount 0..1SimpleQuantityHow to consume/day?
..... quantity 0..1SimpleQuantityHow much to administer/supply/consume
..... description 0..1stringExtra info describing activity to perform
... note 0..*AnnotationComments about the plan

doco Documentation for this format

UML Diagram (Legend)

CarePlan (DomainResource)📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนidentifier : Identifier [0..*]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdefinition : Reference [0..*] PlanDefinition|Questionnaire 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนbasedOn : Reference [0..*] CarePlan 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreplaces : Reference [0..*] CarePlan 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนpartOf : Reference [0..*] CarePlan 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนstatus : code [1..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanStatus! 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนintent : code [1..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanIntent! 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcategory : CodeableConcept [0..*] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCare Plan Category?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนtitle : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdescription : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนsubject : Reference [1..1] Patient|Group 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcontext : Reference [0..1] Encounter|EpisodeOfCare 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนperiod : Period [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนauthor : Reference [0..*] Patient|Practitioner|RelatedPerson| Organization|CareTeam 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcareTeam : Reference [0..*] CareTeam 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนaddresses : Reference [0..*] Condition 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนsupportingInfo : Reference [0..*] Any 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนgoal : Reference [0..*] Goal 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนnote : Annotation [0..*]Activity📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนoutcomeCodeableConcept : CodeableConcept [0..*] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCare Plan Activity Outcome?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนoutcomeReference : Reference [0..*] Any 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนprogress : Annotation [0..*]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreference : Reference [0..1] Appointment|CommunicationRequest| DeviceRequest|MedicationRequest|NutritionOrder|Task| ProcedureRequest|ReferralRequest|VisionPrescription| RequestGroup Detail📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcategory : CodeableConcept [0..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanActivityCategory?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdefinition : Reference [0..1] PlanDefinition|ActivityDefinition| Questionnaire 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนcode : CodeableConcept [0..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCare Plan Activity?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreasonCode : CodeableConcept [0..*] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนActivity Reason?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนreasonReference : Reference [0..*] Condition 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนgoal : Reference [0..*] Goal 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนstatus : code [1..1] 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนCarePlanActivityStatus! 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนstatusReason : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนprohibited : boolean [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนscheduled[x] : Type [0..1] Timing|Period|string 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนlocation : Reference [0..1] Location 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนperformer : Reference [0..*] Practitioner|Organization| RelatedPerson|Patient|CareTeam 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนproduct[x] : Type [0..1] CodeableConcept|Reference(Medication| Substance); 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนSNOMED CT Medication ?? 📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdailyAmount : Quantity(SimpleQuantity) [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนquantity : Quantity(SimpleQuantity) [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdescription : string [0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนdetail[0..1]📢 แจ้งเตือน: fhir/STU/careplan.html - ประเด็นร้อนactivity[0..*]

