API Name: put-enrollment
This API creates or updates a patient Enrollment record under the Healthier Singapore (HSG) programme. Enrollment is represented using the CarePlan resource, differentiated from a standard care plan by the category.coding.code value of pophealth-enrolment. The enrollment captures the patient's association with a population health programme, including the enrolment status reason and the providing institution.
Specification
| Endpoint | [baseurl]/CarePlan/$put-enrollment |
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| Protocol | HTTPS |
| HTTP Method | Post |
| HTTP Header | Content-Type: application/fhir+json |
Request Body
Remarks:
- This is a type-level operation that operates on the CarePlan resource type.
CarePlan.category.coding.codemust be set topophealth-enrolmentto differentiate enrollment records from standard care plans.CarePlan.statusis set tocompleted(active enrollment) orrevoked(withdrawal). This value is internally decided by the system when creating an enrollment.CarePlan.intentmust be fixed toplan.- The
enrollment-status-reasonextension is required and indicates the reason for the enrollment status (e.g.,enrollment,pcp-change,withdraw,nehr-optout). CarePlan.careTeammust reference a contained CareTeam resource identifying the assigned primary care provider.- (All Slices) is an automatically generated section and should be ignored. Do not pass this as an input parameter. It will also not be part of response.
CarePlan
| CarePlan | C | CarePlan | There are no (further) constraints on this element Element idCarePlanShort description Healthcare plan for patient or group Alternate namesCare Team DefinitionDescribes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idCarePlan.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case. |
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCarePlan.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCarePlan.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCarePlan.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). IETF language tag for a human language
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idCarePlan.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. The cardinality or value of this element may be affected by these constraints: dom-6 Constraints
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| contained | C | 0..* | Resource | Element idCarePlan.containedShort description Information about an individual or animal receiving health care services Alternate namesinline resources, anonymous resources, contained resources, SubjectOfCare Client Resident DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. The cardinality or value of this element may be affected by these constraints: dom-2, dom-4, dom-3, dom-5 Mappings
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCarePlan.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCarePlan.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension.
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| instantiatesCanonical | Σ | 0..0 | canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire) | There are no (further) constraints on this element Element idCarePlan.instantiatesCanonicalShort description Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire) Constraints
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| instantiatesUri | Σ | 0..0 | uri | There are no (further) constraints on this element Element idCarePlan.instantiatesUriShort description Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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| basedOn | Σ C | 0..0 | Reference(CarePlan | NutritionOrder | RequestOrchestration | ServiceRequest) | There are no (further) constraints on this element Element idCarePlan.basedOnShort description Fulfills plan, proposal or order Alternate namesfulfills DefinitionA higher-level request resource (i.e. a plan, proposal or order) that is fulfilled in whole or in part by this care plan. Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(CarePlan | NutritionOrder | RequestOrchestration | ServiceRequest) Constraints
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| replaces | Σ C | 0..0 | Reference(CarePlan) | There are no (further) constraints on this element Element idCarePlan.replacesShort description CarePlan replaced by this CarePlan Alternate namessupersedes DefinitionCompleted or terminated care plan whose function is taken by this new care plan. Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.
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| partOf | Σ C | 0..0 | Reference(CarePlan) | There are no (further) constraints on this element Element idCarePlan.partOfShort description Part of referenced CarePlan DefinitionA larger care plan of which this particular care plan is a component or step. Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.
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| status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idCarePlan.statusShort description draft | active | on-hold | revoked | completed | entered-in-error | unknown DefinitionIndicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Allows clinicians to determine whether the plan is actionable or not. The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan. This element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid. Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
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| intent | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idCarePlan.intentShort description proposal | plan | order | option | directive DefinitionIndicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain. Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. This element is expected to be immutable. E.g. A "proposal" instance should never change to be a "plan" instance or "order" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value. Codes indicating the degree of authority/intentionality associated with a care plan.
