Finnish Base Profiles
0.2.0 - ci-build
Finnish Base Profiles - Local Development build (v0.2.0). See the Directory of published versions
Draft as of 2020-02-04 |
Definitions for the fiphr-sd-selfcareplan-r4 resource profile.
Guidance on how to interpret the contents of this table can be found here.
1. CarePlan | |
2. CarePlan.meta | |
Control | 0..? |
3. CarePlan.meta.profile | |
Definition | FinnishPHR: fiphrProfile SHALL be used. Other profiles MAY be used. A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. |
Control | 1..? |
Slicing | This element introduces a set of slices on CarePlan.meta.profile. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
4. CarePlan.meta.profile:fiphrProfile | |
SliceName | fiphrProfile |
Control | 1..1 |
Fixed Value | http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcareplan-r4 |
5. CarePlan.language | |
Control | 10..1 |
Binding | Finnish PHR: A code of human language. A human language. |
6. CarePlan.text | |
Definition | Narrative contains clinically relevant information of the resource in a human-readable format. The following fields are used: CarePlan.title, CarePlan.status, CarePlan.period, CarePlan.category, CarePlan.goal, CarePlan.description. If available, a text representation of SelfCareGoal resource is included in the narrative. A human-readable narrative that contains a summary of the resource and can 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. |
Control | 10..1 |
7. CarePlan.contained | |
Control | 0..0* |
Type | Resource(http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcaregoal-r4) |
8. CarePlan.extension | |
Slicing | This element introduces a set of slices on CarePlan.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
9. CarePlan.extension:creatingApplication | |
SliceName | creatingApplication |
Control | 0..1 |
Type | Extension(FIPHREXTCreatingApplication) (Complex Extension) |
10. CarePlan.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* |
11. CarePlan.identifier.use | |
Definition | The purpose of this identifier. Finnish PHR: The code 'official' SHALL be only used if the given identifier value is truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system). |
Control | 0..? |
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. |
12. CarePlan.identifier.system | |
Control | 1..? |
13. CarePlan.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. Finnish PHR: At least one of the identifiers SHALL be truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system). |
Control | 1..? |
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. |
14. CarePlan.identifier.assigner | |
Control | 0..0 |
15. CarePlan.instantiatesCanonical | |
Control | 0..0* |
16. CarePlan.instantiatesUri | |
Control | 0..0* |
17. CarePlan.basedOn | |
Control | 0..0* |
18. CarePlan.replaces | |
Control | 0..0* |
19. CarePlan.partOf | |
Control | 0..0* |
20. CarePlan.status | |
Fixed Value | completed |
21. CarePlan.intent | |
Fixed Value | plan |
22. CarePlan.category | |
Control | 10..1* |
Binding | The codes SHALL be taken from Finnish PHR CarePlan Category value set; other codes may be used where these codes are not suitableFor example codes, see CarePlanCategory Identifies what "kind" of self-care plan this is to support differentiation between multiple co-existing plans. Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. |
23. CarePlan.category.coding | |
Definition | FinnishPHR: fiphrCategory SHALL be used. Other categories MAY be used. A reference to a code defined by a terminology system. |
Control | 1..? |
Slicing | This element introduces a set of slices on CarePlan.category.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
24. CarePlan.category.coding:fiphrCoding | |
SliceName | fiphrCoding |
Control | 1..1 |
25. CarePlan.category.coding:fiphrCoding.system | |
Control | 1..? |
Fixed Value | http://phr.kanta.fi/CodeSystem/fiphr-cs-careplancategory |
26. CarePlan.category.coding:fiphrCoding.code | |
Control | 1..? |
27. CarePlan.category.coding:fiphrCoding.display | |
Control | 1..? |
28. CarePlan.title | |
Control | 10..1 |
29. CarePlan.description | |
Control | 10..1 |
30. CarePlan.subject | |
Type | Reference(FIPHRSDPatient|Patient|Group) : {r} |
31. CarePlan.subject.reference | |
Control | 1..? |
32. CarePlan.subject.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
33. CarePlan.subject.identifier.assigner | |
Control | 0..0 |
34. CarePlan.encounter | |
Control | 0..01 |
35. CarePlan.author | |
Control | 10..1 |
Type | Reference(FIPHRSDPatient|Patient|Practitioner|PractitionerRole|Device|RelatedPerson|Organization|CareTeam) : {r} |
36. CarePlan.author.reference | |
Control | 1..? |
37. CarePlan.author.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
38. CarePlan.author.identifier.assigner | |
Control | 0..0 |
39. CarePlan.contributor | |
Control | 0..0* |
40. CarePlan.careTeam | |
Control | 0..0* |
41. CarePlan.addresses | |
Control | 0..0* |
42. 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. Links also symptom check questionnaire responses to the careplan Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. |
Type | Reference(FIPHRSDQuestionnairesResponsesR4|Resource) |
43. CarePlan.supportingInfo.reference | |
Control | 1..? |
44. CarePlan.supportingInfo.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..? |
45. CarePlan.supportingInfo.identifier.assigner | |
Control | 0..0 |
46. CarePlan.goal | |
Control | 0..0* |
Type | Reference(http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcaregoal-r4|Goal) : {c} |
47. CarePlan.activity | |
Control | 0..0* |
48. CarePlan.note | |
Control | 0..0* |
Guidance on how to interpret the contents of this table can be found here.
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. |
Control | 0..* |
Summary | false |
Alternate Names | Care Team |
Invariants | Defined on this element 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 or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.`div`.exists()) |
