CarePlan

Property	Value
Publisher
Name	CarePlan
URL	http://hl7.org/fhir/StructureDefinition/CarePlan
Status	draft
Description
Abstract	false

Structure

Path	Cardinality	Type	Description
CarePlan	0..*	CarePlan	Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
CarePlan.id	0..1	http://hl7.org/fhirpath/System.String	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
CarePlan.meta	0..1	Meta	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.
CarePlan.implicitRules	0..1	uri	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.
CarePlan.language	0..1	code	The base language in which the resource is written.
CarePlan.text	0..1	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.
CarePlan.contained	0..*	Resource	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.
CarePlan.extension	0..*	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.
CarePlan.modifierExtension	0..*	Extension	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).
CarePlan.identifier	0..*	Identifier	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.
CarePlan.instantiatesCanonical	0..*	canonical	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.
CarePlan.instantiatesUri	0..*	uri	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.
CarePlan.basedOn	0..*	Reference	A care plan that is fulfilled in whole or in part by this care plan.
CarePlan.replaces	0..*	Reference	Completed or terminated care plan whose function is taken by this new care plan.
CarePlan.partOf	0..*	Reference	A larger care plan of which this particular care plan is a component or step.
CarePlan.status	1..1	code	Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
CarePlan.intent	1..1	code	Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.
CarePlan.category	0..*	CodeableConcept	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.
CarePlan.title	0..1	string	Human-friendly name for the care plan.
CarePlan.description	0..1	string	A description of the scope and nature of the plan.
CarePlan.subject	1..1	Reference	Identifies the patient or group whose intended care is described by the plan.
CarePlan.encounter	0..1	Reference	The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.
CarePlan.period	0..1	Period	Indicates when the plan did (or is intended to) come into effect and end.
CarePlan.created	0..1	dateTime	Represents when this particular CarePlan record was created in the system, which is often a system-generated date.
CarePlan.author	0..1	Reference	When populated, the author is responsible for the care plan. The care plan is attributed to the author.
CarePlan.contributor	0..*	Reference	Identifies the individual(s) or organization who provided the contents of the care plan.
CarePlan.careTeam	0..*	Reference	Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.
CarePlan.addresses	0..*	Reference	Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.
CarePlan.supportingInfo	0..*	Reference	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.
CarePlan.goal	0..*	Reference	Describes the intended objective(s) of carrying out the care plan.
CarePlan.activity	0..*	BackboneElement	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.
CarePlan.activity.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
CarePlan.activity.extension	0..*	Extension	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.
CarePlan.activity.modifierExtension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).
CarePlan.activity.outcomeCodeableConcept	0..*	CodeableConcept	Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).
CarePlan.activity.outcomeReference	0..*	Reference	Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).
CarePlan.activity.progress	0..*	Annotation	Notes about the adherence/status/progress of the activity.
CarePlan.activity.reference	0..1	Reference	The details of the proposed activity represented in a specific resource.
CarePlan.activity.detail	0..1	BackboneElement	A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.
CarePlan.activity.detail.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
CarePlan.activity.detail.extension	0..*	Extension	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.
CarePlan.activity.detail.modifierExtension	0..*	Extension	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).
CarePlan.activity.detail.kind	0..1	code	A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.
CarePlan.activity.detail.instantiatesCanonical	0..*	canonical	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 activity.
CarePlan.activity.detail.instantiatesUri	0..*	uri	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 activity.
CarePlan.activity.detail.code	0..1	CodeableConcept	Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.
CarePlan.activity.detail.reasonCode	0..*	CodeableConcept	Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.
CarePlan.activity.detail.reasonReference	0..*	Reference	Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.
CarePlan.activity.detail.goal	0..*	Reference	Internal reference that identifies the goals that this activity is intended to contribute towards meeting.
CarePlan.activity.detail.status	1..1	code	Identifies what progress is being made for the specific activity.
CarePlan.activity.detail.statusReason	0..1	CodeableConcept	Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.
CarePlan.activity.detail.doNotPerform	0..1	boolean	If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.
CarePlan.activity.detail.scheduled[x]	0..1	Timing	The period, timing or frequency upon which the described activity is to occur.
CarePlan.activity.detail.location	0..1	Reference	Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.
CarePlan.activity.detail.performer	0..*	Reference	Identifies who's expected to be involved in the activity.
CarePlan.activity.detail.product[x]	0..1	CodeableConcept	Identifies the food, drug or other product to be consumed or supplied in the activity.
CarePlan.activity.detail.dailyAmount	0..1	Quantity	Identifies the quantity expected to be consumed in a given day.
CarePlan.activity.detail.quantity	0..1	Quantity	Identifies the quantity expected to be supplied, administered or consumed by the subject.
CarePlan.activity.detail.description	0..1	string	This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.
CarePlan.note	0..*	Annotation	General notes about the care plan not covered elsewhere.

