Generated Narrative: StructureDefinition CarePlanModel

NameFlagsCard.TypeDescription & Constraintsdoco
CarePlanModel 0..*BaseCare Plan and Execution
Instances of this type can be the target of a Reference
CarePlanModel.planId 1..1IdentifierCare plan ID
CarePlanModel.patient 1..1IdentifierPatient
CarePlanModel.category 1..*CodeableConceptCategory
CarePlanModel.title 0..1stringTitle
CarePlanModel.status 1..1codeStatus
CarePlanModel.period 0..1PeriodPeriod
CarePlanModel.reviewDate 0..1dateReview date
CarePlanModel.author 1..1IdentifierAuthor
CarePlanModel.agreedWithPatient 0..1booleanAgreed with the patient
CarePlanModel.basedOn 0..*IdentifierParent plan
CarePlanModel.careTeam 0..*BackboneElementCare team
CarePlanModel.careTeam.member 1..1IdentifierMember
CarePlanModel.careTeam.role 0..1CodeableConceptRole
CarePlanModel.needs 0..*CodeableConceptNeeds and problems
CarePlanModel.goals 0..*BackboneElementGoals
CarePlanModel.goals.description 1..1stringGoal
CarePlanModel.goals.target 0..1stringTarget
CarePlanModel.goals.status 0..1codeAchievement
CarePlanModel.activity 0..*BackboneElementActivities
CarePlanModel.activity.description 1..1stringActivity
CarePlanModel.activity.kind 0..1codeKind
CarePlanModel.activity.performer 0..*IdentifierPerformer
CarePlanModel.activity.scheduled 0..1PeriodWhen
CarePlanModel.activity.status 1..1codeStatus
CarePlanModel.activity.request 0..1Reference(ServiceRequest | Task | Appointment | MedicationRequest)Request
CarePlanModel.activity.outcome 0..*Reference(Encounter | Procedure | Observation | DiagnosticReport | DocumentReference)Outcome
CarePlanModel.activity.progress 0..*stringProgress

doco Documentation for this format
 <status value="draft"/> <experimental value="true"/> <date value="2026-11-03T05:48:20+00:00"/> <publisher value="Kevin Mayfield"/> <contact> <telecom> <system value="url"/> <value value="https://github.com/KevinMayfield/PatientCareCoordination"/> </telecom> </contact> <description value="**Proof of concept - not an authoritative source.** A **care plan** - who is doing what, for which needs, towards which goals - and its **execution**: the referrals, tasks, appointments and encounters that carry out each activity, and their progress. A referral is one activity of a care plan. This is the care plan of [IHE Dynamic Care Planning](DCP.html), FHIR `CarePlan` and social care, and the PRSB [Personalised Care and Support Plan](https://theprsb.org/standards/personalisedcareandsupportplan). It is **not** a care assessment: in the NHS "care plan" is often the name for an assessment form, which is a `QuestionnaireResponse` (see [Referral Forms](ReferralForms.html) and the [BaRS review](BaRS.html#3-careplan-is-the-assessment-not-a-plan)). The **Mappings** tab shows each element in FHIR."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> <display value="United Kingdom of Great Britain and Northern Ireland"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="fhir"/> <uri value="http://hl7.org/fhir/R4"/> <name value="FHIR R4 (CarePlan, IHE DCP)"/> </mapping> <kind value="logical"/> <abstract value="false"/> <type value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/CarePlanModel"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/> <derivation value="specialization"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="CarePlanModel"> <path value="CarePlanModel"/> <short value="Care Plan and Execution"/> <definition value="**Proof of concept - not an authoritative source.** A **care plan** - who is doing what, for which needs, towards which goals - and its **execution**: the referrals, tasks, appointments and encounters that carry out each activity, and their progress. A referral is one activity of a care plan. This is the care plan of [IHE Dynamic Care Planning](DCP.html), FHIR `CarePlan` and social care, and the PRSB [Personalised Care and Support Plan](https://theprsb.org/standards/personalisedcareandsupportplan). It is **not** a care assessment: in the NHS "care plan" is often the name for an assessment form, which is a `QuestionnaireResponse` (see [Referral Forms](ReferralForms.html) and the [BaRS review](BaRS.html#3-careplan-is-the-assessment-not-a-plan)). The **Mappings** tab shows each element in FHIR."/> <min value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> </element> <element id="CarePlanModel.planId"> <path value="CarePlanModel.planId"/> <short value="Care plan ID"/> <definition value="Unique identifier of the plan"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.planId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.identifier"/> </mapping> </element> <element id="CarePlanModel.patient"> <path value="CarePlanModel.patient"/> <short value="Patient"/> <definition value="NHS Number and local identifiers"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.patient"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.subject"/> </mapping> </element> <element id="CarePlanModel.category"> <path value="CarePlanModel.category"/> <short value="Category"/> <definition value="e.g. virtual ward treatment plan, long term condition, social care support plan"/> <min value="1"/> <max value="*"/> <base> <path value="CarePlanModel.category"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.category"/> </mapping> </element> <element id="CarePlanModel.title"> <path value="CarePlanModel.title"/> <short value="Title"/> <definition value="Human readable name"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.title"/> </mapping> </element> <element id="CarePlanModel.status"> <path value="CarePlanModel.status"/> <short value="Status"/> <definition value="draft, active, on-hold, completed, revoked"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.status"/> </mapping> </element> <element id="CarePlanModel.period"> <path value="CarePlanModel.period"/> <short