2. 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Summary | true |
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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
3. CarePlan.language | |
Definition | The base language in which the resource is written. |
Control | 10..1 |
Binding | The codes SHALL be taken from CommonLanguagesThe codes SHOULD be taken from CommonLanguages Finnish PHR: A code of human language. A human language. |
Type | code |
Summary | false |
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). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
4. CarePlan.text | |
Definition | Narrative contains clinically relevant information of the resource in a human-readable format. The following fields are used: CarePlan.title, CarePlan.status, CarePlan.period, CarePlan.category, CarePlan.goal, CarePlan.description. If available, a text representation of SelfCareGoal resource is included in the narrative. A human-readable narrative that contains a summary of the resource and can 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. |
Control | 10..1 |
Type | Narrative |
Summary | false |
Alternate Names | narrative, 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 information is added later. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
5. 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. |
Control | 0..0* |
Type | Resource(http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcaregoal-r4) |
Summary | false |
Alternate Names | inline 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
6. CarePlan.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
7. CarePlan.extension:creatingApplication | |
SliceName | creatingApplication |
Definition | Application identification information. SHALL have same values that has been registered for application in PHR application catalog. May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..1* This element is affected by the following invariants: ele-1 |
Type | Extension(FIPHREXTCreatingApplication) (Complex Extension) |
Invariants | Defined on this element ele-1: (: ) ext-1: (: ) |
8. 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
9. CarePlan.identifier | |
Definition | Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* |
Type | Identifier |
Summary | true |
Requirements | Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. |
Comments | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. CarePlan.identifier.use | |
Definition | The purpose of this identifier. Finnish PHR: The code 'official' SHALL be only used if the given identifier value is truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system). The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true |
Summary | true |
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. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
11. CarePlan.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 10..1 |
Type | uri |
Summary | true |
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. |
Comments | Identifier.system is always case sensitive. |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
12. CarePlan.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. Finnish PHR: At least one of the identifiers SHALL be truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system). The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 10..1 |
Type | string |
Summary | true |
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. 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. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
13. CarePlan.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..01 |
Type | Reference(Organization) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
14. CarePlan.instantiatesCanonical | |
Definition | The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. |
Control | 0..0* |
Type | canonical(PlanDefinition|Questionnaire|Measure|ActivityDefinition|OperationDefinition) |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
15. CarePlan.instantiatesUri | |
Definition | The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. |
Control | 0..0* |
Type | uri |
Summary | true |
Comments | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
16. CarePlan.basedOn | |
Definition | A care plan that is fulfilled in whole or in part by this care plan. |
Control | 0..0* |
Type | Reference(CarePlan) |
Summary | true |
Requirements | Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. |
Alternate Names | fulfills |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
17. CarePlan.replaces | |
Definition | Completed or terminated care plan whose function is taken by this new care plan. |
Control | 0..0* |
Type | Reference(CarePlan) |
Summary | true |
Requirements | Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. |
Alternate Names | supersedes |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
18. CarePlan.partOf | |
Definition | A larger care plan of which this particular care plan is a component or step. |
Control | 0..0* |
Type | Reference(CarePlan) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
19. CarePlan.status | |
Definition | Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
Control | 1..1 |
Binding | The codes SHALL be taken from RequestStatus Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
Type | code |
Is Modifier | true |
Summary | true |
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. |
Fixed Value | completed |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
20. CarePlan.intent | |
Definition | Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain. |
Control | 1..1 |
Binding | The codes SHALL be taken from CarePlanIntent Codes indicating the degree of authority/intentionality associated with a care plan. |
Type | code |
Is Modifier | true |
Summary | true |
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. |
Fixed Value | plan |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. 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. |
Control | 10..1* |