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| category | Σ | 0..* | CodeableConcept | Element idCarePlan.categoryShort description Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Used for filtering what plan(s) are retrieved and displayed to different types of users. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
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| title | Σ | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.titleShort description Human-friendly name for the care plan DefinitionHuman-friendly name for the care plan. Note that FHIR strings SHALL NOT exceed 1,048,576 (1024*1024) characters in size
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| description | Σ | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.descriptionShort description Summary of nature of plan DefinitionA description of the scope and nature of the plan. Provides more detail than conveyed by category. Note that FHIR strings SHALL NOT exceed 1,048,576 (1024*1024) characters in size
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| subject | Σ C | 1..1 | Reference(Patient) | Element idCarePlan.subjectShort description Who the care plan is for Alternate namespatient DefinitionIdentifies the patient or group whose intended care is described by the plan. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.subject.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.subject.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.subject.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBindingFixed Value | Element idCarePlan.subject.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
PatientMappings
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.subject.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.subject.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.subject.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idCarePlan.subject.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCarePlan.subject.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeCodes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCarePlan.subject.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.synapxe.sg/NamingSystem/nricExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.subject.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. The cardinality or value of this element may be affected by these constraints: ident-1 Constraints
General 123456Mappings
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| period | Σ C | 0..0 | Period | There are no (further) constraints on this element Element idCarePlan.subject.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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| assigner | Σ C | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idCarePlan.subject.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| display | Σ C | 0..1 | string | There are no (further) constraints on this element Element idCarePlan.subject.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| encounter | Σ C | 1..1 | Reference(Encounter) | Element idCarePlan.encounterShort description The Encounter during which this CarePlan was created DefinitionThe Encounter during which this CarePlan was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.encounter.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCarePlan.encounter.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.encounter.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeCodes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCarePlan.encounter.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.synapxe.sg/NamingSystem/eventIDExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. The cardinality or value of this element may be affected by these constraints: ident-1 Constraints
General 123456Mappings
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| period | Σ C | 0..0 | Period | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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| assigner | Σ C | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| display | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| period | Σ C | 0..1 | Period | There are no (further) constraints on this element Element idCarePlan.periodShort description Time period plan covers Alternate namestiming DefinitionIndicates when the plan did (or is intended to) come into effect and end. Allows tracking what plan(s) are in effect at a particular time. Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).
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| created | Σ | 0..0 | dateTime | There are no (further) constraints on this element Element idCarePlan.createdShort description Date record was first recorded Alternate namesauthoredOn DefinitionRepresents when this particular CarePlan record was created in the system, which is often a system-generated date. UTC offset is allowed for dates and partial dates
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| custodian | Σ C | 0..0 | Reference(CareTeam | Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | There are no (further) constraints on this element Element idCarePlan.custodianShort description Who is the designated responsible party DefinitionWhen populated, the custodian is responsible for the care plan. The care plan is attributed to the custodian. The custodian might or might not be a contributor. Reference(CareTeam | Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) Constraints
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| contributor | C | 0..1 | Reference(Practitioner) | Element idCarePlan.contributorShort description Who provided the content of the care plan DefinitionIdentifies the individual(s), organization or device who provided the contents of the care plan. Collaborative care plans may have multiple contributors.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.contributor.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.contributor.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.contributor.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCarePlan.contributor.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.contributor.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeCodes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCarePlan.contributor.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.synapxe.sg/NamingSystem/mcrExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. The cardinality or value of this element may be affected by these constraints: ident-1 Constraints
General 123456Mappings
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| period | Σ C | 0..0 | Period | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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| assigner | Σ C | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| display | Σ C | 0..1 | string | There are no (further) constraints on this element Element idCarePlan.contributor.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| careTeam | C | 1..1 | Reference(CareTeam) | There are no (further) constraints on this element Element idCarePlan.careTeamShort description Who's involved in plan? DefinitionIdentifies all people and organizations who are expected to be involved in the care envisioned by this plan. Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.careTeam.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.careTeam.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.careTeam.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 0..0 | uriBinding | There are no (further) constraints on this element Element idCarePlan.careTeam.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 0..0 | Identifier | There are no (further) constraints on this element Element idCarePlan.careTeam.identifierShort description Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| display | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.careTeam.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| addresses | Σ | 0..* | CodeableReference(Condition) | Element idCarePlan.addressesShort description Health issues this plan addresses DefinitionIdentifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. The element can identify risks addressed by the plan as well as concerns. Also scopes plans - multiple plans may exist addressing different concerns. Use CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan. Codes that describe the health issues this plan addresses. SNOMEDCTClinicalFindings (example) Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.addresses.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.addresses.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| concept | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idCarePlan.addresses.conceptShort description Reference to a concept (by class) DefinitionA reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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| reference | Σ C | 1..1 | Reference | There are no (further) constraints on this element Element idCarePlan.addresses.referenceShort description Reference to a resource (by instance) DefinitionA reference to a resource the provides exact details about the information being referenced. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| supportingInfo | C | 0..0 | Reference(Resource) | There are no (further) constraints on this element Element idCarePlan.supportingInfoShort description Information considered as part of plan DefinitionIdentifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. Identifies barriers and other considerations associated with the care plan. Use "concern" to identify specific conditions addressed by the care plan. supportingInfo can be used to convey one or more Advance Directives or Medical Treatment Consent Directives by referencing Consent or any other request resource with intent = directive.