value="Period"/> <definition value="When the plan applies"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.period"/> </mapping> </element> <element id="CarePlanModel.reviewDate"> <path value="CarePlanModel.reviewDate"/> <short value="Review date"/> <definition value="When the plan is next reviewed"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.reviewDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity (review) or extension - To confirm"/> </mapping> </element> <element id="CarePlanModel.author"> <path value="CarePlanModel.author"/> <short value="Author"/> <definition value="Lead professional or organisation"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.author"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.author"/> </mapping> </element> <element id="CarePlanModel.agreedWithPatient"> <path value="CarePlanModel.agreedWithPatient"/> <short value="Agreed with the patient"/> <definition value="The patient (or representative) has agreed the plan"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.agreedWithPatient"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="fhir"/> <map value="Consent, or CarePlan.contributor including the patient - To confirm"/> </mapping> </element> <element id="CarePlanModel.basedOn"> <path value="CarePlanModel.basedOn"/> <short value="Parent plan"/> <definition value="The plan this one implements, e.g. the GP or community care plan"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.basedOn / partOf"/> </mapping> </element> <element id="CarePlanModel.careTeam"> <path value="CarePlanModel.careTeam"/> <short value="Care team"/> <definition value="The people and organisations involved"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.careTeam"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="fhir"/> <map value="CarePlan.careTeam (CareTeam)"/> </mapping> </element> <element id="CarePlanModel.careTeam.id"> <path value="CarePlanModel.careTeam.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CarePlanModel.careTeam.extension"> <path value="CarePlanModel.careTeam.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CarePlanModel.careTeam.modifierExtension"> <path value="CarePlanModel.careTeam.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CarePlanModel.careTeam.member"> <path value="CarePlanModel.careTeam.member"/> <short value="Member"/> <definition value="Practitioner, organisation, carer or the patient"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.careTeam.member"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CareTeam.participant.member"/> </mapping> </element> <element id="CarePlanModel.careTeam.role"> <path value="CarePlanModel.careTeam.role"/> <short value="Role"/> <definition value="e.g. lead professional, key worker, carer"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.careTeam.role"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir"/> <map value="CareTeam.participant.role"/> </mapping> </element> <element id="CarePlanModel.needs"> <path value="CarePlanModel.needs"/> <short value="Needs and problems"/> <definition value="Conditions, needs or concerns the plan addresses"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.needs"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.addresses (Condition)"/> </mapping> </element> <element id="CarePlanModel.goals"> <path value="CarePlanModel.goals"/> <short value="Goals"/> <definition value="What the plan is trying to achieve"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.goals"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="fhir"/> <map value="CarePlan.goal (Goal)"/> </mapping> </element> <element id="CarePlanModel.goals.id"> <path value="CarePlanModel.goals.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CarePlanModel.goals.extension"> <path value="CarePlanModel.goals.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CarePlanModel.goals.modifierExtension"> <path value="CarePlanModel.goals.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CarePlanModel.goals.description"> <path value="CarePlanModel.goals.description"/> <short value="Goal"/> <definition value="Described in the patient's words where possible"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.goals.description"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="Goal.description"/> </mapping> </element> <element id="CarePlanModel.goals.target"> <path value="CarePlanModel.goals.target"/> <short value="Target"/> <definition value="Measure and date"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.goals.target"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="Goal.target"/> </mapping> </element> <element id="CarePlanModel.goals.status"> <path value="CarePlanModel.goals.status"/> <short value="Achievement"/> <definition value="in-progress, achieved, not-achieved"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.goals.status"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="Goal.achievementStatus"/> </mapping> </element> <element id="CarePlanModel.activity"> <path value="CarePlanModel.activity"/> <short value="Activities"/> <definition value="The actions agreed"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.activity"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="fhir"/> <map value="CarePlan.activity"/> </mapping> </element> <element id="CarePlanModel.activity.id"> <path value="CarePlanModel.activity.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CarePlanModel.activity.extension"> <path value="CarePlanModel.activity.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CarePlanModel.activity.modifierExtension"> <path value="CarePlanModel.activity.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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)."/> <comment value="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."