RLCarePlanProgettoIndividuale

RLCarePlanProgettoIndividuale

Descrizione

Il profilo RLCarePlanProgettoIndividuale è stato strutturato a partire dalla risorsa generica FHIR CarePlan per descrivere il progetto individuale di un assistito. Il contenuto informativo contiene i dettagli delle attività e dei servizi sanitari, socioassistenziali, infermieristici e sociali che devono essere attivati al paziente. Inoltre, sono riportate varie informazioni generali quali: durata del progetto, obiettivi di salute, case manager, esiti delle valutazioni, patologie principali, secondarie e ulteriori, allergie, esenzioni e stili di vita dell’assistito.

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLCarePlanProgettoIndividuale.

Snapshot View

CarePlan	I		CarePlan	There are no (further) constraints on this element Element id CarePlan Short description Healthcare plan for patient or group Alternate names Care Team Definition Describes 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. Data type CarePlan Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act workflow: Request rim: Act[classCode=PCPR, moodCode=INT]
id	Σ	1..1	string	Element id CarePlan.id Short description UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	1..1	Meta	Element id CarePlan.meta Short description Metadati della risorsa Definition The 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	Σ	1..1	id	Element id CarePlan.meta.versionId Short description Versione della risorsa Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	1..1	instant	Element id CarePlan.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element id CarePlan.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element id CarePlan.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id CarePlan.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id CarePlan.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id CarePlan.implicitRules Short description A set of rules under which this content was created Definition A 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. Comments 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 it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id CarePlan.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A 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. Comments Contained resources do not have 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id CarePlan.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments 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. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	1..*	Extension	There are no (further) constraints on this element Element id CarePlan.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versioneProgettoIndividuale	I	1..1	Extension(unsignedInt)	Element id CarePlan.extension:versioneProgettoIndividuale Short description Versione del progetto individuale Alternate names extensions, user content Definition Stringa numerica di al più 3 cifre Comments Il dato è detenuto dal SGDT Data type Extension(unsignedInt) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVersionePAI Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier	Σ	1..1	Identifier	Element id CarePlan.identifier Short description Identificativo univoco del progetto Definition Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Request.identifier w5: FiveWs.identifier v2: PTH-3 rim: .id
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id CarePlan.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element id CarePlan.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoPI Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	Σ	1..1	string	Element id CarePlan.identifier.value Short description Identificativo univoco del progetto Definition Stringa alfanumerica di 15 caratteri Comments Il dato è detenuto dal SGDT Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id CarePlan.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments 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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id CarePlan.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition \| Questionnaire \| Measure \| ActivityDefinition \| OperationDefinition)	There are no (further) constraints on this element Element id CarePlan.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. Comments see Canonical References Data type canonical(PlanDefinition \| Questionnaire \| Measure \| ActivityDefinition \| OperationDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesCanonical rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element id CarePlan.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesUri rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.basedOn Short description Fulfills CarePlan Alternate names fulfills Definition A care plan that is fulfilled in whole or in part by this care plan. Requirements Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.basedOn
replaces	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.replaces Short description CarePlan replaced by this CarePlan Alternate names supersedes Definition Completed or terminated care plan whose function is taken by this new care plan. Requirements Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. Comments 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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.replaces
partOf	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.partOf Short description Part of referenced CarePlan Definition A larger care plan of which this particular care plan is a component or step. Comments 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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
status	Σ ?!	1..1	codeBinding	Element id CarePlan.status Short description Stato del progetto individuale Definition Active: equivalente allo stato 'Attivo' del SGDT Completed: equivalente allo stato 'Chiuso' del SGDT Requirements Allows clinicians to determine whether the plan is actionable or not. Comments Il dato è detenuto dal SGDT Data type code Binding Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. RequestStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.status {uses different ValueSet} w5: FiveWs.status v2: PTH-5 rim: .statusCode planned = new active = active completed = completed
intent	Σ ?!	1..1	codeBindingFixed Value	Element id CarePlan.intent Short description Intento del progetto individuale Definition Valore fisso su "order" Requirements Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. Comments This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. Data type code Binding Codes indicating the degree of authority/intentionality associated with a care plan. CarePlanIntent (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value order Mappings rim: n/a workflow: Request.intent
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.category Short description Type of plan Definition Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc. Requirements Used for filtering what plan(s) are retrieved and displayed to different types of users. Comments There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern. Data type CodeableConcept Binding Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. CarePlanCategory (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class
title	Σ	0..1	string	There are no (further) constraints on this element Element id CarePlan.title Short description Human-friendly name for the care plan Definition Human-friendly name for the care plan. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
description	Σ	0..1	string	There are no (further) constraints on this element Element id CarePlan.description Short description Summary of nature of plan Definition A description of the scope and nature of the plan. Requirements Provides more detail than conveyed by category. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.what[x]
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element id CarePlan.subject Short description Paziente al quale il progetto individuale fa riferimento Alternate names patient Definition Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente Comments Il dato è acquisito dal servizio di identificazione del cittadino del SISS Data type Reference(RLPatientCittadino) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.subject w5: FiveWs.subject[x] v2: PID-3 rim: .participation[typeCode=PAT].role[classCode=PAT] w5: FiveWs.subject
encounter	Σ I	0..1	Reference(RLEncounterAccesso)	Element id CarePlan.encounter Short description Dettagli dell'accesso del paziente che ha portato alla stesura del progetto individuale Definition Reference al profilo RLEncounterAccesso contenente i dettagli dell'accesso del cittadino Comments Il dato è detenuto dal SGDT Data type Reference(RLEncounterAccesso) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.context w5: FiveWs.context v2: Associated PV1 rim: .
