Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Atrius India Core CarePlan Assess Plan

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Usages:

• This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan(4.0.1)	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: AtriusInCarePlanCategoryVS (0.1.0) (extensible)
category:All Slices				Content/Rules for all slices
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
category:assessPlan	SΣ	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-careplan-category-cs
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: assess-plan
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Atrius India Core Patient(0.1.0))	Who the care plan is for
period	SΣ	0..1	Period	Time period plan covers
goal	S	0..*	Reference(Atrius India Core Goal(0.1.0))	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.category	Base	extensible	Atrius India Core Care Plan Category (ValueSet)	📍0.1.0	This IG
CarePlan.category:assessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	detail.empty() or reference.empty()
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CarePlan	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	error	CarePlan	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	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CarePlan.implicitRules, CarePlan.modifierExtension, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.category.coding, CarePlan.category.text, CarePlan.category:assessPlan, CarePlan.category:assessPlan.coding, CarePlan.category:assessPlan.coding.system, CarePlan.category:assessPlan.coding.code, CarePlan.category:assessPlan.text, CarePlan.subject, CarePlan.period, CarePlan.goal, CarePlan.activity, CarePlan.activity.modifierExtension	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CarePlan.modifierExtension, CarePlan.activity.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan(4.0.1)	Healthcare plan for patient or group
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | order | option
Slices for category	S	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: AtriusInCarePlanCategoryVS (0.1.0) (extensible)
category:All Slices				Content/Rules for all slices
coding	S	0..*	Coding	Code defined by a terminology system
text	S	0..1	string	Plain text representation of the concept
category:assessPlan	S	1..1	CodeableConcept	Type of plan
coding
system		0..1	uri	Identity of the terminology system Required Pattern: https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-careplan-category-cs
code		0..1	code	Symbol in syntax defined by the system Required Pattern: assess-plan
subject	S	1..1	Reference(Atrius India Core Patient(0.1.0))	Who the care plan is for
period	S	0..1	Period	Time period plan covers
goal	S	0..*	Reference(Atrius India Core Goal(0.1.0))	Desired outcome of plan
activity	S	0..*	BackboneElement	Action to occur as part of plan
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
CarePlan.category	Base	extensible	Atrius India Core Care Plan Category (ValueSet)	📍0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan(4.0.1)	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: AtriusInCarePlanCategoryVS (0.1.0) (extensible)
category:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
category:assessPlan	SΣ	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-careplan-category-cs
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: assess-plan
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
title	Σ	0..1	string	Human-friendly name for the care plan
description	Σ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(Atrius India Core Patient(0.1.0))	Who the care plan is for
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Time period plan covers
created	Σ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam		0..*	Reference(CareTeam)	Who's involved in plan?
addresses	Σ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Atrius India Core Goal(0.1.0))	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code		0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity(4.0.1)	How to consume/day?