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| goal | C | 0..* | Reference(Goal) | Element idCarePlan.goalShort description Desired outcome of plan DefinitionDescribes the intended objective(s) of carrying out the care plan. Provides context for plan. Allows plan effectiveness to be evaluated by clinicians. Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. Allowed aggregation:contained Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.goal.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.goal.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.goal.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 0..0 | uriBinding | There are no (further) constraints on this element Element idCarePlan.goal.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 0..0 | Identifier | There are no (further) constraints on this element Element idCarePlan.goal.identifierShort description Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| display | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.goal.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| activity | 0..* | BackboneElement | There are no (further) constraints on this element Element idCarePlan.activityShort description Action to occur or has occurred as part of plan DefinitionIdentifies an action that has occurred or is a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring that has occurred, education etc. Allows systems to prompt for performance of planned activities, and validate plans against best practice.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| performedActivity | 0..* | CodeableReference(Location | Organization) | Element idCarePlan.activity.performedActivityShort description Results of the activity (concept, or Appointment, Encounter, Procedure, etc.) DefinitionIdentifies the activity that was performed. For example, an activity could be patient education, exercise, or a medication administration. The reference to an "event" resource, such as Procedure or Encounter or Observation, represents the activity that was performed. The requested activity can be conveyed using the CarePlan.activity.plannedActivityReference (a reference to a “request” resource). Links plan to resulting actions. Note that this should not duplicate the activity status (e.g. completed or in progress). The activity performed is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured. CodeableReference(Location | Organization) BindingIdentifies the results of the activity. CarePlanActivityPerformed (example) Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.performedActivity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.performedActivity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| concept | Σ | 1..1 | CodeableConcept | Element idCarePlan.activity.performedActivity.conceptShort description Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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| reference | Σ C | 0..0 | Reference | There are no (further) constraints on this element Element idCarePlan.activity.performedActivity.referenceShort description Reference to a resource (by instance) DefinitionA reference to a resource the provides exact details about the information being referenced. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| progress | 1..1 | Annotation | There are no (further) constraints on this element Element idCarePlan.activity.progressShort description Comments about the activity status/progress DefinitionNotes about the adherence/status/progress of the activity. Can be used to capture information about adherence, progress, concerns, etc. This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.progress.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| author[x] | Σ | 1..1 | Reference(Organization | Patient | Practitioner) | Element idCarePlan.activity.progress.author[x]Short description Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment. Reference(Organization | Patient | Practitioner) Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.activity.progress.author[x].identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| display | Σ C | 0..1 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| time | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idCarePlan.activity.progress.timeShort description When the annotation was made DefinitionIndicates when this particular annotation was made. UTC offset is allowed for dates and partial dates
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| text | Σ | 1..1 | markdown | There are no (further) constraints on this element Element idCarePlan.activity.progress.textShort description The annotation - text content (as markdown) DefinitionThe text of the annotation in markdown format. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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| plannedActivityReference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | Task | VisionPrescription) | There are no (further) constraints on this element Element idCarePlan.activity.plannedActivityReferenceShort description Activity that is intended to be part of the care plan DefinitionThe details of the proposed activity represented in a specific resource. Details in a form consistent with other applications and contexts of use. Standard extension exists (http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.plannedActivityReference. Reference(Appointment | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | Task | VisionPrescription) Constraints
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| note | 0..* | Annotation | Element idCarePlan.noteShort description Text node with attribution DefinitionA text note which also contains information about who made the statement and when. Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Successful Response
| CarePlan | C | CarePlan | There are no (further) constraints on this element Element idCarePlanShort description Healthcare plan for patient or group Alternate namesCare Team DefinitionDescribes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idCarePlan.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case. |
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCarePlan.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCarePlan.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCarePlan.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). IETF language tag for a human language
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idCarePlan.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. The cardinality or value of this element may be affected by these constraints: dom-6 Constraints
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| contained | C | 0..* | Resource | Element idCarePlan.containedShort description Information about an individual or animal receiving health care services Alternate namesinline resources, anonymous resources, contained resources, SubjectOfCare Client Resident DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. The cardinality or value of this element may be affected by these constraints: dom-2, dom-4, dom-3, dom-5 Mappings
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCarePlan.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCarePlan.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension.
