Finnish PHR SelfCarePlan profile

Finnish PHR profile for FHIR® CarePlan to be used with self care plans. NB! This profile is used with self care plans that are generated on the basis of a decision support system.

NB! At the moment SelfCarePlan's narrative includes the questions and answers from the Questionnaire and QuestionnaireResponse that the plan is based on.

A full list of the extensions, constraints and a structured definition of this profile can be found in Simplifier. There are also different views of the profile (details, mappings, table, XML, JSON)., JSON).

Mandatory elements for Finnish PHR Self Care Plan

Mandatory elements table for Finnish PHR SelfCarePlan profile
Content Name in structure Description / Type of information
Language language Language used in the self care plan stored in Kanta PHR.
Language SHALL be chosen from the FHIR languages ValueSet.
Narrative text A text summary of the self care plan.
SHALL include all content for a human to understand the essential clinical and business information of the self care plan.

Narrative also includes the questions and responses from the Questionnaire and QuestionnaireResponse on which the plan is based on.
Unique identifier identifier

At least one globally unique identifier has to be provided for the observation, in addition other identifiers may be given as well.

This identifier may be used to uniquely identify the observation if the application doesn't receive an id for the observation provided by Kanta PHR.

Status status Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. The code for status SHALL be from the FHIR Care Plan Status ValueSet, and only the following codes are allowed in Kanta PHR: draft, active, completed, cancelled.
Intent of the plan intent Indicates the level of authority/intentionality associated with the care plan. The code SHALL always be 'plan' from the FHIR Care Plan Intent ValueSet.
Category of the plan category Identifies what kind of plan it is. The code SHALL be from the Finnish PHR CarePlan Category ValueSet.
Title title A human friendly name of the self care plan.
Description description

A description of the scope and nature of the plan.

Provides more detail than conveyed by category.

Who the plan is for subject Identifies the patient whose intended care is described by the plan. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).
Person who is responsible for the contents of the plan author This may be the same as the subject, or this may be another person for example when someone is using Kanta PHR on behalf of the subject. The reference SHALL be to a Patient resource stored in Kanta PHR (that conforms to the Finnish PHR Patient profile).

Optional elements for Finnish PHR Self Care Plan

Optional elements table for Finnish PHR SelfCarePlan profile
Content Name in structure Description / Type of information
Time of the plan period Indicates when the plan did (or is intended to) come into effect and end.
Information considered as part of plan supportingInfo A reference to other information that specifically influenced the formation of the plan. SHALL be a reference to a QuestionnaireResponse stored in Kanta PHR (that conforms to Finnish PHR Questionnaire Response profile).
A goal related to the plan goal Describes the intended objective(s) of carrying out the care plan. SHALL be a reference to a Goal resource that is contained in the SelfCarePlan itself and that conforms to the Finnish PHR SelfCareGoal profile.

Elements in the Finnish PHR SelfCarePlan profile filled by the Kanta PHR platform

Elements in the Finnish PHR SelfCarePlan profile filled by the Kanta PHR platform
Content Name in structure Description / Type of information
Application that created or updated the resource extension:
creatingApplication

Is used to represent information about the application (id and name) that created or updated the resource. See the definition for the Finnish PHR Application Information extension.

Kanta PHR platform will fill in this data automatically to each stored resource (if the application has entered some data in this extension, it will be overwitten).

Examples of Finnish PHR SelfCarePlan resources