quantity		0..1	SimpleQuantity(4.0.1)	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.category	Base	extensible	Atrius India Core Care Plan Category (ValueSet)	📍0.1.0	This IG
CarePlan.category:assessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.activity.outcomeCodeableConcept	Base	example	Care Plan Activity Outcome	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​kind	Base	required	Care Plan Activity Kind	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	detail.empty() or reference.empty()
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CarePlan	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	error	CarePlan	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	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CarePlan.meta, CarePlan.implicitRules, CarePlan.language, CarePlan.text, CarePlan.extension, CarePlan.modifierExtension, CarePlan.identifier, CarePlan.instantiatesCanonical, CarePlan.instantiatesUri, CarePlan.basedOn, CarePlan.replaces, CarePlan.partOf, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.category.extension, CarePlan.category.coding, CarePlan.category.text, CarePlan.category:assessPlan, CarePlan.category:assessPlan.extension, CarePlan.category:assessPlan.coding, CarePlan.category:assessPlan.coding.extension, CarePlan.category:assessPlan.coding.system, CarePlan.category:assessPlan.coding.version, CarePlan.category:assessPlan.coding.code, CarePlan.category:assessPlan.coding.display, CarePlan.category:assessPlan.coding.userSelected, CarePlan.category:assessPlan.text, CarePlan.title, CarePlan.description, CarePlan.subject, CarePlan.encounter, CarePlan.period, CarePlan.created, CarePlan.author, CarePlan.contributor, CarePlan.careTeam, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.goal, CarePlan.activity, CarePlan.activity.extension, CarePlan.activity.modifierExtension, CarePlan.activity.outcomeCodeableConcept, CarePlan.activity.outcomeReference, CarePlan.activity.progress, CarePlan.activity.reference, CarePlan.activity.detail, CarePlan.activity.detail.extension, CarePlan.activity.detail.modifierExtension, CarePlan.activity.detail.kind, CarePlan.activity.detail.instantiatesCanonical, CarePlan.activity.detail.instantiatesUri, CarePlan.activity.detail.code, CarePlan.activity.detail.reasonCode, CarePlan.activity.detail.reasonReference, CarePlan.activity.detail.goal, CarePlan.activity.detail.status, CarePlan.activity.detail.statusReason, CarePlan.activity.detail.doNotPerform, CarePlan.activity.detail.scheduled[x], CarePlan.activity.detail.location, CarePlan.activity.detail.performer, CarePlan.activity.detail.product[x], CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity, CarePlan.activity.detail.description, CarePlan.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CarePlan.extension, CarePlan.modifierExtension, CarePlan.category.extension, CarePlan.category:assessPlan.extension, CarePlan.category:assessPlan.coding.extension, CarePlan.activity.extension, CarePlan.activity.modifierExtension, CarePlan.activity.detail.extension, CarePlan.activity.detail.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 2 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Atrius India Core Patient (https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0)
• Atrius India Core Goal (https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-goal|0.1.0)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.category

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan(4.0.1)	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: AtriusInCarePlanCategoryVS (0.1.0) (extensible)
category:All Slices				Content/Rules for all slices
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
category:assessPlan	SΣ	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-careplan-category-cs
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: assess-plan
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Atrius India Core Patient(0.1.0))	Who the care plan is for
period	SΣ	0..1	Period	Time period plan covers
goal	S	0..*	Reference(Atrius India Core Goal(0.1.0))	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.category	Base	extensible	Atrius India Core Care Plan Category (ValueSet)	📍0.1.0	This IG
CarePlan.category:assessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	detail.empty() or reference.empty()
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CarePlan	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	error	CarePlan	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	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CarePlan.implicitRules, CarePlan.modifierExtension, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.category.coding, CarePlan.category.text, CarePlan.category:assessPlan, CarePlan.category:assessPlan.coding, CarePlan.category:assessPlan.coding.system, CarePlan.category:assessPlan.coding.code, CarePlan.category:assessPlan.text, CarePlan.subject, CarePlan.period, CarePlan.goal, CarePlan.activity, CarePlan.activity.modifierExtension	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CarePlan.modifierExtension, CarePlan.activity.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan(4.0.1)	Healthcare plan for patient or group
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | order | option
Slices for category	S	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: AtriusInCarePlanCategoryVS (0.1.0) (extensible)
category:All Slices				Content/Rules for all slices
coding	S	0..*	Coding	Code defined by a terminology system
text	S	0..1	string	Plain text representation of the concept
category:assessPlan	S	1..1	CodeableConcept	Type of plan
coding
system		0..1	uri	Identity of the terminology system Required Pattern: https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-careplan-category-cs
code		0..1	code	Symbol in syntax defined by the system Required Pattern: assess-plan
subject	S	1..1	Reference(Atrius India Core Patient(0.1.0))	Who the care plan is for
period	S	0..1	Period	Time period plan covers
goal	S	0..*	Reference(Atrius India Core Goal(0.1.0))	Desired outcome of plan
activity	S	0..*	BackboneElement	Action to occur as part of plan
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
CarePlan.category	Base	extensible	Atrius India Core Care Plan Category (ValueSet)	📍0.1.0	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan(4.0.1)	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: AtriusInCarePlanCategoryVS (0.1.0) (extensible)
category:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	SΣ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
category:assessPlan	SΣ	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-careplan-category-cs
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: assess-plan
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
title	Σ	0..1	string	Human-friendly name for the care plan
description	Σ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(Atrius India Core Patient(0.1.0))	Who the care plan is for
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Time period plan covers
created	Σ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam		0..*	Reference(CareTeam)	Who's involved in plan?