XML Template

<CarePlan xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this plan --></identifier>
 <definition><!-- 0..* Reference(PlanDefinition|Questionnaire) Protocol or definition --></definition>
 <basedOn><!-- 0..* Reference(CarePlan) Fulfills care plan --></basedOn>
 <replaces><!-- 0..* Reference(CarePlan) CarePlan replaced by this CarePlan --></replaces>
 <partOf><!-- 0..* Reference(CarePlan) Part of referenced CarePlan --></partOf>
 <status value="[code]"/><!-- 1..1 draft | active | suspended | completed | entered-in-error | cancelled | unknown -->
 <intent value="[code]"/><!-- 1..1 proposal | plan | order | option -->
 <category><!-- 0..* CodeableConcept Type of plan --></category>
 <title value="[string]"/><!-- 0..1 Human-friendly name for the CarePlan -->
 <description value="[string]"/><!-- 0..1 Summary of nature of plan -->
 <subject><!-- 1..1 Reference(Patient|Group) Who care plan is for --></subject>
 <context><!-- 0..1 Reference(Encounter|EpisodeOfCare) Created in context of --></context>
 <period><!-- 0..1 Period Time period plan covers --></period>
 <author><!-- 0..* Reference(Patient|Practitioner|RelatedPerson|Organization|
   CareTeam) Who is responsible for contents of the plan --></author>
 <careTeam><!-- 0..* Reference(CareTeam) Who's involved in plan? --></careTeam>
 <addresses><!-- 0..* Reference(Condition) Health issues this plan addresses --></addresses>
 <supportingInfo><!-- 0..* Reference(Any) Information considered as part of plan --></supportingInfo>
 <goal><!-- 0..* Reference(Goal) Desired outcome of plan --></goal>
 <activity>  <!-- 0..* Action to occur as part of plan -->
  <outcomeCodeableConcept><!-- 0..* CodeableConcept Results of the activity --></outcomeCodeableConcept>
  <outcomeReference><!-- 0..* Reference(Any) Appointment, Encounter, Procedure, etc. --></outcomeReference>
  <progress><!-- 0..* Annotation Comments about the activity status/progress --></progress>
  <reference><!-- ?? 0..1 Reference(Appointment|CommunicationRequest|DeviceRequest|
    MedicationRequest|NutritionOrder|Task|ProcedureRequest|ReferralRequest|
    VisionPrescription|RequestGroup) Activity details defined in specific resource --></reference>
  <detail>  <!-- ?? 0..1 In-line definition of activity -->
   <category><!-- 0..1 CodeableConcept diet | drug | encounter | observation | procedure | supply | other --></category>
   <definition><!-- 0..1 Reference(PlanDefinition|ActivityDefinition|
     Questionnaire) Protocol or definition --></definition>
   <code><!-- 0..1 CodeableConcept Detail type of activity --></code>
   <reasonCode><!-- 0..* CodeableConcept Why activity should be done or why activity was prohibited --></reasonCode>
   <reasonReference><!-- 0..* Reference(Condition) Condition triggering need for activity --></reasonReference>
   <goal><!-- 0..* Reference(Goal) Goals this activity relates to --></goal>
   <status value="[code]"/><!-- 1..1 not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown -->
   <statusReason value="[string]"/><!-- 0..1 Reason for current status -->
   <prohibited value="[boolean]"/><!-- 0..1 Do NOT do -->
   <scheduled[x]><!-- 0..1 Timing|Period|string When activity is to occur --></scheduled[x]>
   <location><!-- 0..1 Reference(Location) Where it should happen --></location>
   <performer><!-- 0..* Reference(Practitioner|Organization|RelatedPerson|Patient|
     CareTeam) Who will be responsible? --></performer>
   <product[x]><!-- 0..1 CodeableConcept|Reference(Medication|Substance) What is to be administered/supplied --></product[x]>
   <dailyAmount><!-- 0..1 Quantity(SimpleQuantity) How to consume/day? --></dailyAmount>
   <quantity><!-- 0..1 Quantity(SimpleQuantity) How much to administer/supply/consume --></quantity>
   <description value="[string]"/><!-- 0..1 Extra info describing activity to perform -->
  </detail>
 </activity>
 <note><!-- 0..* Annotation Comments about the plan --></note>
</CarePlan>

