<status value="active" /> <publisher value="NHS Wales" /> <contact> <name value="Data Standards" /> <telecom> <system value="email" /> <value value="data.standards@wales.nhs.uk" /> <use value="work" /> </telecom> </contact> <description value="The clinical circumstance for PROMs collection. The CarePlan is used to group Collection Events and provide context to the pathway." /> <purpose value="The CarePlan functions as linking pin of all DSCN metadata relevant for a clinical circumstance." /> <copyright value="© 2023 NHS Wales." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="PROMs-Metadata-2024004" /> <name value="NHS Wales DSCN Metadata Mapping" /> </mapping> <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="Clinical Circumstance" /> </element> <element id="CarePlan.extension"> <path value="CarePlan.extension" /> <min value="1" /> </element> <element id="CarePlan.extension:pathwayLaterality"> <path value="CarePlan.extension" /> <sliceName value="pathwayLaterality" /> <short value="Laterality of the PSOM pathway" /> <definition value="The laterality is used to capture the anatomical side associated with the healthcare referral / pathway record." /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-PathwayLaterality" /> </type> <isModifier value="false" /> </element> <element id="CarePlan.identifier"> <path value="CarePlan.identifier" /> <slicing> <discriminator> <type value="profile" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="CarePlan.identifier:referralIdentifier"> <path value="CarePlan.identifier" /> <sliceName value="referralIdentifier" /> <type> <code value="Identifier" /> <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-ReferralIdentifier" /> </type> </element> <element id="CarePlan.status"> <path value="CarePlan.status" /> <comment value="In interactions between the Health Board and the PROMs provider, the CarePlan uses the following statuses: * Requesting PROMs collection = _active_ * Providing PROMs collection = _active_ * Cancelling PROMs collection = _revoked_" /> </element> <element id="CarePlan.intent"> <path value="CarePlan.intent" /> <comment value="In interactions between the Health Board and the PROMs provider, the CarePlan intent is fixed as: * Requesting PROMs collection = _order_ * Providing PROMs collection = _order_ * Cancelling PROMs collection = _order_" /> </element> <element id="CarePlan.category"> <path value="CarePlan.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="2" /> </element> <element id="CarePlan.category:treatmentSpecialty"> <path value="CarePlan.category" /> <sliceName value="treatmentSpecialty" /> <short value="Treatment Specialty Code" /> <definition value="The code for the pathway specialty at the time the PROMs form is generated." /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="Identifies the pathway specialty" /> <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes" /> </binding> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MEDPX001X" /> <comment value="Treatment Specialty Code" /> </mapping> </element> <element id="CarePlan.category:pathwayType"> <path value="CarePlan.category" /> <sliceName value="pathwayType" /> <short value="PROMs Pathway Type" /> <definition value="The type of pathway that the PROM is associated to, e.g. lung cancer, heart failure, cataract, etc." /> <comment value="For local pathways use `.coding.code` _OTH_ and fill the Local PROMs Pathway Type in `.text`." /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <description value="Identifies the type of pathway" /> <valueSet value="https://fhir.nhs.wales/ValueSet/DataStandardsWales-PSOM-PathwayType" /> </binding> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX005X" /> <comment value="PROMs Pathway Type" /> </mapping> </element> <element id="CarePlan.category:pathwayType.text"> <path value="CarePlan.category.text" /> <short value="Local PROMs Pathway Type" /> <definition value="A locally-defined code to identify the PROMs pathway. This type is only required for local pathways." /> <comment value="For local pathways `.coding.code` SHALL be filled with _OTH_." /> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPRPX009X" /> <comment value="Local PROMs Pathway Type" /> </mapping> </element> <element id="CarePlan.subject"> <path value="CarePlan.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" /> </type> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX001X" /> <comment value="NHS Number (implicit, main mapping is on Patient.identifier:nhsNumber)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX001A" /> <comment value="NHS Number Status Indicator (implicit, main mapping is on Patient.identifier:nhsNumber.extension:nhsNumberVerificationStatus)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX002A" /> <comment value="Local Person Identifier Origination (implicit, main mapping is on Patient.identifier:[HealthBoard]PasIdentifier.type)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX002X" /> <comment value="Local Person Identifier (implicit, main mapping is on Patient.identifier:[HealthBoard]PasIdentifier.value)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX003X" /> <comment value="Given Name (implicit, main mapping is on Patient.name.given)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX004X" /> <comment value="Family Name (implicit, main mapping is on Patient.name.family)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX005X" /> <comment value="Date of