Binding | The codes SHALL be taken from Finnish PHR CarePlan Category value set; other codes may be used where these codes are not suitableFor example codes, see CarePlanCategory Identifies what "kind" of self-care plan this is to support differentiation between multiple co-existing plans. Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. |
Type | CodeableConcept |
Summary | true |
Requirements | Used for filtering what plan(s) are retrieved and displayed to different types of users. |
Comments | There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
22. CarePlan.category.coding | |
Definition | FinnishPHR: fiphrCategory SHALL be used. Other categories MAY be used. A reference to a code defined by a terminology system. A reference to a code defined by a terminology system. |
Control | 10..* |
Type | Coding |
Summary | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on CarePlan.category.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
23. CarePlan.category.coding:fiphrCoding | |
SliceName | fiphrCoding |
Definition | A reference to a code defined by a terminology system. |
Control | 10..1* |
Type | Coding |
Summary | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
24. CarePlan.category.coding:fiphrCoding.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Control | 10..1 |
Type | uri |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Fixed Value | http://phr.kanta.fi/CodeSystem/fiphr-cs-careplancategory |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
25. CarePlan.category.coding:fiphrCoding.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Control | 10..1 |
Type | code |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
26. CarePlan.category.coding:fiphrCoding.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Control | 10..1 |
Type | string |
Summary | true |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
27. CarePlan.title | |
Definition | Human-friendly name for the care plan. |
Control | 10..1 |
Type | string |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
28. CarePlan.description | |
Definition | A description of the scope and nature of the plan. |
Control | 10..1 |
Type | string |
Summary | true |
Requirements | Provides more detail than conveyed by category. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
29. CarePlan.subject | |
Definition | Identifies the patient or group whose intended care is described by the plan. |
Control | 1..1 |
Type | Reference(FIPHRSDPatient|Patient|Group) : {r} |
Summary | true |
Alternate Names | patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
30. CarePlan.subject.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 10..1 This element is affected by the following invariants: ref-1 |
Type | string |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
31. CarePlan.encounter | |
Definition | The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated. |
Control | 0..01 |
Type | Reference(Encounter) |
Summary | true |
Comments | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
32. CarePlan.author | |
Definition | When populated, the author is responsible for the care plan. The care plan is attributed to the author. |
Control | 10..1 |
Type | Reference(FIPHRSDPatient|Patient|Practitioner|PractitionerRole|Device|RelatedPerson|Organization|CareTeam) : {r} |
Summary | true |
Comments | The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
33. CarePlan.author.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 10..1 This element is affected by the following invariants: ref-1 |
Type | string |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
34. CarePlan.contributor | |
Definition | Identifies the individual(s) or organization who provided the contents of the care plan. |
Control | 0..0* |
Type | Reference(Patient|Practitioner|PractitionerRole|Device|RelatedPerson|Organization|CareTeam) |
Summary | false |
Comments | Collaborative care plans may have multiple contributors. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
35. CarePlan.careTeam | |
Definition | Identifies all people and organizations who are expected to be involved in the care envisioned by this plan. |
Control | 0..0* |
Type | Reference(CareTeam) |
Summary | false |
Requirements | Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
36. CarePlan.addresses | |
Definition | Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. |
Control | 0..0* |
Type | Reference(Condition) |
Summary | true |
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. |
Comments | When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
37. 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. Links also symptom check questionnaire responses to the careplan Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. |
Control | 0..* |
Type | Reference(FIPHRSDQuestionnairesResponsesR4|Resource) |
Summary | false |
Requirements | Identifies barriers and other considerations associated with the care plan. |
Comments | Use "concern" to identify specific conditions addressed by the care plan. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
38. CarePlan.supportingInfo.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 10..1 This element is affected by the following invariants: ref-1 |
Type | string |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
39. CarePlan.goal | |
Definition | Describes the intended objective(s) of carrying out the care plan. |
Control | 0..0* |
Type | Reference(http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcaregoal-r4|Goal) : {c} |
Summary | false |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
40. 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. |
Control | 0..0* |
Type | BackboneElement |
Summary | false |
Requirements | Allows systems to prompt for performance of planned activities, and validate plans against best practice. |
Invariants | Defined 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() or (children().count() > id.count())) |
41. CarePlan.note | |
Definition | General notes about the care plan not covered elsewhere. |