JSON Template

{doco
  "resourceType" : "CarePlan",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this plan
  "definition" : [{ Reference(PlanDefinition|Questionnaire) }], // Protocol or definition
  "basedOn" : [{ Reference(CarePlan) }], // Fulfills care plan
  "replaces" : [{ Reference(CarePlan) }], // CarePlan replaced by this CarePlan
  "partOf" : [{ Reference(CarePlan) }], // Part of referenced CarePlan
  "status" : "<code>", // R!  draft | active | suspended | completed | entered-in-error | cancelled | unknown
  "intent" : "<code>", // R!  proposal | plan | order | option
  "category" : [{ CodeableConcept }], // Type of plan
  "title" : "<string>", // Human-friendly name for the CarePlan
  "description" : "<string>", // Summary of nature of plan
  "subject" : { Reference(Patient|Group) }, // R!  Who care plan is for
  "context" : { Reference(Encounter|EpisodeOfCare) }, // Created in context of
  "period" : { Period }, // Time period plan covers
  "author" : [{ Reference(Patient|Practitioner|RelatedPerson|Organization|
   CareTeam) }], // Who is responsible for contents of the plan
  "careTeam" : [{ Reference(CareTeam) }], // Who's involved in plan?
  "addresses" : [{ Reference(Condition) }], // Health issues this plan addresses
  "supportingInfo" : [{ Reference(Any) }], // Information considered as part of plan
  "goal" : [{ Reference(Goal) }], // Desired outcome of plan
  "activity" : [{ // Action to occur as part of plan
    "outcomeCodeableConcept" : [{ CodeableConcept }], // Results of the activity
    "outcomeReference" : [{ Reference(Any) }], // Appointment, Encounter, Procedure, etc.
    "progress" : [{ Annotation }], // Comments about the activity status/progress
    "reference" : { Reference(Appointment|CommunicationRequest|DeviceRequest|
    MedicationRequest|NutritionOrder|Task|ProcedureRequest|ReferralRequest|
    VisionPrescription|RequestGroup) }, // C? Activity details defined in specific resource
    "detail" : { // C? In-line definition of activity
      "category" : { CodeableConcept }, // diet | drug | encounter | observation | procedure | supply | other
      "definition" : { Reference(PlanDefinition|ActivityDefinition|
     Questionnaire) }, // Protocol or definition
      "code" : { CodeableConcept }, // Detail type of activity
      "reasonCode" : [{ CodeableConcept }], // Why activity should be done or why activity was prohibited
      "reasonReference" : [{ Reference(Condition) }], // Condition triggering need for activity
      "goal" : [{ Reference(Goal) }], // Goals this activity relates to
      "status" : "<code>", // R!  not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown
      "statusReason" : "<string>", // Reason for current status
      "prohibited" : <boolean>, // Do NOT do
      // scheduled[x]: When activity is to occur. One of these 3:
      "scheduledTiming" : { Timing },
      "scheduledPeriod" : { Period },
      "scheduledString" : "<string>",
      "location" : { Reference(Location) }, // Where it should happen
      "performer" : [{ Reference(Practitioner|Organization|RelatedPerson|Patient|
     CareTeam) }], // Who will be responsible?
      // product[x]: What is to be administered/supplied. One of these 2:
      "productCodeableConcept" : { CodeableConcept },
      "productReference" : { Reference(Medication|Substance) },
      "dailyAmount" : { Quantity(SimpleQuantity) }, // How to consume/day?
      "quantity" : { Quantity(SimpleQuantity) }, // How much to administer/supply/consume
      "description" : "<string>" // Extra info describing activity to perform
    }
  }],
  "note" : [{ Annotation }] // Comments about the plan
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:CarePlan;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:CarePlan.identifier [ Identifier ], ... ; # 0..* External Ids for this plan
  fhir:CarePlan.definition [ Reference(PlanDefinition|Questionnaire) ], ... ; # 0..* Protocol or definition
  fhir:CarePlan.basedOn [ Reference(CarePlan) ], ... ; # 0..* Fulfills care plan
  fhir:CarePlan.replaces [ Reference(CarePlan) ], ... ; # 0..* CarePlan replaced by this CarePlan
  fhir:CarePlan.partOf [ Reference(CarePlan) ], ... ; # 0..* Part of referenced CarePlan
