StructureDefinition-Care-Plan-Document

Sourcehl7.fhir.us.ccda#current:C-CDA on FHIR (v4.0.1)
resourceTypeStructureDefinition
idCare-Plan-Document
canonicalhttp://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document
version1.2.0-ballot
statusactive
publisherHL7 Structured Documents Working Group
nameCarePlan
titleCare Plan
date2023-03-27T20:25:00+00:00
descriptionCARE PLAN FRAMEWORK: A Care Plan (including Home Health Plan of Care (HHPoC)) is a consensus-driven dynamic plan that represents a patient and Care Team Members prioritized concerns, goals, and planned interventions. It serves as a blueprint shared by all Care Team Members (including the patient, their caregivers and providers), to guide the patients care. A Care Plan integrates multiple interventions proposed by multiple providers and disciplines for multiple conditions. A Care Plan represents one or more Plan(s) of Care and serves to reconcile and resolve conflicts between the various Plans of Care developed for a specific patient by different providers. While both a plan of care and a care plan include the patient's life goals and require Care Team Members (including patients) to prioritize goals and interventions, the reconciliation process becomes more complex as the number of plans of care increases. The Care Plan also serves to enable longitudinal coordination of care. The Care Plan represents an instance of this dynamic Care Plan at a point in time. The composition itself is NOT dynamic. Key differentiators between a Care Plan profile and CCD profile (another snapshot in time document): * Requires relationships between various concepts: * Health Concerns * Interventions * Goals * Outcomes * Provides the ability to identify patient and provider priorities with each act * Provides a header participant to indicate occurrences of Care Plan review
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeComposition
derivationconstraint
basehttp://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header
Usages
Name Flags Card. Type Description & Constraints doco
. . Composition USRealmHeader
. . . type S Care Plan Document
Binding: Care Plan Document Type ( required )
. . . event S ..1
. . . . period S 1..
. . . . Slices for detail S Slice: Unordered, Open by profile:reference
. . . . . detail:care_plan Reference (US Core CarePlan Profile) Care Plan Detail
. . . Slices for section Slice: Unordered, Open by value:code
. . . . section:health_concerns_section S 1..1 Health Concerns Section
. . . . . title S 1.. title
. . . . . code S 1.. Health concerns section code
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
. . . . . text S 1.. text
. . . . . Slices for entry entry
Slice: Unordered, Open by profile:reference
. . . . . . entry:health_concerns_entry S Reference (US Core AllergyIntolerance Profile | http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference ) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
. . . . section:goals_section S 1..1 Goals Section
. . . . . title S 1.. title
. . . . . code S 1.. Goals
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-7
. . . . . text S 1.. text
. . . . . Slices for entry entry
Slice: Unordered, Open by profile:reference
. . . . . . entry:goals_entry S Reference (US Core Goal Profile) entry
. . . . section:interventions_section S ..1 Interventions Section
. . . . . title S 1.. title
. . . . . code S 1.. Interventions provided
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 62387-6
. . . . . text S 1.. text
. . . . . Slices for entry entry
Slice: Unordered, Open by profile:reference
. . . . . . entry:interventions_section S Reference ( List | RequestGroup | MedicationDispense | Communication | ServiceRequest | US Core Procedure Profile | MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
. . . . section:eval_outcomes_section S ..1 Health Status Evaluations and Outcomes Section
. . . . . title S 1.. title
. . . . . code S 1.. Patient problem outcome
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11383-7
. . . . . text S 1.. text
. . . . . Slices for entry entry
Slice: Unordered, Open by profile:reference
. . . . . . entry:eval_outcomes_entry S Reference ( Observation ) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.

doco Documentation for this format

Produced 06 Apr 2023