Control | 0..0* |
Type | Annotation |
Summary | false |
Requirements | Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here.
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. |
Control | 0..* |
Summary | false |
Alternate Names | Care Team |
2. CarePlan.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Summary | true |
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 might not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
4. CarePlan.meta.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
5. CarePlan.meta.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.meta.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
6. CarePlan.meta.versionId | |
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. |
Control | 0..1 |
Type | id |
Summary | true |
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
7. CarePlan.meta.lastUpdated | |
Definition | When the resource last changed - e.g. when the version changed. |
Control | 0..1 |
Type | instant |
Summary | true |
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
8. CarePlan.meta.source | |
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. |
Control | 0..1 |
Type | uri |
Summary | true |
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
9. CarePlan.meta.profile | |
Definition | FinnishPHR: fiphrProfile SHALL be used. Other profiles MAY be used. A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. |
Control | 1..* |
Type | canonical(StructureDefinition) |
Summary | true |
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on CarePlan.meta.profile. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
10. CarePlan.meta.profile:fiphrProfile | |
SliceName | fiphrProfile |
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. |
Control | 1..1 |
Type | canonical(StructureDefinition) |
Summary | true |
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
Fixed Value | http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcareplan-r4 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
11. CarePlan.meta.security | |
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. |
Control | 0..* |
Binding | The codes SHALL be taken from All Security Labels; other codes may be used where these codes are not suitable Security Labels from the Healthcare Privacy and Security Classification System |
Type | Coding |
Summary | true |
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
12. CarePlan.meta.tag | |
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. |
Control | 0..* |
Binding | For example codes, see CommonTags Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" |
Type | Coding |
Summary | true |
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
13. 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Summary | true |
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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
14. CarePlan.language | |
Definition | The base language in which the resource is written. |
Control | 1..1 |
Binding | The codes SHALL be taken from CommonLanguages Finnish PHR: A code of human language |
Type | code |
Summary | false |
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). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
15. CarePlan.text | |
Definition | Narrative contains clinically relevant information of the resource in a human-readable format. The following fields are used: CarePlan.title, CarePlan.status, CarePlan.period, CarePlan.category, CarePlan.goal, CarePlan.description. If available, a text representation of SelfCareGoal resource is included in the narrative. |
Control | 1..1 |
Type | Narrative |
Summary | false |
Alternate Names | narrative, 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 information is added later. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
16. 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. |
Control | 0..0 |
Type | Resource(http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcaregoal-r4) |
Summary | false |
Alternate Names | inline 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
17. CarePlan.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
Summary | false |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
18. CarePlan.extension:creatingApplication | |
SliceName | creatingApplication |
Definition | Application identification information. SHALL have same values that has been registered for application in PHR application catalog. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(FIPHREXTCreatingApplication) (Complex Extension) |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
19. 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
20. CarePlan.identifier | |
Definition | Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..* |
Type | Identifier |
Summary | true |
Requirements | Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. |
Comments | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. 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. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
22. CarePlan.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
23. CarePlan.identifier.use | |
Definition | The purpose of this identifier. Finnish PHR: The code 'official' SHALL be only used if the given identifier value is truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system). |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known |
Type | code |
Is Modifier | true |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
24. CarePlan.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable A coded type for an identifier that can be used to determine which identifier to use for a specific purpose |
Type | CodeableConcept |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
25. CarePlan.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 1..1 |
Type | uri |
Summary | true |
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. |
Comments | Identifier.system is always case sensitive. |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
