<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient." /> <purpose value="To record activity regarding the planning and carrying out of a single care plan as a whole." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Care_Plan"> <path value="Care_Plan" /> <short value="Care Plan" /> <definition value="Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient." /> <min value="1" /> <max value="1" /> <base> <path value="Care_Plan" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.protocol"> <path value="Care_Plan.protocol" /> <short value="Tree" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.protocol" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.protocol.Care_Plan_ID"> <path value="Care_Plan.protocol.Care_Plan_ID" /> <short value="Care Plan ID" /> <definition value="Identification of care plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.protocol.Care_Plan_ID" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Care_Plan.protocol.Care_Plan_ID.value"> <path value="Care_Plan.protocol.Care_Plan_ID.value" /> <short value="Care Plan ID" /> <definition value="Identification of care plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.protocol.Care_Plan_ID.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.protocol.Expiry_Date"> <path value="Care_Plan.protocol.Expiry_Date" /> <short value="Expiry Date" /> <definition value="Anticipated date beyond which the care plan can be deemed 'expired'." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.protocol.Expiry_Date" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Care_Plan.protocol.Expiry_Date.value"> <path value="Care_Plan.protocol.Expiry_Date.value" /> <short value="Expiry Date" /> <definition value="Anticipated date beyond which the care plan can be deemed 'expired'." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.protocol.Expiry_Date.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.description"> <path value="Care_Plan.description" /> <short value="Tree" /> <definition value="@ internal @" /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.description.Care_Plan_Name"> <path value="Care_Plan.description.Care_Plan_Name" /> <short value="Care Plan Name" /> <definition value="Name of care plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description.Care_Plan_Name" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Care_Plan.description.Care_Plan_Name.value"> <path value="Care_Plan.description.Care_Plan_Name.value" /> <short value="Care Plan Name" /> <definition value="Name of care plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description.Care_Plan_Name.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.description.Description"> <path value="Care_Plan.description.Description" /> <short value="Description" /> <definition value="Description of activity performed/enacted against the plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description.Description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Care_Plan.description.Description.value"> <path value="Care_Plan.description.Description.value" /> <short value="Description" /> <definition value="Description of activity performed/enacted against the plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description.Description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.description.Reason"> <path value="Care_Plan.description.Reason" /> <short value="Reason" /> <definition value="Reason for activity being performed /enacted against the plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description.Reason" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Care_Plan.description.Reason.value"> <path value="Care_Plan.description.Reason.value" /> <short value="Reason" /> <definition value="Reason for activity being performed /enacted against the plan." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.description.Reason.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_plan_Need_Identified"> <path value="Care_Plan.Care_plan_Need_Identified" /> <short value="Care plan Need Identified" /> <definition value="Need for a care plan has been identified." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_plan_Need_Identified" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_plan_Need_Identified.current_state"> <path value="Care_Plan.ism_transition_Care_plan_Need_Identified.current_state" /> <short value="Care plan Need Identified" /> <definition value="Need for a care plan has been identified." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_plan_Need_Identified.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_plan_Need_Identified.careflow_step"> <path value="Care_Plan.ism_transition_Care_plan_Need_Identified.careflow_step" /> <short value="Care plan Need Identified" /> <definition value="Need for a care plan has been identified." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_plan_Need_Identified.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Developed"> <path value="Care_Plan.Care_Plan_Developed" /> <short value="Care Plan Developed" /> <definition value="Care plan components identified and documented." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Developed" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Developed.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Developed.current_state" /> <short value="Care Plan Developed" /> <definition value="Care plan components identified and documented." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Developed.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Developed.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Developed.careflow_step" /> <short value="Care Plan Developed" /> <definition value="Care plan components identified and documented." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Developed.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Postponed"> <path value="Care_Plan.Care_Plan_Postponed" /> <short value="Care Plan Postponed" /> <definition value="Commencement of care plan has been temporarily postponed to a future date." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Postponed" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Postponed.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Postponed.current_state" /> <short value="Care Plan Postponed" /> <definition value="Commencement of care plan has been temporarily postponed to a future date." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Postponed.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Postponed.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Postponed.careflow_step" /> <short value="Care Plan Postponed" /> <definition value="Commencement of care plan has been temporarily postponed to a future date." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Postponed.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Cancelled"> <path value="Care_Plan.Care_Plan_Cancelled" /> <short value="Care Plan Cancelled" /> <definition value="Care plan has been cancelled prior to commencement." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Cancelled" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Cancelled.