/> <requirements value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CarePlanModel.activity.description"> <path value="CarePlanModel.activity.description"/> <short value="Activity"/> <definition value="What will be done"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.activity.description"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.description"/> </mapping> </element> <element id="CarePlanModel.activity.kind"> <path value="CarePlanModel.activity.kind"/> <short value="Kind"/> <definition value="referral, task, appointment, monitoring, medication, education"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.activity.kind"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.kind"/> </mapping> </element> <element id="CarePlanModel.activity.performer"> <path value="CarePlanModel.activity.performer"/> <short value="Performer"/> <definition value="Who carries it out"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.activity.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.performer"/> </mapping> </element> <element id="CarePlanModel.activity.scheduled"> <path value="CarePlanModel.activity.scheduled"/> <short value="When"/> <definition value="Timing or frequency"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.activity.scheduled"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.scheduled[x]"/> </mapping> </element> <element id="CarePlanModel.activity.status"> <path value="CarePlanModel.activity.status"/> <short value="Status"/> <definition value="not-started, scheduled, in-progress, on-hold, completed, cancelled"/> <min value="1"/> <max value="1"/> <base> <path value="CarePlanModel.activity.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.status"/> </mapping> </element> <element id="CarePlanModel.activity.request"> <path value="CarePlanModel.activity.request"/> <short value="Request"/> <definition value="The request that carries out the activity, e.g. a referral (Clinical Referral)"/> <min value="0"/> <max value="1"/> <base> <path value="CarePlanModel.activity.request"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.reference (ServiceRequest - the referral; ServiceRequest.basedOn the CarePlan)"/> </mapping> </element> <element id="CarePlanModel.activity.outcome"> <path value="CarePlanModel.activity.outcome"/> <short value="Outcome"/> <definition value="What was done - e.g. the Discharge Report from a referral"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.activity.outcome"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Encounter"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> <targetProfile value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.outcomeReference"/> </mapping> </element> <element id="CarePlanModel.activity.progress"> <path value="CarePlanModel.activity.progress"/> <short value="Progress"/> <definition value="Notes on progress"/> <min value="0"/> <max value="*"/> <base> <path value="CarePlanModel.activity.progress"/> <min value="0"/> <max value="*"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.progress"/> </mapping> </element> </snapshot> <differential> <element id="CarePlanModel"> <path value="CarePlanModel"/> <short value="Care Plan and Execution"/> <definition value="**Proof of concept - not an authoritative source.** A **care plan** - who is doing what, for which needs, towards which goals - and its **execution**: the referrals, tasks, appointments and encounters that carry out each activity, and their progress. A referral is one activity of a care plan. This is the care plan of [IHE Dynamic Care Planning](DCP.html), FHIR `CarePlan` and social care, and the PRSB [Personalised Care and Support Plan](https://theprsb.org/standards/personalisedcareandsupportplan). It is **not** a care assessment: in the NHS "care plan" is often the name for an assessment form, which is a `QuestionnaireResponse` (see [Referral Forms](ReferralForms.html) and the [BaRS review](BaRS.html#3-careplan-is-the-assessment-not-a-plan)). The **Mappings** tab shows each element in FHIR."/> </element> <element id="CarePlanModel.planId"> <path value="CarePlanModel.planId"/> <short value="Care plan ID"/> <definition value="Unique identifier of the plan"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.identifier"/> </mapping> </element> <element id="CarePlanModel.patient"> <path value="CarePlanModel.patient"/> <short value="Patient"/> <definition value="NHS Number and local identifiers"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.subject"/> </mapping> </element> <element id="CarePlanModel.category"> <path value="CarePlanModel.category"/> <short value="Category"/> <definition value="e.g. virtual ward treatment plan, long term condition, social care support plan"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.category"/> </mapping> </element> <element id="CarePlanModel.title"> <path value="CarePlanModel.title"/> <short value="Title"/> <definition value="Human readable name"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.title"/> </mapping> </element> <element id="CarePlanModel.status"> <path value="CarePlanModel.status"/> <short value="Status"/> <definition value="draft, active, on-hold, completed, revoked"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.status"/> </mapping> </element> <element id="CarePlanModel.period"> <path value="CarePlanModel.period"/> <short value="Period"/> <definition value="When the plan applies"/> <min value="0"/> <max value="1"/> <type> <code value="Period"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.period"/> </mapping> </element> <element id="CarePlanModel.reviewDate"> <path value="CarePlanModel.reviewDate"/> <short value="Review date"/> <definition value="When the plan is next reviewed"/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity (review) or extension - To confirm"/> </mapping> </element> <element id="CarePlanModel.author"> <path