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| instantiatesCanonical | Σ | 0..0 | canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire) | There are no (further) constraints on this element Element idCarePlan.instantiatesCanonicalShort description Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire) Constraints
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| instantiatesUri | Σ | 0..0 | uri | There are no (further) constraints on this element Element idCarePlan.instantiatesUriShort description Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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| basedOn | Σ C | 0..0 | Reference(CarePlan | NutritionOrder | RequestOrchestration | ServiceRequest) | There are no (further) constraints on this element Element idCarePlan.basedOnShort description Fulfills plan, proposal or order Alternate namesfulfills DefinitionA higher-level request resource (i.e. a plan, proposal or order) that is fulfilled in whole or in part by this care plan. Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(CarePlan | NutritionOrder | RequestOrchestration | ServiceRequest) Constraints
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| replaces | Σ C | 0..0 | Reference(CarePlan) | There are no (further) constraints on this element Element idCarePlan.replacesShort description CarePlan replaced by this CarePlan Alternate namessupersedes DefinitionCompleted or terminated care plan whose function is taken by this new care plan. Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.
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| partOf | Σ C | 0..0 | Reference(CarePlan) | There are no (further) constraints on this element Element idCarePlan.partOfShort description Part of referenced CarePlan DefinitionA larger care plan of which this particular care plan is a component or step. Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.
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| status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idCarePlan.statusShort description draft | active | on-hold | revoked | completed | entered-in-error | unknown DefinitionIndicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Allows clinicians to determine whether the plan is actionable or not. The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan. This element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid. Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
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| intent | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idCarePlan.intentShort description proposal | plan | order | option | directive DefinitionIndicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain. Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. This element is expected to be immutable. E.g. A "proposal" instance should never change to be a "plan" instance or "order" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value. Codes indicating the degree of authority/intentionality associated with a care plan.
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| category | Σ | 0..* | CodeableConcept | Element idCarePlan.categoryShort description Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Used for filtering what plan(s) are retrieved and displayed to different types of users. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
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| title | Σ | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.titleShort description Human-friendly name for the care plan DefinitionHuman-friendly name for the care plan. Note that FHIR strings SHALL NOT exceed 1,048,576 (1024*1024) characters in size
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| description | Σ | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.descriptionShort description Summary of nature of plan DefinitionA description of the scope and nature of the plan. Provides more detail than conveyed by category. Note that FHIR strings SHALL NOT exceed 1,048,576 (1024*1024) characters in size
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| subject | Σ C | 1..1 | Reference(Patient) | Element idCarePlan.subjectShort description Who the care plan is for Alternate namespatient DefinitionIdentifies the patient or group whose intended care is described by the plan. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.subject.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.subject.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.subject.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBindingFixed Value | Element idCarePlan.subject.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
PatientMappings
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.subject.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.subject.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.subject.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idCarePlan.subject.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCarePlan.subject.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeCodes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCarePlan.subject.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.synapxe.sg/NamingSystem/nricExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.subject.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. The cardinality or value of this element may be affected by these constraints: ident-1 Constraints
General 123456Mappings
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| period | Σ C | 0..0 | Period | There are no (further) constraints on this element Element idCarePlan.subject.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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| assigner | Σ C | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idCarePlan.subject.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| display | Σ C | 0..1 | string | There are no (further) constraints on this element Element idCarePlan.subject.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| encounter | Σ C | 1..1 | Reference(Encounter) | Element idCarePlan.encounterShort description The Encounter during which this CarePlan was created DefinitionThe Encounter during which this CarePlan was created or to which the creation of this record is tightly associated. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.encounter.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCarePlan.encounter.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.encounter.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeCodes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCarePlan.encounter.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.synapxe.sg/NamingSystem/eventIDExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. The cardinality or value of this element may be affected by these constraints: ident-1 Constraints
General 123456Mappings
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| period | Σ C | 0..0 | Period | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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| assigner | Σ C | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idCarePlan.encounter.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| display | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.encounter.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| period | Σ C | 0..1 | Period | There are no (further) constraints on this element Element idCarePlan.periodShort description Time period plan covers Alternate namestiming DefinitionIndicates when the plan did (or is intended to) come into effect and end. Allows tracking what plan(s) are in effect at a particular time. Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).