addresses	Σ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Atrius India Core Goal(0.1.0))	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code		0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity(4.0.1)	How to consume/day?
quantity		0..1	SimpleQuantity(4.0.1)	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.category	Base	extensible	Atrius India Core Care Plan Category (ValueSet)	📍0.1.0	This IG
CarePlan.category:assessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.activity.outcomeCodeableConcept	Base	example	Care Plan Activity Outcome	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​kind	Base	required	Care Plan Activity Kind	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	detail.empty() or reference.empty()
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CarePlan	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	error	CarePlan	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	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CarePlan.meta, CarePlan.implicitRules, CarePlan.language, CarePlan.text, CarePlan.extension, CarePlan.modifierExtension, CarePlan.identifier, CarePlan.instantiatesCanonical, CarePlan.instantiatesUri, CarePlan.basedOn, CarePlan.replaces, CarePlan.partOf, CarePlan.status, CarePlan.intent, CarePlan.category, CarePlan.category.extension, CarePlan.category.coding, CarePlan.category.text, CarePlan.category:assessPlan, CarePlan.category:assessPlan.extension, CarePlan.category:assessPlan.coding, CarePlan.category:assessPlan.coding.extension, CarePlan.category:assessPlan.coding.system, CarePlan.category:assessPlan.coding.version, CarePlan.category:assessPlan.coding.code, CarePlan.category:assessPlan.coding.display, CarePlan.category:assessPlan.coding.userSelected, CarePlan.category:assessPlan.text, CarePlan.title, CarePlan.description, CarePlan.subject, CarePlan.encounter, CarePlan.period, CarePlan.created, CarePlan.author, CarePlan.contributor, CarePlan.careTeam, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.goal, CarePlan.activity, CarePlan.activity.extension, CarePlan.activity.modifierExtension, CarePlan.activity.outcomeCodeableConcept, CarePlan.activity.outcomeReference, CarePlan.activity.progress, CarePlan.activity.reference, CarePlan.activity.detail, CarePlan.activity.detail.extension, CarePlan.activity.detail.modifierExtension, CarePlan.activity.detail.kind, CarePlan.activity.detail.instantiatesCanonical, CarePlan.activity.detail.instantiatesUri, CarePlan.activity.detail.code, CarePlan.activity.detail.reasonCode, CarePlan.activity.detail.reasonReference, CarePlan.activity.detail.goal, CarePlan.activity.detail.status, CarePlan.activity.detail.statusReason, CarePlan.activity.detail.doNotPerform, CarePlan.activity.detail.scheduled[x], CarePlan.activity.detail.location, CarePlan.activity.detail.performer, CarePlan.activity.detail.product[x], CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity, CarePlan.activity.detail.description, CarePlan.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CarePlan.extension, CarePlan.modifierExtension, CarePlan.category.extension, CarePlan.category:assessPlan.extension, CarePlan.category:assessPlan.coding.extension, CarePlan.activity.extension, CarePlan.activity.modifierExtension, CarePlan.activity.detail.extension, CarePlan.activity.detail.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 2 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Atrius India Core Patient (https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0)
• Atrius India Core Goal (https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-goal|0.1.0)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.category

Other representations of profile: CSV, Excel, Schematron