  fhir:CarePlan.status [ code ]; # 1..1 draft | active | suspended | completed | entered-in-error | cancelled | unknown
  fhir:CarePlan.intent [ code ]; # 1..1 proposal | plan | order | option
  fhir:CarePlan.category [ CodeableConcept ], ... ; # 0..* Type of plan
  fhir:CarePlan.title [ string ]; # 0..1 Human-friendly name for the CarePlan
  fhir:CarePlan.description [ string ]; # 0..1 Summary of nature of plan
  fhir:CarePlan.subject [ Reference(Patient|Group) ]; # 1..1 Who care plan is for
  fhir:CarePlan.context [ Reference(Encounter|EpisodeOfCare) ]; # 0..1 Created in context of
  fhir:CarePlan.period [ Period ]; # 0..1 Time period plan covers
  fhir:CarePlan.author [ Reference(Patient|Practitioner|RelatedPerson|Organization|CareTeam) ], ... ; # 0..* Who is responsible for contents of the plan
  fhir:CarePlan.careTeam [ Reference(CareTeam) ], ... ; # 0..* Who's involved in plan?
  fhir:CarePlan.addresses [ Reference(Condition) ], ... ; # 0..* Health issues this plan addresses
  fhir:CarePlan.supportingInfo [ Reference(Any) ], ... ; # 0..* Information considered as part of plan
  fhir:CarePlan.goal [ Reference(Goal) ], ... ; # 0..* Desired outcome of plan
  fhir:CarePlan.activity [ # 0..* Action to occur as part of plan
    fhir:CarePlan.activity.outcomeCodeableConcept [ CodeableConcept ], ... ; # 0..* Results of the activity
    fhir:CarePlan.activity.outcomeReference [ Reference(Any) ], ... ; # 0..* Appointment, Encounter, Procedure, etc.
    fhir:CarePlan.activity.progress [ Annotation ], ... ; # 0..* Comments about the activity status/progress
    fhir:CarePlan.activity.reference [ Reference(Appointment|CommunicationRequest|DeviceRequest|MedicationRequest|NutritionOrder|
  Task|ProcedureRequest|ReferralRequest|VisionPrescription|RequestGroup) ]; # 0..1 Activity details defined in specific resource
    fhir:CarePlan.activity.detail [ # 0..1 In-line definition of activity
      fhir:CarePlan.activity.detail.category [ CodeableConcept ]; # 0..1 diet | drug | encounter | observation | procedure | supply | other
      fhir:CarePlan.activity.detail.definition [ Reference(PlanDefinition|ActivityDefinition|Questionnaire) ]; # 0..1 Protocol or definition
      fhir:CarePlan.activity.detail.code [ CodeableConcept ]; # 0..1 Detail type of activity
      fhir:CarePlan.activity.detail.reasonCode [ CodeableConcept ], ... ; # 0..* Why activity should be done or why activity was prohibited
      fhir:CarePlan.activity.detail.reasonReference [ Reference(Condition) ], ... ; # 0..* Condition triggering need for activity
      fhir:CarePlan.activity.detail.goal [ Reference(Goal) ], ... ; # 0..* Goals this activity relates to
      fhir:CarePlan.activity.detail.status [ code ]; # 1..1 not-started | scheduled | in-progress | on-hold | completed | cancelled | unknown
      fhir:CarePlan.activity.detail.statusReason [ string ]; # 0..1 Reason for current status
      fhir:CarePlan.activity.detail.prohibited [ boolean ]; # 0..1 Do NOT do
      # CarePlan.activity.detail.scheduled[x] : 0..1 When activity is to occur. One of these 3
        fhir:CarePlan.activity.detail.scheduledTiming [ Timing ]
        fhir:CarePlan.activity.detail.scheduledPeriod [ Period ]
        fhir:CarePlan.activity.detail.scheduledString [ string ]
      fhir:CarePlan.activity.detail.location [ Reference(Location) ]; # 0..1 Where it should happen
      fhir:CarePlan.activity.detail.performer [ Reference(Practitioner|Organization|RelatedPerson|Patient|CareTeam) ], ... ; # 0..* Who will be responsible?
      # CarePlan.activity.detail.product[x] : 0..1 What is to be administered/supplied. One of these 2
        fhir:CarePlan.activity.detail.productCodeableConcept [ CodeableConcept ]
        fhir:CarePlan.activity.detail.productReference [ Reference(Medication|Substance) ]
      fhir:CarePlan.activity.detail.dailyAmount [ Quantity(SimpleQuantity) ]; # 0..1 How to consume/day?
      fhir:CarePlan.activity.detail.quantity [ Quantity(SimpleQuantity) ]; # 0..1 How much to administer/supply/consume
      fhir:CarePlan.activity.detail.description [ string ]; # 0..1 Extra info describing activity to perform
    ];
  ], ...;
  fhir:CarePlan.note [ Annotation ], ... ; # 0..* Comments about the plan
]