Birth (implicit, main mapping is on Patient.birthDate)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX006X" /> <comment value="Gender Identity (implicit, main mapping is on Patient.gender)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MPDPX007X" /> <comment value="Postcode (implicit, main mapping is on Patient.address.postalCode)" /> </mapping> </element> <element id="CarePlan.author"> <path value="CarePlan.author" /> <short value="Reference to Senior Responsible Professional and Originating Organisation" /> <definition value="Reference to Senior Responsible Professional and Originating Organisation" /> <comment value="Each occurrence of a Senior Responsible Professional is represented by two FHIR resources: a PractitionerRole resource (instance of DataStandardsWales-PractitionerRole) and a Practitioner resource (DataStandardsWales-Practitioner). The Originating Organisation is related to the Senior Responsible Professional and is represented by the Organization resorce (instance of DataStandardsWales-Organization). The Practitioner and Organization resource are both referenced from the PractitionerRole instance through the elements `.practitioner` and `.organization` respectively. Sending systems should fill the reference to the PractitionerRole instance here. Receiving systems can then retrieve the reference to the Practitioner and the Organization resource from that PractitionerRole instance. While the `.author` element is a good fit for holding the Senior Responsible Professional information, a more elaborate approach could be to use a dedicated CareTeam resource referenced through the `.careTeam` element. However, to reduce implementation workload, we have decided to continue using the `.author` element for this information in the current version." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole" /> </type> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MEDPX002A" /> <comment value="Senior Responsible Professional Name (implicit, main mapping is on Practitioner.name)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MEDPX002B" /> <comment value="Senior Responsible Professional Identifier Code System (implicit, main mapping is on Practitioner.identifier.system)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MEDPX002C" /> <comment value="Senior Responsible Professional Identifier (implicit, main mapping is on Practitioner.identifier.value)" /> </mapping> <mapping> <identity value="PROMs-Metadata-2024004" /> <map value="MDDPX002X" /> <comment value="Originating Organisation Code (implicit, main mapping is on Organization.identifier)" /> </mapping> </element> <element id="CarePlan.activity"> <path value="CarePlan.activity" /> <slicing> <discriminator> <type value="profile" /> <path value="reference.resolve()" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="CarePlan.activity.outcomeReference"> <path value="CarePlan.activity.outcomeReference" /> <comment value="The outcome of activities may trigger or lead to re-evaluation of the PROMs collection schedule. For now references to Encounter and Procedure are added because these resources most likely contain information relevant for PROMs collection." /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Encounter" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> </element> <element id="CarePlan.activity.reference"> <path value="CarePlan.activity.reference" /> <comment value="Proposed activities may trigger or lead to re-evaluation of the PROMs collection schedule. For now references to Appointment and ServiceRequest are added because these resources most likely contain information relevant for PROMs collection. Each reference to an Appointment or a ServiceRequest represents a planned activity that functions as a trigger for the PROMs provider to re-evaluate the PROMs collection schedule and adjust if necessary." /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Appointment" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-ServiceRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/VisionPrescription" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RequestGroup" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task" /> </type> </element> <element id="CarePlan.activity:completeQuestionnaire"> <path value="CarePlan.activity" /> <sliceName value="completeQuestionnaire" /> </element> <element id="CarePlan.activity:completeQuestionnaire.outcomeCodeableConcept"> <path value="CarePlan.activity.outcomeCodeableConcept" /> <max value="0" /> </element> <element id="CarePlan.activity:completeQuestionnaire.outcomeReference"> <path value="CarePlan.activity.outcomeReference" /> <max value="0" /> </element> <element id="CarePlan.activity:completeQuestionnaire.progress"> <path value="CarePlan.activity.progress" /> <max value="0" /> </element> <element id="CarePlan.activity:completeQuestionnaire.reference"> <path value="CarePlan.activity.reference" /> <short value="PSOM Task reference" /> <definition value="Each reference to a Task represents a PROMs Tool within a Collection Event. A Collection Event is a trigger to request a patient to fill in a specific PROMs Tool and to receive the scores and answers filled in by the patient." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task" /> </type> </element> <element id="CarePlan.activity:completeQuestionnaire.detail"> <path value="CarePlan.activity.detail" /> <max value="0" /> </element> </differential> </StructureDefinition>