Implementierungsleitfaden Therapieziele Onkologie
1.0.0-ballot - Ballot Germany

Implementierungsleitfaden Therapieziele Onkologie - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Onkologischer CarePlan

Official URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-care-plan Version: 1.0.0-ballot
Draft as of 2026-08-03 Computable Name: OnkoCarePlan

Oncological care plan based on CarePlan, architecturally aligned with the HL7 FHIR US MCC eCare Plan. The care plan is the central, consensus-driven steering object bringing together addressed conditions, overarching goals and planned versus performed activities of the care teams.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:custodian S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Device) Custodian
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian
.... extension:episodeOfCare S 0..1 Reference(EpisodeOfCare) Episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Status
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 Intent
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Plan category
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.
... subject SΣ 1..1 Reference(Patient) Patient
... period Σ 0..1 Period Period
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Author
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Contributor
... careTeam S 0..* Reference(CareTeam) Care team
... addresses SΣ 1..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... supportingInfo S 0..* Reference(Resource) Supporting information
... goal S 0..* Reference(Onkologisches Therapieziel) Goals
... activity SC 0..* BackboneElement Activities
Constraints: cpl-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Performed activity
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Planned activity

doco 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 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:custodian S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Device) Custodian
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian
.... extension:episodeOfCare S 0..1 Reference(EpisodeOfCare) Episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... instantiatesCanonical S 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates canonical
... status S 1..1 code Status
... category S 0..* CodeableConcept Plan category
... subject S 1..1 Reference(Patient) Patient
... period 0..1 Period Period
... author 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Author
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Contributor
... careTeam S 0..* Reference(CareTeam) Care team
... addresses S 1..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... supportingInfo S 0..* Reference(Resource) Supporting information
... goal S 0..* Reference(Onkologisches Therapieziel) Goals
... activity S 0..* BackboneElement Activities
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Performed activity
.... reference S 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Planned activity

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan 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 BindingsPurpose
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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:custodian S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Device) Custodian
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian
.... extension:episodeOfCare S 0..1 Reference(EpisodeOfCare) Episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this plan
... instantiatesCanonical SΣ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates canonical
... 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 Status
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 Intent
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Plan category
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.
... 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(Patient) Patient
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Period
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Author
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Contributor
... careTeam S 0..* Reference(CareTeam) Care team
... addresses SΣ 1..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... supportingInfo S 0..* Reference(Resource) Supporting information
... goal S 0..* Reference(Onkologisches Therapieziel) Goals
... activity SC 0..* BackboneElement Activities
Constraints: cpl-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Performed activity
.... progress 0..* Annotation Comments about the activity status/progress
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Planned activity
.... 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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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

doco 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 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:custodian S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Device) Custodian
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian
.... extension:episodeOfCare S 0..1 Reference(EpisodeOfCare) Episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Status
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 Intent
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Plan category
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.
... subject SΣ 1..1 Reference(Patient) Patient
... period Σ 0..1 Period Period
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Author
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Contributor
... careTeam S 0..* Reference(CareTeam) Care team
... addresses SΣ 1..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... supportingInfo S 0..* Reference(Resource) Supporting information
... goal S 0..* Reference(Onkologisches Therapieziel) Goals
... activity SC 0..* BackboneElement Activities
Constraints: cpl-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Performed activity
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Planned activity

doco 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 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:custodian S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Device) Custodian
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian
.... extension:episodeOfCare S 0..1 Reference(EpisodeOfCare) Episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... instantiatesCanonical S 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates canonical
... status S 1..1 code Status
... category S 0..* CodeableConcept Plan category
... subject S 1..1 Reference(Patient) Patient
... period 0..1 Period Period
... author 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Author
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Contributor
... careTeam S 0..* Reference(CareTeam) Care team
... addresses S 1..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... supportingInfo S 0..* Reference(Resource) Supporting information
... goal S 0..* Reference(Onkologisches Therapieziel) Goals
... activity S 0..* BackboneElement Activities
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Performed activity
.... reference S 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Planned activity

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan 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 BindingsPurpose
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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:custodian S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Device) Custodian
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-careplan-custodian
.... extension:episodeOfCare S 0..1 Reference(EpisodeOfCare) Episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this plan
... instantiatesCanonical SΣ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates canonical
... 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 Status
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 Intent
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category SΣ 0..* CodeableConcept Plan category
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.
... 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(Patient) Patient
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Period
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Author
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Contributor
... careTeam S 0..* Reference(CareTeam) Care team
... addresses SΣ 1..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... supportingInfo S 0..* Reference(Resource) Supporting information
... goal S 0..* Reference(Onkologisches Therapieziel) Goals
... activity SC 0..* BackboneElement Activities
Constraints: cpl-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Performed activity
.... progress 0..* Annotation Comments about the activity status/progress
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Planned activity
.... 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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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

doco 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 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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