Search Parameters

Name	Type	Description	Expression
_text	string	Search on the narrative of the resource
_content	string	Search on the entire content of the resource
_filter	token	Filter search parameter which supports a more sophisticated grammar for searching. See documentation for further details
_has	string	Provides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation
_id	token	Logical id of this artifact	Resource.id
_lastUpdated	date	When the resource version last changed	Resource.meta.lastUpdated
_list	string	All resources in nominated list (by id, Type/id, url or one of the magic List types)
_profile	uri	Profiles this resource claims to conform to	Resource.meta.profile
_query	token	A custom search profile that describes a specific defined query operation
_security	token	Security Labels applied to this resource	Resource.meta.security
_source	uri	Identifies where the resource comes from	Resource.meta.source
_tag	token	Tags applied to this resource	Resource.meta.tag
_text	string	Search on the narrative text (html) of the resource
_type	token	Used when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion
date	date	Multiple Resources: * AllergyIntolerance: Date first version of the resource instance was recorded* CarePlan: Time period plan covers* CareTeam: Time period team covers* ClinicalImpression: When the assessment was documented* Composition: Composition editing time* Consent: When this Consent was created or indexed* DiagnosticReport: The clinically relevant time of the report* Encounter: A date within the period the Encounter lasted* EpisodeOfCare: The provided date search value falls within the episode of care's period* FamilyMemberHistory: When history was recorded or last updated* Flag: Time period when flag is active* Immunization: Vaccination (non)-Administration Date* List: When the list was prepared* Observation: Obtained date/time. If the obtained element is a period, a date that falls in the period* Procedure: When the procedure was performed* RiskAssessment: When was assessment made?* SupplyRequest: When the request was made	AllergyIntolerance.recordedDate / CarePlan.period / CareTeam.period / ClinicalImpression.date / Composition.date / Consent.dateTime / DiagnosticReport.effective / Encounter.period / EpisodeOfCare.period / FamilyMemberHistory.date / Flag.period / (Immunization.occurrence.ofType(dateTime)) / List.date / Observation.effective / Procedure.performed / (RiskAssessment.occurrence.ofType(dateTime)) / SupplyRequest.authoredOn
identifier	token	Multiple Resources: * AllergyIntolerance: External ids for this item* CarePlan: External Ids for this plan* CareTeam: External Ids for this team* Composition: Version-independent identifier for the Composition* Condition: A unique identifier of the condition record* Consent: Identifier for this record (external references)* DetectedIssue: Unique id for the detected issue* DeviceRequest: Business identifier for request/order* DiagnosticReport: An identifier for the report* DocumentManifest: Unique Identifier for the set of documents* DocumentReference: Master Version Specific Identifier* Encounter: Identifier(s) by which this encounter is known* EpisodeOfCare: Business Identifier(s) relevant for this EpisodeOfCare* FamilyMemberHistory: A search by a record identifier* Goal: External Ids for this goal* ImagingStudy: Identifiers for the Study, such as DICOM Study Instance UID and Accession number* Immunization: Business identifier* List: Business identifier* MedicationAdministration: Return administrations with this external identifier* MedicationDispense: Returns dispenses with this external identifier* MedicationRequest: Return prescriptions with this external identifier* MedicationStatement: Return statements with this external identifier* NutritionOrder: Return nutrition orders with this external identifier* Observation: The unique id for a particular observation* Procedure: A unique identifier for a procedure* RiskAssessment: Unique identifier for the assessment* ServiceRequest: Identifiers assigned to this order* SupplyDelivery: External identifier* SupplyRequest: Business Identifier for SupplyRequest* VisionPrescription: Return prescriptions with this external identifier	AllergyIntolerance.identifier / CarePlan.identifier / CareTeam.identifier / Composition.identifier / Condition.identifier / Consent.identifier / DetectedIssue.identifier / DeviceRequest.identifier / DiagnosticReport.identifier / DocumentManifest.masterIdentifier / DocumentManifest.identifier / DocumentReference.masterIdentifier / DocumentReference.identifier / Encounter.identifier / EpisodeOfCare.identifier / FamilyMemberHistory.identifier / Goal.identifier / ImagingStudy.identifier / Immunization.identifier / List.identifier / MedicationAdministration.identifier / MedicationDispense.identifier / MedicationRequest.identifier / MedicationStatement.identifier / NutritionOrder.identifier / Observation.identifier / Procedure.identifier / RiskAssessment.identifier / ServiceRequest.identifier / SupplyDelivery.identifier / SupplyRequest.identifier / VisionPrescription.identifier
patient	reference	Multiple Resources: * AllergyIntolerance: Who the sensitivity is for* CarePlan: Who the care plan is for* CareTeam: Who care team is for* ClinicalImpression: Patient or group assessed* Composition: Who and/or what the composition is about* Condition: Who has the condition?* Consent: Who the consent applies to* DetectedIssue: Associated patient* DeviceRequest: Individual the service is ordered for* DeviceUseStatement: Search by subject - a patient* DiagnosticReport: The subject of the report if a patient* DocumentManifest: The subject of the set of documents* DocumentReference: Who/what is the subject of the document* Encounter: The patient or group present at the encounter* EpisodeOfCare: The patient who is the focus of this episode of care* FamilyMemberHistory: The identity of a subject to list family member history items for* Flag: The identity of a subject to list flags for* Goal: Who this goal is intended for* ImagingStudy: Who the study is about* Immunization: The patient for the vaccination record* List: If all resources have the same subject* MedicationAdministration: The identity of a patient to list administrations for* MedicationDispense: The identity of a patient to list dispenses for* MedicationRequest: Returns prescriptions for a specific patient* MedicationStatement: Returns statements for a specific patient.* NutritionOrder: The identity of the person who requires the diet, formula or nutritional supplement* Observation: The subject that the observation is about (if patient)* Procedure: Search by subject - a patient* RiskAssessment: Who/what does assessment apply to?* ServiceRequest: Search by subject - a patient* SupplyDelivery: Patient for whom the item is supplied* VisionPrescription: The identity of a patient to list dispenses for	AllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject.where(resolve() is Patient) / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient
activity-code	token	Detail type of activity	CarePlan.activity.detail.code
activity-date	date	Specified date occurs within period specified by CarePlan.activity.detail.scheduled[x]	CarePlan.activity.detail.scheduled
activity-reference	reference	Activity details defined in specific resource	CarePlan.activity.reference
based-on	reference	Fulfills CarePlan	CarePlan.basedOn
care-team	reference	Who's involved in plan?	CarePlan.careTeam
category	token	Type of plan	CarePlan.category
condition	reference	Health issues this plan addresses	CarePlan.addresses
encounter	reference	Encounter created as part of	CarePlan.encounter
goal	reference	Desired outcome of plan	CarePlan.goal
instantiates-canonical	reference	Instantiates FHIR protocol or definition	CarePlan.instantiatesCanonical
instantiates-uri	uri	Instantiates external protocol or definition	CarePlan.instantiatesUri
intent	token	proposal / plan / order / option	CarePlan.intent
part-of	reference	Part of referenced CarePlan	CarePlan.partOf
performer	reference	Matches if the practitioner is listed as a performer in any of the "simple" activities. (For performers of the detailed activities, chain through the activitydetail search parameter.)	CarePlan.activity.detail.performer
replaces	reference	CarePlan replaced by this CarePlan	CarePlan.replaces
status	token	draft / active / on-hold / revoked / completed / entered-in-error / unknown	CarePlan.status
subject	reference	Who the care plan is for	CarePlan.subject