26. CarePlan.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. Finnish PHR: At least one of the identifiers SHALL be truly globally unique (e.g. an uuid as the value and 'urn:ietf:rfc:3986' as the system). |
Control | 1..1 |
Type | string |
Summary | true |
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 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
27. CarePlan.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
28. CarePlan.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..0 |
Type | Reference(Organization) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
29. CarePlan.instantiatesCanonical | |
Definition | The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. |
Control | 0..0 |
Type | canonical(PlanDefinition|Questionnaire|Measure|ActivityDefinition|OperationDefinition) |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
30. CarePlan.instantiatesUri | |
Definition | The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. |
Control | 0..0 |
Type | uri |
Summary | true |
Comments | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
31. CarePlan.basedOn | |
Definition | A care plan that is fulfilled in whole or in part by this care plan. |
Control | 0..0 |
Type | Reference(CarePlan) |
Summary | true |
Requirements | Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. |
Alternate Names | fulfills |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
32. CarePlan.replaces | |
Definition | Completed or terminated care plan whose function is taken by this new care plan. |
Control | 0..0 |
Type | Reference(CarePlan) |
Summary | true |
Requirements | Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. |
Alternate Names | supersedes |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
33. CarePlan.partOf | |
Definition | A larger care plan of which this particular care plan is a component or step. |
Control | 0..0 |
Type | Reference(CarePlan) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
34. CarePlan.status | |
Definition | Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
Control | 1..1 |
Binding | The codes SHALL be taken from RequestStatus Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record |
Type | code |
Is Modifier | true |
Summary | true |
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. |
Fixed Value | completed |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
35. CarePlan.intent | |
Definition | Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain. |
Control | 1..1 |
Binding | The codes SHALL be taken from CarePlanIntent Codes indicating the degree of authority/intentionality associated with a care plan |
Type | code |
Is Modifier | true |
Summary | true |
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. |
Fixed Value | plan |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
36. 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. |
Control | 1..1 |
Binding | The codes SHALL be taken from Finnish PHR CarePlan Category value set; other codes may be used where these codes are not suitable Identifies what "kind" of self-care plan this is to support differentiation between multiple co-existing plans |
Type | CodeableConcept |
Summary | true |
Requirements | Used for filtering what plan(s) are retrieved and displayed to different types of users. |
Comments | There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
37. CarePlan.category.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
38. CarePlan.category.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.category.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
39. CarePlan.category.coding | |
Definition | FinnishPHR: fiphrCategory SHALL be used. Other categories MAY be used. A reference to a code defined by a terminology system. |
Control | 1..* |
Type | Coding |
Summary | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on CarePlan.category.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
40. CarePlan.category.coding:fiphrCoding | |
SliceName | fiphrCoding |
Definition | A reference to a code defined by a terminology system. |
Control | 1..1 |
Type | Coding |
Summary | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
41. CarePlan.category.coding:fiphrCoding.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
42. CarePlan.category.coding:fiphrCoding.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.category.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
43. CarePlan.category.coding:fiphrCoding.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Control | 1..1 |
Type | uri |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Fixed Value | http://phr.kanta.fi/CodeSystem/fiphr-cs-careplancategory |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
44. CarePlan.category.coding:fiphrCoding.version | |
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Summary | true |
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
45. CarePlan.category.coding:fiphrCoding.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Control | 1..1 |
Type | code |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
46. CarePlan.category.coding:fiphrCoding.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Control | 1..1 |
Type | string |
Summary | true |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
47. CarePlan.category.coding:fiphrCoding.userSelected | |
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). |
Control | 0..1 |
Type | boolean |
Summary | true |
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. |
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
48. CarePlan.category.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Control | 0..1 |
Type | string |
Summary | true |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Comments | Very often the text is the same as a displayName of one of the codings. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
49. CarePlan.title | |
Definition | Human-friendly name for the care plan. |
Control | 1..1 |
Type | string |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