Changes since DSTU2

CarePlan
CarePlan.definition
  • Added Element
CarePlan.basedOn
  • Added Element
CarePlan.replaces
  • Added Element
CarePlan.partOf
  • Added Element
CarePlan.intent
  • Added Element
CarePlan.title
  • Added Element
CarePlan.subject
  • Min Cardinality changed from 0 to 1
CarePlan.author
  • Add Reference(CareTeam)
CarePlan.careTeam
  • Added Element
CarePlan.supportingInfo
  • Renamed from support to supportingInfo
CarePlan.activity.outcomeCodeableConcept
  • Added Element
CarePlan.activity.outcomeReference
  • Renamed from actionResulting to outcomeReference
CarePlan.activity.reference
  • Remove Reference(DiagnosticOrder), Remove Reference(MedicationOrder), Remove Reference(Order), Remove Reference(ProcessRequest), Remove Reference(SupplyRequest), Add Reference(MedicationRequest), Add Reference(Task), Add Reference(RequestGroup)
CarePlan.activity.detail.definition
  • Added Element
CarePlan.activity.detail.status
  • Min Cardinality changed from 0 to 1
CarePlan.activity.detail.statusReason
  • Type changed from CodeableConcept to string
CarePlan.activity.detail.prohibited
  • Min Cardinality changed from 1 to 0
  • Default Value "false" added
CarePlan.activity.detail.performer
  • Add Reference(CareTeam)
CarePlan.note
  • Max Cardinality changed from 1 to *
CarePlan.modified
  • deleted
CarePlan.relatedPlan
  • deleted
CarePlan.participant
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R2 <--> R3 Conversion Maps (status = 10 tests that all execute ok. 8 fail round-trip testing and 10 r3 resources are invalid (33 errors).).

 

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle)

PathDefinitionTypeReference
CarePlan.status Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.RequiredCarePlanStatus
CarePlan.intent Codes indicating the degree of authority/intentionality associated with a care planRequiredCarePlanIntent
CarePlan.category Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.ExampleCare Plan Category
CarePlan.activity.outcomeCodeableConcept Identifies the results of the activityExampleCare Plan Activity Outcome
CarePlan.activity.detail.category High-level categorization of the type of activity in a care plan.ExampleCarePlanActivityCategory
CarePlan.activity.detail.code Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.ExampleCare Plan Activity
CarePlan.activity.detail.reasonCode 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.ExampleActivity Reason
CarePlan.activity.detail.status Indicates where the activity is at in its overall life cycle.RequiredCarePlanActivityStatus
CarePlan.activity.detail.product[x] A product supplied or administered as part of a care plan activity.ExampleSNOMED CT Medication Codes

  • cpl-3: On CarePlan.activity: Provide a reference or detail, not both (expression on CarePlan.activity: detail.empty() or reference.empty())

The Provenance resource can be used for detailed review information, such as when the care plan was last reviewed and by whom.

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
activity-codetokenDetail type of activityCarePlan.activity.detail.code
activity-datedateSpecified date occurs within period specified by CarePlan.activity.timingScheduleCarePlan.activity.detail.scheduled
activity-referencereferenceActivity details defined in specific resourceCarePlan.activity.reference
(Appointment, ReferralRequest, MedicationRequest, Task, NutritionOrder, RequestGroup, VisionPrescription, ProcedureRequest, DeviceRequest, CommunicationRequest)
based-onreferenceFulfills care planCarePlan.basedOn
(CarePlan)
care-teamreferenceWho's involved in plan?CarePlan.careTeam
(CareTeam)
categorytokenType of planCarePlan.category
conditionreferenceHealth issues this plan addressesCarePlan.addresses
(Condition)
contextreferenceCreated in context ofCarePlan.context
(EpisodeOfCare, Encounter)
datedateTime period plan coversCarePlan.period18 Resources
definitionreferenceProtocol or definitionCarePlan.definition
(Questionnaire, PlanDefinition)
encounterreferenceCreated in context ofCarePlan.context
(Encounter)
goalreferenceDesired outcome of planCarePlan.goal
(Goal)
identifiertokenExternal Ids for this planCarePlan.identifier26 Resources
intenttokenproposal | plan | order | optionCarePlan.intent
part-ofreferencePart of referenced CarePlanCarePlan.partOf
(CarePlan)
patientreferenceWho care plan is forCarePlan.subject
(Patient)
31 Resources
performerreferenceMatches if the practitioner is listed as a performer in any of the "simple" activities. (For performers of the detailed activities, chain through the activitydetail search parameter.)CarePlan.activity.detail.performer
(Practitioner, Organization, CareTeam, Patient, RelatedPerson)
replacesreferenceCarePlan replaced by this CarePlanCarePlan.replaces
(CarePlan)
statustokendraft | active | suspended | completed | entered-in-error | cancelled | unknownCarePlan.status
subjectreferenceWho care plan is forCarePlan.subject
(Group, Patient)