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

Ressourcenprofil: Onkologischer CarePlan ( Experimentell )

Offizielle URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-care-plan Version: 1.0.0-ballot
Draft Stand: 2026-10-01 Maschinenlesbarer Name: OnkoCarePlan

Onkologischer Versorgungsplan auf Basis von CarePlan.

Das Profil ist architektonisch an den HL7 FHIR US Multiple Chronic Conditions (MCC) eCare Plan (MCCCarePlan) angelehnt: Der CarePlan ist das zentrale, konsensbasierte Steuerobjekt, das adressierte Erkrankungen (addresses), übergeordnete Ziele (goal) sowie geplante und durchgeführte Maßnahmen (activity) verschiedener Versorgungsteams zusammenführt.

Onkologiespezifische Ergänzungen gegenüber MCC:

  • Therapieintention über die Extension onko-therapy-intent (kurativ, neoadjuvant, adjuvant, Erhaltung, palliativ, supportiv).
  • goal referenziert das Profil OnkoTherapyGoal.
  • Behandlungsepisoden (OnkoBehandlungsepisode, Basis EpisodeOfCare) werden über die Standard-Extension workflow-episodeOfCare verknüpft.
  • category ist zweifach gesliced: Die Slice erkrankungsart trägt den ICD-10-GM-Code der adressierten Tumorerkrankung. Über die Slice therapieabschnitt lässt sich angeben, welcher Abschnitt der Versorgung betrachtet wird, beispielsweise der diagnostische (Diagnostic intent) oder der therapeutische (Therapeutic intent).

Im Fallback-Pfad (keine computable Leitlinie) ist der CarePlan die führende Repräsentation des realen Versorgungsverlaufs; im Primärpfad referenziert er via instantiatesCanonical eine PlanDefinition aus dem CPG-on-FHIR-Stack.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

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) Therapieintention
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) Behandlungsepisode
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 Planart
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... Slices for category SΣ 2..* CodeableConcept Plan-Kategorie
Slice: Unordered, Open by value:coding.system
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.
.... category:erkrankungsart SΣ 1..1 CodeableConcept Erkrankungsart
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.
.... category:therapieabschnitt SΣ 1..1 CodeableConcept Therapieabschnitt
Binding: Onkologischer CarePlan – Therapieabschnitt (VS) (example)
... subject SΣ 1..1 Reference(Patient) Patientin/Patient
... period SΣ 0..1 Period Geltungszeitraum
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Autor/in
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Beteiligte
... careTeam S 0..* Reference(CareTeam) Behandlungsteam
... addresses SΣ 1..* Reference(MII PR Onkologie Diagnose Primärtumor) Adressierte Erkrankung
... supportingInfo S 0..* Reference(Resource) Ergänzende Information
... goal S 0..* Reference(Onkologisches Therapieziel) Therapieziele
... activity SC 0..* BackboneElement Maßnahmen
Constraints: cpl-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Durchgeführte Maßnahme
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Geplante Maßnahme

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.
CarePlan.category:erkrankungsart Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category:therapieabschnitt Base example Onkologischer CarePlan – Therapieabschnitt (VS) 📦1.0.0-ballot This IG

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()

Diese Struktur ist abgeleitet von CarePlan

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) Therapieintention
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) Behandlungsepisode
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... instantiatesCanonical S 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Zugrunde liegende PlanDefinition
... status S 1..1 code Status
... Slices for category S 2..* CodeableConcept Plan-Kategorie
Slice: Unordered, Open by value:coding.system
.... category:erkrankungsart S 1..1 CodeableConcept Erkrankungsart
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
.... category:therapieabschnitt S 1..1 CodeableConcept Therapieabschnitt
Binding: Onkologischer CarePlan – Therapieabschnitt (VS) (example)
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... subject S 1..1 Reference(Patient) Patientin/Patient
... period S 0..1 Period Geltungszeitraum
... author 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Autor/in
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Beteiligte
... careTeam S 0..* Reference(CareTeam) Behandlungsteam
... addresses S 1..* Reference(MII PR Onkologie Diagnose Primärtumor) Adressierte Erkrankung
... supportingInfo S 0..* Reference(Resource) Ergänzende Information
... goal S 0..* Reference(Onkologisches Therapieziel) Therapieziele
... activity S 0..* BackboneElement Maßnahmen
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Durchgeführte Maßnahme
.... reference S 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Geplante Maßnahme

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CarePlan.category:therapieabschnitt Base example Onkologischer CarePlan – Therapieabschnitt (VS) 📦1.0.0-ballot This IG
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) Therapieintention
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) Behandlungsepisode
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) Zugrunde liegende PlanDefinition
... 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 Planart
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... Slices for category SΣ 2..* CodeableConcept Plan-Kategorie
Slice: Unordered, Open by value:coding.system
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.
.... category:erkrankungsart SΣ 1..1 CodeableConcept Erkrankungsart
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
..... coding Σ 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
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... 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 Σ 0..1 string Plain text representation of the concept
.... category:therapieabschnitt SΣ 1..1 CodeableConcept Therapieabschnitt
Binding: Onkologischer CarePlan – Therapieabschnitt (VS) (example)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 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
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... 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 Σ 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(Patient) Patientin/Patient
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period SΣ 0..1 Period Geltungszeitraum
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Autor/in
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Beteiligte
... careTeam S 0..* Reference(CareTeam) Behandlungsteam
... addresses SΣ 1..* Reference(MII PR Onkologie Diagnose Primärtumor) Adressierte Erkrankung
... supportingInfo S 0..* Reference(Resource) Ergänzende Information
... goal S 0..* Reference(Onkologisches Therapieziel) Therapieziele
... activity SC 0..* BackboneElement Maßnahmen
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) Durchgeführte Maßnahme
.... progress 0..* Annotation Comments about the activity status/progress
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Geplante Maßnahme
.... 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.category:erkrankungsart Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category:therapieabschnitt Base example Onkologischer CarePlan – Therapieabschnitt (VS) 📦1.0.0-ballot This IG
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()