value="CarePlanModel.author"/> <short value="Author"/> <definition value="Lead professional or organisation"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.author"/> </mapping> </element> <element id="CarePlanModel.agreedWithPatient"> <path value="CarePlanModel.agreedWithPatient"/> <short value="Agreed with the patient"/> <definition value="The patient (or representative) has agreed the plan"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="fhir"/> <map value="Consent, or CarePlan.contributor including the patient - To confirm"/> </mapping> </element> <element id="CarePlanModel.basedOn"> <path value="CarePlanModel.basedOn"/> <short value="Parent plan"/> <definition value="The plan this one implements, e.g. the GP or community care plan"/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.basedOn / partOf"/> </mapping> </element> <element id="CarePlanModel.careTeam"> <path value="CarePlanModel.careTeam"/> <short value="Care team"/> <definition value="The people and organisations involved"/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.careTeam (CareTeam)"/> </mapping> </element> <element id="CarePlanModel.careTeam.member"> <path value="CarePlanModel.careTeam.member"/> <short value="Member"/> <definition value="Practitioner, organisation, carer or the patient"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CareTeam.participant.member"/> </mapping> </element> <element id="CarePlanModel.careTeam.role"> <path value="CarePlanModel.careTeam.role"/> <short value="Role"/> <definition value="e.g. lead professional, key worker, carer"/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir"/> <map value="CareTeam.participant.role"/> </mapping> </element> <element id="CarePlanModel.needs"> <path value="CarePlanModel.needs"/> <short value="Needs and problems"/> <definition value="Conditions, needs or concerns the plan addresses"/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.addresses (Condition)"/> </mapping> </element> <element id="CarePlanModel.goals"> <path value="CarePlanModel.goals"/> <short value="Goals"/> <definition value="What the plan is trying to achieve"/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.goal (Goal)"/> </mapping> </element> <element id="CarePlanModel.goals.description"> <path value="CarePlanModel.goals.description"/> <short value="Goal"/> <definition value="Described in the patient's words where possible"/> <min value="1"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="Goal.description"/> </mapping> </element> <element id="CarePlanModel.goals.target"> <path value="CarePlanModel.goals.target"/> <short value="Target"/> <definition value="Measure and date"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="Goal.target"/> </mapping> </element> <element id="CarePlanModel.goals.status"> <path value="CarePlanModel.goals.status"/> <short value="Achievement"/> <definition value="in-progress, achieved, not-achieved"/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="Goal.achievementStatus"/> </mapping> </element> <element id="CarePlanModel.activity"> <path value="CarePlanModel.activity"/> <short value="Activities"/> <definition value="The actions agreed"/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity"/> </mapping> </element> <element id="CarePlanModel.activity.description"> <path value="CarePlanModel.activity.description"/> <short value="Activity"/> <definition value="What will be done"/> <min value="1"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.description"/> </mapping> </element> <element id="CarePlanModel.activity.kind"> <path value="CarePlanModel.activity.kind"/> <short value="Kind"/> <definition value="referral, task, appointment, monitoring, medication, education"/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.kind"/> </mapping> </element> <element id="CarePlanModel.activity.performer"> <path value="CarePlanModel.activity.performer"/> <short value="Performer"/> <definition value="Who carries it out"/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.performer"/> </mapping> </element> <element id="CarePlanModel.activity.scheduled"> <path value="CarePlanModel.activity.scheduled"/> <short value="When"/> <definition value="Timing or frequency"/> <min value="0"/> <max value="1"/> <type> <code value="Period"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.scheduled[x]"/> </mapping> </element> <element id="CarePlanModel.activity.status"> <path value="CarePlanModel.activity.status"/> <short value="Status"/> <definition value="not-started, scheduled, in-progress, on-hold, completed, cancelled"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.detail.status"/> </mapping> </element> <element id="CarePlanModel.activity.request"> <path value="CarePlanModel.activity.request"/> <short value="Request"/> <definition value="The request that carries out the activity, e.g. a referral (Clinical Referral)"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.reference (ServiceRequest - the referral; ServiceRequest.basedOn the CarePlan)"/> </mapping> </element> <element id="CarePlanModel.activity.outcome"> <path value="CarePlanModel.activity.outcome"/> <short value="Outcome"/> <definition value="What was done - e.g. the Discharge Report from a referral"/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Encounter"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> <targetProfile value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.outcomeReference"/> </mapping> </element> <element id="CarePlanModel.activity.progress"> <path value="CarePlanModel.activity.progress"/> <short value="Progress"/> <definition value="Notes on progress"/> <min value="0"/> <max value="*"/> <type> <code value="string"/> </type> <mapping> <identity value="fhir"/> <map value="CarePlan.activity.progress"/> </mapping> </element> </differential> </StructureDefinition>