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| created | Σ | 0..0 | dateTime | There are no (further) constraints on this element Element idCarePlan.createdShort description Date record was first recorded Alternate namesauthoredOn DefinitionRepresents when this particular CarePlan record was created in the system, which is often a system-generated date. UTC offset is allowed for dates and partial dates
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| custodian | Σ C | 0..0 | Reference(CareTeam | Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | There are no (further) constraints on this element Element idCarePlan.custodianShort description Who is the designated responsible party DefinitionWhen populated, the custodian is responsible for the care plan. The care plan is attributed to the custodian. The custodian might or might not be a contributor. Reference(CareTeam | Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) Constraints
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| contributor | C | 0..1 | Reference(Practitioner) | Element idCarePlan.contributorShort description Who provided the content of the care plan DefinitionIdentifies the individual(s), organization or device who provided the contents of the care plan. Collaborative care plans may have multiple contributors.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.contributor.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.contributor.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.contributor.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCarePlan.contributor.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.contributor.identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| use | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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| type | Σ | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeCodes (extensible) Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCarePlan.contributor.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.synapxe.sg/NamingSystem/mcrExamples General http://www.acme.com/identifiers/patientMappings
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| value | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. The cardinality or value of this element may be affected by these constraints: ident-1 Constraints
General 123456Mappings
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| period | Σ C | 0..0 | Period | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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| assigner | Σ C | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element idCarePlan.contributor.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| display | Σ C | 0..1 | string | There are no (further) constraints on this element Element idCarePlan.contributor.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| careTeam | C | 1..1 | Reference(CareTeam) | There are no (further) constraints on this element Element idCarePlan.careTeamShort description Who's involved in plan? DefinitionIdentifies all people and organizations who are expected to be involved in the care envisioned by this plan. Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.careTeam.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.careTeam.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.careTeam.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 0..0 | uriBinding | There are no (further) constraints on this element Element idCarePlan.careTeam.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 0..0 | Identifier | There are no (further) constraints on this element Element idCarePlan.careTeam.identifierShort description Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| display | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.careTeam.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| addresses | Σ | 0..* | CodeableReference(Condition) | Element idCarePlan.addressesShort description Health issues this plan addresses DefinitionIdentifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. The element can identify risks addressed by the plan as well as concerns. Also scopes plans - multiple plans may exist addressing different concerns. Use CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan. Codes that describe the health issues this plan addresses. SNOMEDCTClinicalFindings (example) Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.addresses.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.addresses.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| concept | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idCarePlan.addresses.conceptShort description Reference to a concept (by class) DefinitionA reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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| reference | Σ C | 1..1 | Reference | There are no (further) constraints on this element Element idCarePlan.addresses.referenceShort description Reference to a resource (by instance) DefinitionA reference to a resource the provides exact details about the information being referenced. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| supportingInfo | C | 0..0 | Reference(Resource) | There are no (further) constraints on this element Element idCarePlan.supportingInfoShort description Information considered as part of plan DefinitionIdentifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. Identifies barriers and other considerations associated with the care plan. Use "concern" to identify specific conditions addressed by the care plan. supportingInfo can be used to convey one or more Advance Directives or Medical Treatment Consent Directives by referencing Consent or any other request resource with intent = directive.