Schlüsselelemente-Ansicht

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) Therapieintention
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) Behandlungsepisode
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 Planart
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... Slices for category SΣ 2..* CodeableConcept Plan-Kategorie
Slice: Unordered, Open by value:coding.system
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.
.... category:erkrankungsart SΣ 1..1 CodeableConcept Erkrankungsart
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.
.... category:therapieabschnitt SΣ 1..1 CodeableConcept Therapieabschnitt
Binding: Onkologischer CarePlan – Therapieabschnitt (VS) (example)
... subject SΣ 1..1 Reference(Patient) Patientin/Patient
... period SΣ 0..1 Period Geltungszeitraum
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Autor/in
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Beteiligte
... careTeam S 0..* Reference(CareTeam) Behandlungsteam
... addresses SΣ 1..* Reference(MII PR Onkologie Diagnose Primärtumor) Adressierte Erkrankung
... supportingInfo S 0..* Reference(Resource) Ergänzende Information
... goal S 0..* Reference(Onkologisches Therapieziel) Therapieziele
... activity SC 0..* BackboneElement Maßnahmen
Constraints: cpl-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Durchgeführte Maßnahme
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Geplante Maßnahme

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.
CarePlan.category:erkrankungsart Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category:therapieabschnitt Base example Onkologischer CarePlan – Therapieabschnitt (VS) 📦1.0.0-ballot This IG

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-Ansicht

Diese Struktur ist abgeleitet von CarePlan

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) Therapieintention
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) Behandlungsepisode
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
... instantiatesCanonical S 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Zugrunde liegende PlanDefinition
... status S 1..1 code Status
... Slices for category S 2..* CodeableConcept Plan-Kategorie
Slice: Unordered, Open by value:coding.system
.... category:erkrankungsart S 1..1 CodeableConcept Erkrankungsart
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
.... category:therapieabschnitt S 1..1 CodeableConcept Therapieabschnitt
Binding: Onkologischer CarePlan – Therapieabschnitt (VS) (example)
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... subject S 1..1 Reference(Patient) Patientin/Patient
... period S 0..1 Period Geltungszeitraum
... author 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Autor/in
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Beteiligte
... careTeam S 0..* Reference(CareTeam) Behandlungsteam
... addresses S 1..* Reference(MII PR Onkologie Diagnose Primärtumor) Adressierte Erkrankung
... supportingInfo S 0..* Reference(Resource) Ergänzende Information
... goal S 0..* Reference(Onkologisches Therapieziel) Therapieziele
... activity S 0..* BackboneElement Maßnahmen
.... outcomeReference S 0..* Reference(Procedure | Observation | MedicationAdministration | DiagnosticReport) Durchgeführte Maßnahme
.... reference S 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Geplante Maßnahme

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CarePlan.category:therapieabschnitt Base example Onkologischer CarePlan – Therapieabschnitt (VS) 📦1.0.0-ballot This IG

Snapshot-AnsichtView

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) Therapieintention
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) Behandlungsepisode
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) Zugrunde liegende PlanDefinition
... 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 Planart
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... Slices for category SΣ 2..* CodeableConcept Plan-Kategorie
Slice: Unordered, Open by value:coding.system
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.
.... category:erkrankungsart SΣ 1..1 CodeableConcept Erkrankungsart
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
..... coding Σ 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
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... 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 Σ 0..1 string Plain text representation of the concept
.... category:therapieabschnitt SΣ 1..1 CodeableConcept Therapieabschnitt
Binding: Onkologischer CarePlan – Therapieabschnitt (VS) (example)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 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
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... 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 Σ 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(Patient) Patientin/Patient
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period SΣ 0..1 Period Geltungszeitraum
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Autor/in
... contributor S 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Beteiligte
... careTeam S 0..* Reference(CareTeam) Behandlungsteam
... addresses SΣ 1..* Reference(MII PR Onkologie Diagnose Primärtumor) Adressierte Erkrankung
... supportingInfo S 0..* Reference(Resource) Ergänzende Information
... goal S 0..* Reference(Onkologisches Therapieziel) Therapieziele
... activity SC 0..* BackboneElement Maßnahmen
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) Durchgeführte Maßnahme
.... progress 0..* Annotation Comments about the activity status/progress
.... reference SC 0..1 Reference(Appointment | MedicationRequest | Tumorboard MedicationRequest | NutritionOrder | Task | ServiceRequest | Tumorboard ServiceRequest | RequestGroup) Geplante Maßnahme
.... 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.category:erkrankungsart Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category:therapieabschnitt Base example Onkologischer CarePlan – Therapieabschnitt (VS) 📦1.0.0-ballot This IG
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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