50. CarePlan.description | |
Definition | A description of the scope and nature of the plan. |
Control | 1..1 |
Type | string |
Summary | true |
Requirements | Provides more detail than conveyed by category. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
51. CarePlan.subject | |
Definition | Identifies the patient or group whose intended care is described by the plan. |
Control | 1..1 |
Type | Reference(FIPHRSDPatient) : {r} |
Summary | true |
Alternate Names | patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
52. CarePlan.subject.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
53. CarePlan.subject.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
54. CarePlan.subject.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 1..1 This element is affected by the following invariants: ref-1 |
Type | string |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
55. CarePlan.subject.type | |
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
Control | 0..1 |
Binding | The codes SHALL be taken from ResourceType; other codes may be used where these codes are not suitable Aa resource (or, for logical models, the URI of the logical model) |
Type | uri |
Summary | true |
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
56. CarePlan.subject.identifier | |
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
Summary | true |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
57. CarePlan.subject.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. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
58. CarePlan.subject.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.subject.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
59. CarePlan.subject.identifier.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known |
Type | code |
Is Modifier | true |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
60. CarePlan.subject.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable A coded type for an identifier that can be used to determine which identifier to use for a specific purpose |
Type | CodeableConcept |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
61. CarePlan.subject.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 0..1 |
Type | uri |
Summary | true |
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. |
Comments | Identifier.system is always case sensitive. |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
62. CarePlan.subject.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 0..1 |
Type | string |
Summary | true |
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. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
63. CarePlan.subject.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
64. CarePlan.subject.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..0 |
Type | Reference(Organization) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
65. CarePlan.subject.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | string |
Summary | true |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
66. CarePlan.encounter | |
Definition | The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated. |
Control | 0..0 |
Type | Reference(Encounter) |
Summary | true |
Comments | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
67. CarePlan.period | |
Definition | Indicates when the plan did (or is intended to) come into effect and end. |
Control | 0..1 |
Type | Period |
Summary | true |
Requirements | Allows tracking what plan(s) are in effect at a particular time. |
Alternate Names | timing |
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). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
68. CarePlan.created | |
Definition | Represents when this particular CarePlan record was created in the system, which is often a system-generated date. |
Control | 0..1 |
Type | dateTime |
Summary | true |
Alternate Names | authoredOn |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
69. CarePlan.author | |
Definition | When populated, the author is responsible for the care plan. The care plan is attributed to the author. |
Control | 1..1 |
Type | Reference(FIPHRSDPatient) : {r} |
Summary | true |
Comments | The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
70. CarePlan.author.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
71. CarePlan.author.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.author.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
72. CarePlan.author.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 1..1 This element is affected by the following invariants: ref-1 |
Type | string |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
73. CarePlan.author.type | |
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
Control | 0..1 |
Binding | The codes SHALL be taken from ResourceType; other codes may be used where these codes are not suitable Aa resource (or, for logical models, the URI of the logical model) |
Type | uri |
Summary | true |
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
74. CarePlan.author.identifier | |
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
Summary | true |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
75. CarePlan.author.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. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
76. CarePlan.author.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.author.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
77. CarePlan.author.identifier.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known |
Type | code |
Is Modifier | true |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
78. CarePlan.author.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable A coded type for an identifier that can be used to determine which identifier to use for a specific purpose |
Type | CodeableConcept |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
79. CarePlan.author.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 0..1 |
Type | uri |
Summary | true |
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. |