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| goal | C | 0..* | Reference(Goal) | Element idCarePlan.goalShort description Desired outcome of plan DefinitionDescribes the intended objective(s) of carrying out the care plan. Provides context for plan. Allows plan effectiveness to be evaluated by clinicians. Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. Allowed aggregation:contained Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.goal.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.goal.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 1..1 | string | There are no (further) constraints on this element Element idCarePlan.goal.referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 0..0 | uriBinding | There are no (further) constraints on this element Element idCarePlan.goal.typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 0..0 | Identifier | There are no (further) constraints on this element Element idCarePlan.goal.identifierShort description Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| display | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.goal.displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| activity | 0..* | BackboneElement | There are no (further) constraints on this element Element idCarePlan.activityShort description Action to occur or has occurred as part of plan DefinitionIdentifies an action that has occurred or is a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring that has occurred, education etc. Allows systems to prompt for performance of planned activities, and validate plans against best practice.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| modifierExtension | Σ ?! C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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| performedActivity | 0..* | CodeableReference(Location | Organization) | Element idCarePlan.activity.performedActivityShort description Results of the activity (concept, or Appointment, Encounter, Procedure, etc.) DefinitionIdentifies the activity that was performed. For example, an activity could be patient education, exercise, or a medication administration. The reference to an "event" resource, such as Procedure or Encounter or Observation, represents the activity that was performed. The requested activity can be conveyed using the CarePlan.activity.plannedActivityReference (a reference to a “request” resource). Links plan to resulting actions. Note that this should not duplicate the activity status (e.g. completed or in progress). The activity performed is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured. CodeableReference(Location | Organization) BindingIdentifies the results of the activity. CarePlanActivityPerformed (example) Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.performedActivity.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.performedActivity.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| concept | Σ | 1..1 | CodeableConcept | Element idCarePlan.activity.performedActivity.conceptShort description Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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| reference | Σ C | 0..0 | Reference | There are no (further) constraints on this element Element idCarePlan.activity.performedActivity.referenceShort description Reference to a resource (by instance) DefinitionA reference to a resource the provides exact details about the information being referenced. References SHALL be a reference to an actual FHIR resource, and SHALL be resolvable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| progress | 1..1 | Annotation | There are no (further) constraints on this element Element idCarePlan.activity.progressShort description Comments about the activity status/progress DefinitionNotes about the adherence/status/progress of the activity. Can be used to capture information about adherence, progress, concerns, etc. This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.progress.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| author[x] | Σ | 1..1 | Reference(Organization | Patient | Practitioner) | Element idCarePlan.activity.progress.author[x]Short description Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment. Reference(Organization | Patient | Practitioner) Constraints
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| id | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. The cardinality or value of this element may be affected by these constraints: ele-1 Mappings
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| extension | C | 0..0 | Extension | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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| reference | Σ C | 0..0 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].referenceShort description Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. The cardinality or value of this element may be affected by these constraints: ref-2, ref-1 Constraints
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| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].typeShort description Type the reference refers to (e.g. "Patient") - must be a resource in resources DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. Aa resource (or, for logical models, the URI of the logical model).
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| identifier | Σ C | 1..1 | Identifier | Element idCarePlan.activity.progress.author[x].identifierShort description An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. The rules of the identifier.type determine if a check digit is part of the ID value or sent separately, such as through the checkDigit extension. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| display | Σ C | 0..1 | string | There are no (further) constraints on this element Element idCarePlan.activity.progress.author[x].displayShort description Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. The cardinality or value of this element may be affected by these constraints: ref-2 Constraints
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| time | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idCarePlan.activity.progress.timeShort description When the annotation was made DefinitionIndicates when this particular annotation was made. UTC offset is allowed for dates and partial dates
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| text | Σ | 1..1 | markdown | There are no (further) constraints on this element Element idCarePlan.activity.progress.textShort description The annotation - text content (as markdown) DefinitionThe text of the annotation in markdown format. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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| plannedActivityReference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | Task | VisionPrescription) | There are no (further) constraints on this element Element idCarePlan.activity.plannedActivityReferenceShort description Activity that is intended to be part of the care plan DefinitionThe details of the proposed activity represented in a specific resource. Details in a form consistent with other applications and contexts of use. Standard extension exists (http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.plannedActivityReference. Reference(Appointment | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | Task | VisionPrescription) Constraints
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| note | 0..* | Annotation | Element idCarePlan.noteShort description Text node with attribution DefinitionA text note which also contains information about who made the statement and when. Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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Business Level Errors
This section details the business level errors exposed by OperationOutcome resource for this operation. Refer to API Error Handling for framework level errors.
For illustration only
| http status code | code | details.coding.code | details.text |
|---|---|---|---|
| 404 | not-found | E-10000 | No matching patient found based on NRIC, Date of Birth and Gender |
| 404 | not-found | E-10001 | Institution code for organization is not found |
| 404 | not-found | E-10002 | Organization code is not found |
| 400 | business-rule | E-10003 | Patient is not currently enrolled to the organization |
| 400 | duplicate | E-10004 | An attempt was made to create a duplicate enrollment record |
| 400 | invalid | E-10005 | Invalid enrollment identifier |
| 400 | invalid | E-10006 | Invalid enrollment status |