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Cancelled.current_state" /> <short value="Care Plan Cancelled" /> <definition value="Care plan has been cancelled prior to commencement." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Cancelled.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Cancelled.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Cancelled.careflow_step" /> <short value="Care Plan Cancelled" /> <definition value="Care plan has been cancelled prior to commencement." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Cancelled.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Scheduled"> <path value="Care_Plan.Care_Plan_Scheduled" /> <short value="Care Plan Scheduled" /> <definition value="Care plan has been scheduled." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Scheduled" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Scheduled.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Scheduled.current_state" /> <short value="Care Plan Scheduled" /> <definition value="Care plan has been scheduled." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Scheduled.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Scheduled.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Scheduled.careflow_step" /> <short value="Care Plan Scheduled" /> <definition value="Care plan has been scheduled." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Scheduled.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Commenced"> <path value="Care_Plan.Care_Plan_Commenced" /> <short value="Care Plan Commenced" /> <definition value="Care plan activities commenced and in progress." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Commenced" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Commenced.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Commenced.current_state" /> <short value="Care Plan Commenced" /> <definition value="Care plan activities commenced and in progress." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Commenced.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Commenced.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Commenced.careflow_step" /> <short value="Care Plan Commenced" /> <definition value="Care plan activities commenced and in progress." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Commenced.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Reviewed"> <path value="Care_Plan.Care_Plan_Reviewed" /> <short value="Care Plan Reviewed" /> <definition value="Care plan has been reviewed." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Reviewed" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Reviewed.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Reviewed.current_state" /> <short value="Care Plan Reviewed" /> <definition value="Care plan has been reviewed." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Reviewed.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Reviewed.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Reviewed.careflow_step" /> <short value="Care Plan Reviewed" /> <definition value="Care plan has been reviewed." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Reviewed.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Suspended"> <path value="Care_Plan.Care_Plan_Suspended" /> <short value="Care Plan Suspended" /> <definition value="Care plan is temporarily suspended but intended to resume at a later date." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Suspended" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Suspended.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Suspended.current_state" /> <short value="Care Plan Suspended" /> <definition value="Care plan is temporarily suspended but intended to resume at a later date." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Suspended.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Suspended.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Suspended.careflow_step" /> <short value="Care Plan Suspended" /> <definition value="Care plan is temporarily suspended but intended to resume at a later date." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Suspended.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Aborted"> <path value="Care_Plan.Care_Plan_Aborted" /> <short value="Care Plan Aborted" /> <definition value="Care plan has been aborted." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Aborted" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Aborted.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Aborted.current_state" /> <short value="Care Plan Aborted" /> <definition value="Care plan has been aborted." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Aborted.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Aborted.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Aborted.careflow_step" /> <short value="Care Plan Aborted" /> <definition value="Care plan has been aborted." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Aborted.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Expired"> <path value="Care_Plan.Care_Plan_Expired" /> <short value="Care Plan Expired" /> <definition value="Care plan duration has passed the 'Expiry Date'." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Expired" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Expired.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Expired.current_state" /> <short value="Care Plan Expired" /> <definition value="Care plan duration has passed the 'Expiry Date'." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Expired.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Expired.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Expired.careflow_step" /> <short value="Care Plan Expired" /> <definition value="Care plan duration has passed the 'Expiry Date'." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Expired.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.Care_Plan_Completed"> <path value="Care_Plan.Care_Plan_Completed" /> <short value="Care Plan Completed" /> <definition value="All activities related to the care plan have been reconciled or completed." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.Care_Plan_Completed" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Completed.current_state"> <path value="Care_Plan.ism_transition_Care_Plan_Completed.current_state" /> <short value="Care Plan Completed" /> <definition value="All activities related to the care plan have been reconciled or completed." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Completed.current_state" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Care_Plan.ism_transition_Care_Plan_Completed.careflow_step"> <path value="Care_Plan.ism_transition_Care_Plan_Completed.careflow_step" /> <short value="Care Plan Completed" /> <definition value="All activities related to the care plan have been reconciled or completed." /> <min value="0" /> <max value="1" /> <base> <path value="Care_Plan.ism_transition_Care_Plan_Completed.careflow_step" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>