Comments | Identifier.system is always case sensitive. |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
80. CarePlan.author.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 0..1 |
Type | string |
Summary | true |
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. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
81. CarePlan.author.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
82. CarePlan.author.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..0 |
Type | Reference(Organization) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
83. CarePlan.author.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | string |
Summary | true |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
84. CarePlan.contributor | |
Definition | Identifies the individual(s) or organization who provided the contents of the care plan. |
Control | 0..0 |
Type | Reference(Patient|Practitioner|PractitionerRole|Device|RelatedPerson|Organization|CareTeam) |
Summary | false |
Comments | Collaborative care plans may have multiple contributors. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
85. CarePlan.careTeam | |
Definition | Identifies all people and organizations who are expected to be involved in the care envisioned by this plan. |
Control | 0..0 |
Type | Reference(CareTeam) |
Summary | false |
Requirements | Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
86. CarePlan.addresses | |
Definition | Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. |
Control | 0..0 |
Type | Reference(Condition) |
Summary | true |
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. |
Comments | When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
87. 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. Links also symptom check questionnaire responses to the careplan |
Control | 0..* |
Type | Reference(FIPHRSDQuestionnairesResponsesR4) |
Summary | false |
Requirements | Identifies barriers and other considerations associated with the care plan. |
Comments | Use "concern" to identify specific conditions addressed by the care plan. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
88. CarePlan.supportingInfo.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
89. CarePlan.supportingInfo.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.supportingInfo.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
90. CarePlan.supportingInfo.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Control | 1..1 This element is affected by the following invariants: ref-1 |
Type | string |
Summary | true |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
91. CarePlan.supportingInfo.type | |
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
Control | 0..1 |
Binding | The codes SHALL be taken from ResourceType; other codes may be used where these codes are not suitable Aa resource (or, for logical models, the URI of the logical model) |
Type | uri |
Summary | true |
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
92. CarePlan.supportingInfo.identifier | |
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
Summary | true |
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
93. CarePlan.supportingInfo.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. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
94. CarePlan.supportingInfo.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on CarePlan.supportingInfo.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
95. CarePlan.supportingInfo.identifier.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known |
Type | code |
Is Modifier | true |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
96. CarePlan.supportingInfo.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable A coded type for an identifier that can be used to determine which identifier to use for a specific purpose |
Type | CodeableConcept |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
97. CarePlan.supportingInfo.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 0..1 |
Type | uri |
Summary | true |
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. |
Comments | Identifier.system is always case sensitive. |
Example | General:http://www.acme.com/identifiers/patient |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
98. CarePlan.supportingInfo.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 0..1 |
Type | string |
Summary | true |
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. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Example | General:123456 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
99. CarePlan.supportingInfo.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
Summary | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
100. CarePlan.supportingInfo.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..0 |
Type | Reference(Organization) |
Summary | true |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
101. CarePlan.supportingInfo.display | |
Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | string |
Summary | true |
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
102. CarePlan.goal | |
Definition | Describes the intended objective(s) of carrying out the care plan. |
Control | 0..0 |
Type | Reference(http://phr.kanta.fi/StructureDefinition/fiphr-sd-selfcaregoal-r4) : {c} |
Summary | false |
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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
103. 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. |
Control | 0..0 |
Type | BackboneElement |
Summary | false |
Requirements | Allows systems to prompt for performance of planned activities, and validate plans against best practice. |
Invariants | Defined 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() or (children().count() > id.count())) |
104. CarePlan.note | |
Definition | General notes about the care plan not covered elsewhere. |
Control | 0..0 |
Type | Annotation |
Summary | false |
Requirements | Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |