<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="7" />
    <lastUpdated value="2026-04-24T20:23:44.6349048+00:00" />
  </meta>
  <url value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/CarePlan" />
  <name value="CarePlan" />
  <status value="draft" />
  <date value="2022-03-04T22:33:55.2668635+00:00" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="CarePlan" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
  <derivation value="constraint" />
  <differential>
    <element id="CarePlan">
      <path value="CarePlan" />
      <short value="FHIR resource applies for PIR Special Considerations - Contraindication, Exemption, Precaution" />
      <definition value="FHIR resource applies for PIR Special Considerations - Contraindication, Exemption, Precaution" />
      <comment value="resourceCarePlan contains resourceCondition for PIR Special Considerations data." />
    </element>
    <element id="CarePlan.id">
      <path value="CarePlan.id" />
      <short value="PIR internal Special Consideration ID" />
      <definition value="PIR internal Special Consideration Identifier" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="SPECIAL_CONSIDERATION.CONTRA_ID" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="specialConsiderationId" />
      </mapping>
    </element>
    <element id="CarePlan.meta">
      <path value="CarePlan.meta" />
      <min value="1" />
    </element>
    <element id="CarePlan.meta.versionId">
      <path value="CarePlan.meta.versionId" />
      <comment value="Apply &quot;2025.01.1&quot;.  This indicates the FHIR Specs as of year 2025 Jan." />
    </element>
    <element id="CarePlan.meta.lastUpdated">
      <path value="CarePlan.meta.lastUpdated" />
      <comment value="Updated: Relax the previously crossed-out elements." />
    </element>
    <element id="CarePlan.meta.profile">
      <path value="CarePlan.meta.profile" />
      <comment value="Apply &quot;http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/CarePlan&quot;" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="CarePlan.meta.security">
      <path value="CarePlan.meta.security" />
      <max value="1" />
    </element>
    <element id="CarePlan.meta.tag">
      <path value="CarePlan.meta.tag" />
      <max value="1" />
    </element>
    <element id="CarePlan.contained">
      <path value="CarePlan.contained" />
      <short value="Contains resourceCondition as part of PIR Special Consideration" />
      <definition value="Contains resourceCondition as part of PIR Special Consideration" />
      <comment value="resourceCondition is part of PIR Special Consideration" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Resource" />
        <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Condition" />
      </type>
    </element>
    <element id="CarePlan.extension">
      <path value="CarePlan.extension" />
      <min value="2" />
    </element>
    <element id="CarePlan.extension:pIRIdentifierExtension">
      <path value="CarePlan.extension" />
      <sliceName value="pIRIdentifierExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="CarePlan.extension:pIRLockSeqNumberExtension">
      <path value="CarePlan.extension" />
      <sliceName value="pIRLockSeqNumberExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="CarePlan.identifier">
      <path value="CarePlan.identifier" />
      <short value="PIR internal Special Consideration Identifier + External Special Consideration ID from source system(s)" />
      <definition value="PIR internal Special Consideration Identifier + External Special Consideration ID from source system(s)" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="CarePlan.identifier.type">
      <path value="CarePlan.identifier.type" />
      <min value="1" />
    </element>
    <element id="CarePlan.identifier.type.coding">
      <path value="CarePlan.identifier.type.coding" />
      <max value="1" />
    </element>
    <element id="CarePlan.identifier.type.text">
      <path value="CarePlan.identifier.type.text" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="&quot;PANORAMASCID&quot;" />
      </mapping>
    </element>
    <element id="CarePlan.identifier.system">
      <path value="CarePlan.identifier.system" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-immunization-special-consideration-id" />
      </mapping>
    </element>
    <element id="CarePlan.identifier.value">
      <path value="CarePlan.identifier.value" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="SPECIAL_CONSIDERATION.CONTRA_ID" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="specialConsiderationId" />
      </mapping>
    </element>
    <element id="CarePlan.instantiatesCanonical">
      <path value="CarePlan.instantiatesCanonical" />
      <max value="1" />
    </element>
    <element id="CarePlan.instantiatesUri">
      <path value="CarePlan.instantiatesUri" />
      <max value="1" />
    </element>
    <element id="CarePlan.basedOn">
      <path value="CarePlan.basedOn" />
      <max value="1" />
    </element>
    <element id="CarePlan.replaces">
      <path value="CarePlan.replaces" />
      <max value="1" />
    </element>
    <element id="CarePlan.partOf">
      <path value="CarePlan.partOf" />
      <max value="1" />
    </element>
    <element id="CarePlan.status">
      <path value="CarePlan.status" />
      <short value="Possible status from PIR: | revoked | completed |" />
      <definition value="Possible status from PIR: | revoked | completed |.  Revoked = deleted. Completed = active." />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR-active" />
        <map value="completed" />
      </mapping>
      <mapping>
        <identity value="source-PIR-deleted" />
        <map value="revoked" />
      </mapping>
    </element>
    <element id="CarePlan.status.extension:_status">
      <path value="CarePlan.status.extension" />
      <sliceName value="_status" />
      <comment value="To be applied when Special Consideration is deleted in PIR." />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/specialCond-status" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="CarePlan.status.extension:_status.extension:scDeleteReason">
      <path value="CarePlan.status.extension.extension" />
      <sliceName value="scDeleteReason" />
      <comment value="To be applied when Special Consideration has been deleted in PIR with reason found in PIR drop-down list or NO delete reason provided." />
      <mapping>
        <identity value="source-PIR-nullReason" />
        <map value="Other" />
      </mapping>
    </element>
    <element id="CarePlan.status.extension:_status.extension:scDeleteReasonOther">
      <path value="CarePlan.status.extension.extension" />
      <sliceName value="scDeleteReasonOther" />
      <comment value="To be applied when Special Consideration has been deleted in PIR with reason not found in PIR drop-down list.  See Mappings." />
      <mapping>
        <identity value="source-PIR-null" />
        <map value="unknown" />
      </mapping>
    </element>
    <element id="CarePlan.intent">
      <path value="CarePlan.intent" />
      <short value="PIR applies value  | order |  for FHIR purposes only." />
      <definition value="PIR applies value  | order |  for FHIR purposes only." />
      <comment value="Apply &quot;order&quot;" />
    </element>
    <element id="CarePlan.category">
      <path value="CarePlan.category" />
      <max value="1" />
    </element>
    <element id="CarePlan.subject.reference">
      <path value="CarePlan.subject.reference" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="fullURL + &quot;Patient/&quot; + (Patient ID)" />
      </mapping>
    </element>
    <element id="CarePlan.period">
      <path value="CarePlan.period" />
      <min value="1" />
    </element>
    <element id="CarePlan.period.id">
      <path value="CarePlan.period.id" />
      <max value="0" />
    </element>
    <element id="CarePlan.period.start">
      <path value="CarePlan.period.start" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="SPECIAL_CONSIDERATION.EFFECTIVE_FROM_DATE" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="effectiveFrom" />
      </mapping>
    </element>
    <element id="CarePlan.period.end">
      <path value="CarePlan.period.end" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="SPECIAL_CONSIDERATION.EFFECTIVE_TO_DATE" />
      </mapping>
      <mapping>
        <identity value="source-PHSL" />
        <map value="effectiveTo" />
      </mapping>
    </element>
    <element id="CarePlan.contributor">
      <path value="CarePlan.contributor" />
      <max value="1" />
    </element>
    <element id="CarePlan.careTeam">
      <path value="CarePlan.careTeam" />
      <max value="1" />
    </element>
    <element id="CarePlan.addresses">
      <path value="CarePlan.addresses" />
      <max value="1" />
    </element>
    <element id="CarePlan.supportingInfo">
      <path value="CarePlan.supportingInfo" />
      <max value="1" />
    </element>
    <element id="CarePlan.goal">
      <path value="CarePlan.goal" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity">
      <path value="CarePlan.activity" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.outcomeCodeableConcept">
      <path value="CarePlan.activity.outcomeCodeableConcept" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.outcomeReference">
      <path value="CarePlan.activity.outcomeReference" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.progress">
      <path value="CarePlan.activity.progress" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail">
      <path value="CarePlan.activity.detail" />
      <min value="1" />
    </element>
    <element id="CarePlan.activity.detail.instantiatesCanonical">
      <path value="CarePlan.activity.detail.instantiatesCanonical" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail.instantiatesUri">
      <path value="CarePlan.activity.detail.instantiatesUri" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail.reasonCode">
      <path value="CarePlan.activity.detail.reasonCode" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail.reasonReference">
      <path value="CarePlan.activity.detail.reasonReference" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail.reasonReference.reference">
      <path value="CarePlan.activity.detail.reasonReference.reference" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="&quot;#Condition&quot;+ (PIR SC ID)" />
      </mapping>
    </element>
    <element id="CarePlan.activity.detail.goal">
      <path value="CarePlan.activity.detail.goal" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail.status">
      <path value="CarePlan.activity.detail.status" />
      <short value="PIR applies | completed | for FHIR purposes." />
      <definition value="PIR applies | completed | for FHIR purposes." />
      <comment value="Apply &quot;completed&quot;" />
    </element>
    <element id="CarePlan.activity.detail.location.reference">
      <path value="CarePlan.activity.detail.location.reference" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-HA" />
        <map value="&quot;#Location/&quot;(SDL_ID)+&quot;org&quot;+(BRANCH_ID)" />
      </mapping>
      <mapping>
        <identity value="source-eForm" />
        <map value="fullURL+&quot;Location/&quot;+(SDL_ID)+&quot;org&quot;+(BRANCH_ID)" />
        <comment value="http://ehealth.bc.ca/eform/fhir" />
      </mapping>
    </element>
    <element id="CarePlan.activity.detail.location.type">
      <path value="CarePlan.activity.detail.location.type" />
      <max value="0" />
    </element>
    <element id="CarePlan.activity.detail.location.identifier">
      <path value="CarePlan.activity.detail.location.identifier" />
      <max value="0" />
    </element>
    <element id="CarePlan.activity.detail.location.display">
      <path value="CarePlan.activity.detail.location.display" />
      <max value="0" />
    </element>
    <element id="CarePlan.activity.detail.performer">
      <path value="CarePlan.activity.detail.performer" />
      <max value="1" />
    </element>
    <element id="CarePlan.activity.detail.product[x]">
      <path value="CarePlan.activity.detail.product[x]" />
      <short value="The agent/antigen to be applied for special consideration." />
      <definition value="Identifies the vaccine agent or antiger to apply special consideration for." />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="CarePlan.activity.detail.product[x].coding">
      <path value="CarePlan.activity.detail.product[x].coding" />
      <comment value="1st instance Agent/Antigen in NVC code, 2nd instance Agent/Antigen in PIR code" />
      <min value="1" />
    </element>
    <element id="CarePlan.activity.detail.product[x].coding.system">
      <path value="CarePlan.activity.detail.product[x].coding.system" />
      <short value="1st instance Agent/Antigen in NVC code, 2nd instance Agent/Antigen in PIR code" />
      <definition value="1st instance Agent/Antigen in NVC code, 2nd instance Agent/Antigen in PIR code" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="code-NVC" />
        <map value="https://nvc-cnv.canada.ca" />
      </mapping>
      <mapping>
        <identity value="code-PIR" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
      </mapping>
    </element>
    <element id="CarePlan.activity.detail.product[x].coding.code">
      <path value="CarePlan.activity.detail.product[x].coding.code" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR-code-agent" />
        <map value="BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE(sc.AGENT_CD_CNCPT_ID)" />
      </mapping>
      <mapping>
        <identity value="source-PIR-code-antigen" />
        <map value="BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE(SPECIAL_CONSIDERATION.ASIIS_VACC_CODE)" />
      </mapping>
      <mapping>
        <identity value="source-PHSL-agent" />
        <map value="agent" />
      </mapping>
      <mapping>
        <identity value="source-PHSL-antigen" />
        <map value="antigen" />
      </mapping>
    </element>
    <element id="CarePlan.activity.detail.product[x].coding.display">
      <path value="CarePlan.activity.detail.product[x].coding.display" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR-code-agent" />
        <map value="REPORTNG.GET_ITERM_DESC(sc.AGENT_CD_CNCPT_ID)" />
      </mapping>
      <mapping>
        <identity value="source-PIR-code-antigen" />
        <map value="REPORTNG.GET_ITERM_DESC(SPECIAL_CONSIDERATION.ASIIS_VACC_CODE)" />
      </mapping>
      <mapping>
        <identity value="source-PHSL-agent" />
        <map value="agentDescription" />
      </mapping>
      <mapping>
        <identity value="source-PHSL-antigen" />
        <map value="antigenDescription" />
      </mapping>
    </element>
    <element id="CarePlan.note">
      <path value="CarePlan.note" />
      <short value="Comments about the special consideration" />
      <definition value="Comments about the special consideration" />
      <comment value="Comments about the special consideration" />
    </element>
    <element id="CarePlan.note.id">
      <path value="CarePlan.note.id" />
      <max value="0" />
    </element>
    <element id="CarePlan.note.extension">
      <path value="CarePlan.note.extension" />
      <min value="2" />
    </element>
    <element id="CarePlan.note.extension:pIRIdentifierExtension">
      <path value="CarePlan.note.extension" />
      <sliceName value="pIRIdentifierExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="CarePlan.note.extension:pIRLockSeqNumberExtension">
      <path value="CarePlan.note.extension" />
      <sliceName value="pIRLockSeqNumberExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="CarePlan.note.author[x]">
      <path value="CarePlan.note.author[x]" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>