period	Σ I	1..1	Period	Element id CarePlan.period Short description Periodo temporale nel quale il progetto individuale deve essere eseguito Alternate names timing Definition Indicates when the plan did (or is intended to) come into effect and end. Requirements Allows tracking what plan(s) are in effect at a particular time. Comments 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). Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Request.occurrence[x] w5: FiveWs.planned v2: GOL-7 / GOL-8 rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.period.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.period.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	Σ I	1..1	dateTime	Element id CarePlan.period.start Short description Data di inizio del progetto individuale Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id CarePlan.period.end Short description Data di fine del progetto individuale Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
created	Σ	1..1	dateTime	Element id CarePlan.created Short description Data di creazione del progetto individuale Alternate names authoredOn Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.authoredOn w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
author	Σ I	1..1	Reference(RLOrganizationL1)	Element id CarePlan.author Short description ASST che ha prodotto il progetto individuale Definition Reference al profilo RLOrganizationL1 inerente all'ASST produttrice del progetto individuale. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide Comments Il dato è detenuto dal SGDT Data type Reference(RLOrganizationL1) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.requester w5: FiveWs.author
contributor	I	0..1	Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe)	Element id CarePlan.contributor Short description Case manager del progetto individuale. La figura del case manager può essere identificata in un professionista santatirio o in un equipe di professionisti sanitari. Definition Reference al profilo RLPractitionerRoleProfessionistaSanitario nel caso in cui il case manager sia un professionista sanitario. Reference al profilo RLCareTeamEquipe nel caso in cui il case manager sia un equipe di professionisti sanitari. Comments Il dato è detenuto dal SGDT Data type Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
careTeam	I	0..*	Reference(CareTeam)	There are no (further) constraints on this element Element id CarePlan.careTeam Short description Who's involved in plan? Definition Identifies all people and organizations who are expected to be involved in the care envisioned by this plan. Requirements Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(CareTeam) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.performer {similar but does not entail CareTeam} w5: FiveWs.actor
addresses	Σ I	0..*	Reference(RLConditionProblemiSalute)	Element id CarePlan.addresses Short description Problemi di salute del paziente Definition Reference al profilo RLConditionProblemiSalute contenente i dettagli dei problemi di salute del paziente (condizione clinica, patologie, ecc.) Requirements Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like "at risk for hypertension" or "fall risk".) Also scopes plans - multiple plans may exist addressing different concerns. Comments Il dato è detenuto dal SGDT Data type Reference(RLConditionProblemiSalute) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.reasonReference w5: FiveWs.why[x] v2: PRB-4 rim: .actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]
supportingInfo	I	0..*	Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni)	Element id CarePlan.supportingInfo Short description Il campo contiene quattro riferimenti: allergie del paziente, esito della valutazione del paziente, stile di vita del paziente ed esenzioni relative al cittadino Definition Reference ai profili: RLAllergyIntoleranceAllergie contenente i dettagli delle allergie, RLObservationEsitoValutazione contenente gli esisti delle valutazioni effettuate dal paziente, RLObservationStiliVita contenente i dettagli sullo stile di vita del paziente, RLCoverageEsenzione contenente le esenzioni relative al cittadino Requirements Identifies barriers and other considerations associated with the care plan. Comments Use "concern" to identify specific conditions addressed by the care plan. Data type Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni) Sliced: Unordered, Open, by resolve()(Profile) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
Allergie	I	0..0	Reference(RLAllergyIntoleranceAllergie)	Element id CarePlan.supportingInfo:Allergie Short description Allergie del paziente Definition Reference ai profilo RLAllergyIntoleranceAllergie contenente i dettagli delle allergie del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale Data type Reference(RLAllergyIntoleranceAllergie) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
EsitoValutazione	I	0..*	Reference(RLObservationEsitoValutazione)	Element id CarePlan.supportingInfo:EsitoValutazione Short description Esito della valutazione del paziente Definition Reference al profilo RLObservationEsitoValutazione contenente lo score di una determinata valutazione del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT Data type Reference(RLObservationEsitoValutazione) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
StileVita	I	0..0	Reference(RLObservationStiliVita)	Element id CarePlan.supportingInfo:StileVita Short description Stile di vita del paziente Definition Reference ai profilo RLObservationStiliVita contente i dettagli sullo stile di vita del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale Data type Reference(RLObservationStiliVita) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
Esenzioni	I	0..0	Reference(RLCoverageEsenzioni)	Element id CarePlan.supportingInfo:Esenzioni Short description Esenzioni relative al paziente Definition Reference al profilo RLCoverageEsenzione contenente le esenzioni relative al cittadino Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è acquisto dal servizio di identificazione del cittadino del SISS Data type Reference(RLCoverageEsenzioni) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
goal	I	0..*	Reference(RLGoalObiettiviSalute)	Element id CarePlan.goal Short description Obiettivi di salute del paziente Definition Reference al profilo RLGoalObiettiviSalute contenente gli obiettivi di salute del paziente Requirements Provides context for plan. Allows plan effectiveness to be evaluated by clinicians. Comments Il dato è detenuto dal SGDT Data type Reference(RLGoalObiettiviSalute) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: GOL.1 rim: .outboundRelationship[typeCode<=OBJ].
activity	I	1..*	BackboneElement	Element id CarePlan.activity Short description Attività previste dal progetto individuale. Le possibili attività sono: prestazioni specialistiche e/o diagnostiche, prestazioni infermieristiche, servizi socio-assistenziali, terapia farmacologica, protesi ed ausili, ossigenoterapia, interventi educazionali e prestazioni sociali Definition Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc. Requirements Allows systems to prompt for performance of planned activities, and validate plans against best practice. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpl-3: Provide a reference or detail, not both `detail.empty() or reference.empty()` Mappings rim: n/a workflow: {no mapping NOTE: This is a list of contained Request-Event tuples!} rim: .outboundRelationship[typeCode=COMP].target
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
outcomeCodeableConcept		0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.outcomeCodeableConcept Short description Results of the activity Definition Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not). Comments Note that this should not duplicate the activity status (e.g. completed or in progress). Data type CodeableConcept Binding Identifies the results of the activity. CarePlanActivityOutcome (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element id CarePlan.activity.outcomeReference Short description Appointment, Encounter, Procedure, etc. Definition Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource). Requirements Links plan to resulting actions. Comments The activity outcome 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 diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: {Event that is outcome of Request in activity.reference} rim: .inboundRelationship[typeCode=FLFS].source
progress		0..*	Annotation	There are no (further) constraints on this element Element id CarePlan.activity.progress Short description Comments about the activity status/progress Definition Notes about the adherence/status/progress of the activity. Requirements Can be used to capture information about adherence, progress, concerns, etc. Comments 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. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act v2: NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
reference	I	1..1	Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili)	Element id CarePlan.activity.reference Short description Dettagli delle possibili attività inserite nel progetto individuali Definition Reference ai profili: RLServiceRequestPrestazioniSpecialistiche, RLMedicationRequestTerapiaFarmacologica, RLServiceRequestServiziSocioAssistenziali, RLMedicationRequestOssigenoterapia, RLServiceRequestInterventoEducazionali, RLDeviceRequestProtesiAusili, RLServiceRequestPrestazioniInfermieristiche Requirements Details in a form consistent with other applications and contexts of use. Comments Il dato è detenuto dal SGDT Data type Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: {Request that resulted in Event in activity.actionResulting} rim: .outboundRelationship[typeCode=COMP].target
detail	I	0..1	BackboneElement	There are no (further) constraints on this element Element id CarePlan.activity.detail Short description In-line definition of activity Definition A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc. Requirements Details in a simple form for generic care plan systems. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.detail.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.detail.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.detail.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
kind		0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.activity.detail.kind Short description Appointment \| CommunicationRequest \| DeviceRequest \| MedicationRequest \| NutritionOrder \| Task \| ServiceRequest \| VisionPrescription Definition A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Requirements May determine what types of extensions are permitted. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. CarePlanActivityKind (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .inboundRelationship[typeCode=COMP].source[classCode=LIST].code
instantiatesCanonical		0..*	canonical(PlanDefinition \| ActivityDefinition \| Questionnaire \| Measure \| OperationDefinition)	There are no (further) constraints on this element Element id CarePlan.activity.detail.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity. Requirements Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity. Comments see Canonical References Data type canonical(PlanDefinition \| ActivityDefinition \| Questionnaire \| Measure \| OperationDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesCanonical rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri		0..*	uri	There are no (further) constraints on this element Element id CarePlan.activity.detail.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity. Requirements Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesUri rim: .outboundRelationship[typeCode=DEFN].target
code		0..1	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.code Short description Detail type of activity Definition Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter. Requirements Allows matching performed to planned as well as validation against protocols. Comments Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead. Data type CodeableConcept Binding Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. ProcedureCodes(SNOMEDCT) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.code v2: OBR-4 / RXE-2 / RXO-1 / RXD-2 rim: .code
reasonCode		0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.reasonCode Short description Why activity should be done or why activity was prohibited Definition Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited. Comments This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead. Data type CodeableConcept Binding Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. SNOMEDCTClinicalFindings (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.reasonCode
reasonReference	I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element id CarePlan.activity.detail.reasonReference Short description Why activity is needed Definition Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan. Comments Conditions can be identified at the activity level that are not identified as reasons for the overall plan. Data type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.reasonReference
goal	I	0..*	Reference(Goal)	There are no (further) constraints on this element Element id CarePlan.activity.detail.goal Short description Goals this activity relates to Definition Internal reference that identifies the goals that this activity is intended to contribute towards meeting. Requirements So that participants know the link explicitly. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(Goal) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: .outboundRelationship[typeCode<=OBJ].
status	?!	1..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.activity.detail.status Short description not-started \| scheduled \| in-progress \| on-hold \| completed \| cancelled \| stopped \| unknown \| entered-in-error Definition Identifies what progress is being made for the specific activity. Requirements Indicates progress against the plan, whether the activity is still relevant for the plan. Comments Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated. 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 activity. Data type code Binding Codes that reflect the current state of a care plan activity within its overall life cycle. CarePlanActivityStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.status v2: ORC-5? rim: .statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted
statusReason		0..1	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.statusReason Short description Reason for current status Definition Provides reason why the activity isn't yet started, is on hold, was cancelled, etc. Comments Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.statusReason
doNotPerform	?!	0..1	boolean	There are no (further) constraints on this element Element id CarePlan.activity.detail.doNotPerform Short description If true, activity is prohibiting action Definition If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan. Requirements Captures intention to not do something that may have been previously typical. Comments This element is labeled as a modifier because it marks an activity as an activity that is not to be performed. Meaning when missing If missing indicates that the described activity is one that should be engaged in when following the plan. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.doNotPerform rim: actionNegationInd
scheduled[x]		0..1		There are no (further) constraints on this element Element id CarePlan.activity.detail.scheduled[x] Short description When activity is to occur Definition The period, timing or frequency upon which the described activity is to occur. Requirements Allows prompting for activities and detection of missed planned activities. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.occurrence[x] v2: TQ1 rim: .effectiveTime
scheduledTiming			Timing	There are no (further) constraints on this element Data type Timing
scheduledPeriod			Period	There are no (further) constraints on this element Data type Period
scheduledString			string	There are no (further) constraints on this element Data type string
location	I	0..1	Reference(Location)	There are no (further) constraints on this element Element id CarePlan.activity.detail.location Short description Where it should happen Definition Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc. Requirements Helps in planning of activity. Comments May reference a specific clinical location or may identify a type of location. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: OBR-24(???!!) rim: .participation[typeCode=LOC].role
performer	I	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| RelatedPerson \| Patient \| CareTeam \| HealthcareService \| Device)	There are no (further) constraints on this element Element id CarePlan.activity.detail.performer Short description Who will be responsible? Definition Identifies who's expected to be involved in the activity. Requirements Helps in planning of activity. Comments A performer MAY also be a participant in the care plan. Data type Reference(Practitioner \| PractitionerRole \| Organization \| RelatedPerson \| Patient \| CareTeam \| HealthcareService \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.performer v2: PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8 rim: .participation[typeCode=PFM]
product[x]		0..1		There are no (further) constraints on this element Element id CarePlan.activity.detail.product[x] Short description What is to be administered/supplied Definition Identifies the food, drug or other product to be consumed or supplied in the activity. Binding A product supplied or administered as part of a care plan activity. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXE-2 / RXO-1 / RXD-2 rim: .participation[typeCode=PRD].role
productCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
productReference			Reference(Medication \| Substance)	There are no (further) constraints on this element Data type Reference(Medication \| Substance)
dailyAmount	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id CarePlan.activity.detail.dailyAmount Short description How to consume/day? Alternate names daily dose Definition Identifies the quantity expected to be consumed in a given day. Requirements Allows rough dose checking. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: RXO-23 / RXE-19 / RXD-12 rim: .outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity
quantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id CarePlan.activity.detail.quantity Short description How much to administer/supply/consume Definition Identifies the quantity expected to be supplied, administered or consumed by the subject. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 / TQ1-2.1 and RXO-12 / RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2 rim: .outboundRelationship[typeCode=COMP][classCode=SPLY].quantity
description		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.detail.description Short description Extra info describing activity to perform Definition This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: NTE? rim: .text
note		0..1	Annotation	Element id CarePlan.note Short description Note / commenti aggiuntivi Definition Stringa alfanumerica al più di 1000 caratteri Requirements Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. Comments Il dato è detenuto dal SGDT Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Request.note v2: NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Differential View

CarePlan	I		CarePlan	There are no (further) constraints on this element Element id CarePlan Short description Healthcare plan for patient or group Alternate names Care Team Definition Describes 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. Data type CarePlan Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act workflow: Request rim: Act[classCode=PCPR, moodCode=INT]
id	Σ	1..1	string	Element id CarePlan.id Short description UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	1..1	Meta	Element id CarePlan.meta Short description Metadati della risorsa Definition The 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	Σ	1..1	id	Element id CarePlan.meta.versionId Short description Versione della risorsa Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	1..1	instant	Element id CarePlan.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element id CarePlan.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element id CarePlan.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id CarePlan.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id CarePlan.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id CarePlan.implicitRules Short description A set of rules under which this content was created Definition A 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. Comments 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 it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id CarePlan.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A 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. Comments Contained resources do not have 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id CarePlan.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments 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. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	1..*	Extension	There are no (further) constraints on this element Element id CarePlan.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versioneProgettoIndividuale	I	1..1	Extension(unsignedInt)	Element id CarePlan.extension:versioneProgettoIndividuale Short description Versione del progetto individuale Alternate names extensions, user content Definition Stringa numerica di al più 3 cifre Comments Il dato è detenuto dal SGDT Data type Extension(unsignedInt) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVersionePAI Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier	Σ	1..1	Identifier	Element id CarePlan.identifier Short description Identificativo univoco del progetto Definition Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Request.identifier w5: FiveWs.identifier v2: PTH-3 rim: .id
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id CarePlan.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element id CarePlan.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoPI Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	Σ	1..1	string	Element id CarePlan.identifier.value Short description Identificativo univoco del progetto Definition Stringa alfanumerica di 15 caratteri Comments Il dato è detenuto dal SGDT Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id CarePlan.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments 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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id CarePlan.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition \| Questionnaire \| Measure \| ActivityDefinition \| OperationDefinition)	There are no (further) constraints on this element Element id CarePlan.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. Comments see Canonical References Data type canonical(PlanDefinition \| Questionnaire \| Measure \| ActivityDefinition \| OperationDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesCanonical rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element id CarePlan.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesUri rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.basedOn Short description Fulfills CarePlan Alternate names fulfills Definition A care plan that is fulfilled in whole or in part by this care plan. Requirements Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.basedOn
replaces	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.replaces Short description CarePlan replaced by this CarePlan Alternate names supersedes Definition Completed or terminated care plan whose function is taken by this new care plan. Requirements Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. Comments 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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.replaces
partOf	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.partOf Short description Part of referenced CarePlan Definition A larger care plan of which this particular care plan is a component or step. Comments 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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
status	Σ ?!	1..1	codeBinding	Element id CarePlan.status Short description Stato del progetto individuale Definition Active: equivalente allo stato 'Attivo' del SGDT Completed: equivalente allo stato 'Chiuso' del SGDT Requirements Allows clinicians to determine whether the plan is actionable or not. Comments Il dato è detenuto dal SGDT Data type code Binding Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. RequestStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.status {uses different ValueSet} w5: FiveWs.status v2: PTH-5 rim: .statusCode planned = new active = active completed = completed
intent	Σ ?!	1..1	codeBindingFixed Value	Element id CarePlan.intent Short description Intento del progetto individuale Definition Valore fisso su "order" Requirements Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. Comments This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. Data type code Binding Codes indicating the degree of authority/intentionality associated with a care plan. CarePlanIntent (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value order Mappings rim: n/a workflow: Request.intent
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.category Short description Type of plan Definition Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc. Requirements Used for filtering what plan(s) are retrieved and displayed to different types of users. Comments There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern. Data type CodeableConcept Binding Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. CarePlanCategory (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class
title	Σ	0..1	string	There are no (further) constraints on this element Element id CarePlan.title Short description Human-friendly name for the care plan Definition Human-friendly name for the care plan. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
description	Σ	0..1	string	There are no (further) constraints on this element Element id CarePlan.description Short description Summary of nature of plan Definition A description of the scope and nature of the plan. Requirements Provides more detail than conveyed by category. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.what[x]
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element id CarePlan.subject Short description Paziente al quale il progetto individuale fa riferimento Alternate names patient Definition Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente Comments Il dato è acquisito dal servizio di identificazione del cittadino del SISS Data type Reference(RLPatientCittadino) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.subject w5: FiveWs.subject[x] v2: PID-3 rim: .participation[typeCode=PAT].role[classCode=PAT] w5: FiveWs.subject
encounter	Σ I	0..1	Reference(RLEncounterAccesso)	Element id CarePlan.encounter Short description Dettagli dell'accesso del paziente che ha portato alla stesura del progetto individuale Definition Reference al profilo RLEncounterAccesso contenente i dettagli dell'accesso del cittadino Comments Il dato è detenuto dal SGDT Data type Reference(RLEncounterAccesso) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.context w5: FiveWs.context v2: Associated PV1 rim: .
period	Σ I	1..1	Period	Element id CarePlan.period Short description Periodo temporale nel quale il progetto individuale deve essere eseguito Alternate names timing Definition Indicates when the plan did (or is intended to) come into effect and end. Requirements Allows tracking what plan(s) are in effect at a particular time. Comments 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). Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Request.occurrence[x] w5: FiveWs.planned v2: GOL-7 / GOL-8 rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.period.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.period.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	Σ I	1..1	dateTime	Element id CarePlan.period.start Short description Data di inizio del progetto individuale Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id CarePlan.period.end Short description Data di fine del progetto individuale Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
created	Σ	1..1	dateTime	Element id CarePlan.created Short description Data di creazione del progetto individuale Alternate names authoredOn Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.authoredOn w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
author	Σ I	1..1	Reference(RLOrganizationL1)	Element id CarePlan.author Short description ASST che ha prodotto il progetto individuale Definition Reference al profilo RLOrganizationL1 inerente all'ASST produttrice del progetto individuale. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide Comments Il dato è detenuto dal SGDT Data type Reference(RLOrganizationL1) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.requester w5: FiveWs.author
contributor	I	0..1	Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe)	Element id CarePlan.contributor Short description Case manager del progetto individuale. La figura del case manager può essere identificata in un professionista santatirio o in un equipe di professionisti sanitari. Definition Reference al profilo RLPractitionerRoleProfessionistaSanitario nel caso in cui il case manager sia un professionista sanitario. Reference al profilo RLCareTeamEquipe nel caso in cui il case manager sia un equipe di professionisti sanitari. Comments Il dato è detenuto dal SGDT Data type Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
careTeam	I	0..*	Reference(CareTeam)	There are no (further) constraints on this element Element id CarePlan.careTeam Short description Who's involved in plan? Definition Identifies all people and organizations who are expected to be involved in the care envisioned by this plan. Requirements Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(CareTeam) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.performer {similar but does not entail CareTeam} w5: FiveWs.actor
addresses	Σ I	0..*	Reference(RLConditionProblemiSalute)	Element id CarePlan.addresses Short description Problemi di salute del paziente Definition Reference al profilo RLConditionProblemiSalute contenente i dettagli dei problemi di salute del paziente (condizione clinica, patologie, ecc.) Requirements Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like "at risk for hypertension" or "fall risk".) Also scopes plans - multiple plans may exist addressing different concerns. Comments Il dato è detenuto dal SGDT Data type Reference(RLConditionProblemiSalute) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.reasonReference w5: FiveWs.why[x] v2: PRB-4 rim: .actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]
supportingInfo	I	0..*	Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni)	Element id CarePlan.supportingInfo Short description Il campo contiene quattro riferimenti: allergie del paziente, esito della valutazione del paziente, stile di vita del paziente ed esenzioni relative al cittadino Definition Reference ai profili: RLAllergyIntoleranceAllergie contenente i dettagli delle allergie, RLObservationEsitoValutazione contenente gli esisti delle valutazioni effettuate dal paziente, RLObservationStiliVita contenente i dettagli sullo stile di vita del paziente, RLCoverageEsenzione contenente le esenzioni relative al cittadino Requirements Identifies barriers and other considerations associated with the care plan. Comments Use "concern" to identify specific conditions addressed by the care plan. Data type Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni) Sliced: Unordered, Open, by resolve()(Profile) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
Allergie	I	0..0	Reference(RLAllergyIntoleranceAllergie)	Element id CarePlan.supportingInfo:Allergie Short description Allergie del paziente Definition Reference ai profilo RLAllergyIntoleranceAllergie contenente i dettagli delle allergie del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale Data type Reference(RLAllergyIntoleranceAllergie) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
EsitoValutazione	I	0..*	Reference(RLObservationEsitoValutazione)	Element id CarePlan.supportingInfo:EsitoValutazione Short description Esito della valutazione del paziente Definition Reference al profilo RLObservationEsitoValutazione contenente lo score di una determinata valutazione del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT Data type Reference(RLObservationEsitoValutazione) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
StileVita	I	0..0	Reference(RLObservationStiliVita)	Element id CarePlan.supportingInfo:StileVita Short description Stile di vita del paziente Definition Reference ai profilo RLObservationStiliVita contente i dettagli sullo stile di vita del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale Data type Reference(RLObservationStiliVita) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
Esenzioni	I	0..0	Reference(RLCoverageEsenzioni)	Element id CarePlan.supportingInfo:Esenzioni Short description Esenzioni relative al paziente Definition Reference al profilo RLCoverageEsenzione contenente le esenzioni relative al cittadino Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è acquisto dal servizio di identificazione del cittadino del SISS Data type Reference(RLCoverageEsenzioni) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
goal	I	0..*	Reference(RLGoalObiettiviSalute)	Element id CarePlan.goal Short description Obiettivi di salute del paziente Definition Reference al profilo RLGoalObiettiviSalute contenente gli obiettivi di salute del paziente Requirements Provides context for plan. Allows plan effectiveness to be evaluated by clinicians. Comments Il dato è detenuto dal SGDT Data type Reference(RLGoalObiettiviSalute) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: GOL.1 rim: .outboundRelationship[typeCode<=OBJ].
activity	I	1..*	BackboneElement	Element id CarePlan.activity Short description Attività previste dal progetto individuale. Le possibili attività sono: prestazioni specialistiche e/o diagnostiche, prestazioni infermieristiche, servizi socio-assistenziali, terapia farmacologica, protesi ed ausili, ossigenoterapia, interventi educazionali e prestazioni sociali Definition Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc. Requirements Allows systems to prompt for performance of planned activities, and validate plans against best practice. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpl-3: Provide a reference or detail, not both `detail.empty() or reference.empty()` Mappings rim: n/a workflow: {no mapping NOTE: This is a list of contained Request-Event tuples!} rim: .outboundRelationship[typeCode=COMP].target
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
outcomeCodeableConcept		0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.outcomeCodeableConcept Short description Results of the activity Definition Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not). Comments Note that this should not duplicate the activity status (e.g. completed or in progress). Data type CodeableConcept Binding Identifies the results of the activity. CarePlanActivityOutcome (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element id CarePlan.activity.outcomeReference Short description Appointment, Encounter, Procedure, etc. Definition Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource). Requirements Links plan to resulting actions. Comments The activity outcome 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 diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: {Event that is outcome of Request in activity.reference} rim: .inboundRelationship[typeCode=FLFS].source
progress		0..*	Annotation	There are no (further) constraints on this element Element id CarePlan.activity.progress Short description Comments about the activity status/progress Definition Notes about the adherence/status/progress of the activity. Requirements Can be used to capture information about adherence, progress, concerns, etc. Comments 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. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act v2: NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
reference	I	1..1	Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili)	Element id CarePlan.activity.reference Short description Dettagli delle possibili attività inserite nel progetto individuali Definition Reference ai profili: RLServiceRequestPrestazioniSpecialistiche, RLMedicationRequestTerapiaFarmacologica, RLServiceRequestServiziSocioAssistenziali, RLMedicationRequestOssigenoterapia, RLServiceRequestInterventoEducazionali, RLDeviceRequestProtesiAusili, RLServiceRequestPrestazioniInfermieristiche Requirements Details in a form consistent with other applications and contexts of use. Comments Il dato è detenuto dal SGDT Data type Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: {Request that resulted in Event in activity.actionResulting} rim: .outboundRelationship[typeCode=COMP].target
detail	I	0..1	BackboneElement	There are no (further) constraints on this element Element id CarePlan.activity.detail Short description In-line definition of activity Definition A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc. Requirements Details in a simple form for generic care plan systems. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.detail.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.detail.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.detail.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
kind		0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.activity.detail.kind Short description Appointment \| CommunicationRequest \| DeviceRequest \| MedicationRequest \| NutritionOrder \| Task \| ServiceRequest \| VisionPrescription Definition A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Requirements May determine what types of extensions are permitted. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. CarePlanActivityKind (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .inboundRelationship[typeCode=COMP].source[classCode=LIST].code
instantiatesCanonical		0..*	canonical(PlanDefinition \| ActivityDefinition \| Questionnaire \| Measure \| OperationDefinition)	There are no (further) constraints on this element Element id CarePlan.activity.detail.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity. Requirements Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity. Comments see Canonical References Data type canonical(PlanDefinition \| ActivityDefinition \| Questionnaire \| Measure \| OperationDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesCanonical rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri		0..*	uri	There are no (further) constraints on this element Element id CarePlan.activity.detail.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity. Requirements Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesUri rim: .outboundRelationship[typeCode=DEFN].target
code		0..1	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.code Short description Detail type of activity Definition Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter. Requirements Allows matching performed to planned as well as validation against protocols. Comments Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead. Data type CodeableConcept Binding Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. ProcedureCodes(SNOMEDCT) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.code v2: OBR-4 / RXE-2 / RXO-1 / RXD-2 rim: .code
reasonCode		0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.reasonCode Short description Why activity should be done or why activity was prohibited Definition Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited. Comments This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead. Data type CodeableConcept Binding Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. SNOMEDCTClinicalFindings (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.reasonCode
reasonReference	I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element id CarePlan.activity.detail.reasonReference Short description Why activity is needed Definition Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan. Comments Conditions can be identified at the activity level that are not identified as reasons for the overall plan. Data type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.reasonReference
goal	I	0..*	Reference(Goal)	There are no (further) constraints on this element Element id CarePlan.activity.detail.goal Short description Goals this activity relates to Definition Internal reference that identifies the goals that this activity is intended to contribute towards meeting. Requirements So that participants know the link explicitly. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(Goal) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: .outboundRelationship[typeCode<=OBJ].
status	?!	1..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.activity.detail.status Short description not-started \| scheduled \| in-progress \| on-hold \| completed \| cancelled \| stopped \| unknown \| entered-in-error Definition Identifies what progress is being made for the specific activity. Requirements Indicates progress against the plan, whether the activity is still relevant for the plan. Comments Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated. 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 activity. Data type code Binding Codes that reflect the current state of a care plan activity within its overall life cycle. CarePlanActivityStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.status v2: ORC-5? rim: .statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted
statusReason		0..1	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.statusReason Short description Reason for current status Definition Provides reason why the activity isn't yet started, is on hold, was cancelled, etc. Comments Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.statusReason
doNotPerform	?!	0..1	boolean	There are no (further) constraints on this element Element id CarePlan.activity.detail.doNotPerform Short description If true, activity is prohibiting action Definition If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan. Requirements Captures intention to not do something that may have been previously typical. Comments This element is labeled as a modifier because it marks an activity as an activity that is not to be performed. Meaning when missing If missing indicates that the described activity is one that should be engaged in when following the plan. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.doNotPerform rim: actionNegationInd
scheduled[x]		0..1		There are no (further) constraints on this element Element id CarePlan.activity.detail.scheduled[x] Short description When activity is to occur Definition The period, timing or frequency upon which the described activity is to occur. Requirements Allows prompting for activities and detection of missed planned activities. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.occurrence[x] v2: TQ1 rim: .effectiveTime
scheduledTiming			Timing	There are no (further) constraints on this element Data type Timing
scheduledPeriod			Period	There are no (further) constraints on this element Data type Period
scheduledString			string	There are no (further) constraints on this element Data type string
location	I	0..1	Reference(Location)	There are no (further) constraints on this element Element id CarePlan.activity.detail.location Short description Where it should happen Definition Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc. Requirements Helps in planning of activity. Comments May reference a specific clinical location or may identify a type of location. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: OBR-24(???!!) rim: .participation[typeCode=LOC].role
performer	I	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| RelatedPerson \| Patient \| CareTeam \| HealthcareService \| Device)	There are no (further) constraints on this element Element id CarePlan.activity.detail.performer Short description Who will be responsible? Definition Identifies who's expected to be involved in the activity. Requirements Helps in planning of activity. Comments A performer MAY also be a participant in the care plan. Data type Reference(Practitioner \| PractitionerRole \| Organization \| RelatedPerson \| Patient \| CareTeam \| HealthcareService \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.performer v2: PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8 rim: .participation[typeCode=PFM]
product[x]		0..1		There are no (further) constraints on this element Element id CarePlan.activity.detail.product[x] Short description What is to be administered/supplied Definition Identifies the food, drug or other product to be consumed or supplied in the activity. Binding A product supplied or administered as part of a care plan activity. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXE-2 / RXO-1 / RXD-2 rim: .participation[typeCode=PRD].role
productCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
productReference			Reference(Medication \| Substance)	There are no (further) constraints on this element Data type Reference(Medication \| Substance)
dailyAmount	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id CarePlan.activity.detail.dailyAmount Short description How to consume/day? Alternate names daily dose Definition Identifies the quantity expected to be consumed in a given day. Requirements Allows rough dose checking. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: RXO-23 / RXE-19 / RXD-12 rim: .outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity
quantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id CarePlan.activity.detail.quantity Short description How much to administer/supply/consume Definition Identifies the quantity expected to be supplied, administered or consumed by the subject. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 / TQ1-2.1 and RXO-12 / RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2 rim: .outboundRelationship[typeCode=COMP][classCode=SPLY].quantity
description		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.detail.description Short description Extra info describing activity to perform Definition This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: NTE? rim: .text
note		0..1	Annotation	Element id CarePlan.note Short description Note / commenti aggiuntivi Definition Stringa alfanumerica al più di 1000 caratteri Requirements Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. Comments Il dato è detenuto dal SGDT Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Request.note v2: NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Hybrid View

CarePlan	I		CarePlan	There are no (further) constraints on this element Element id CarePlan Short description Healthcare plan for patient or group Alternate names Care Team Definition Describes 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. Data type CarePlan Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act workflow: Request rim: Act[classCode=PCPR, moodCode=INT]
id	Σ	1..1	string	Element id CarePlan.id Short description UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	1..1	Meta	Element id CarePlan.meta Short description Metadati della risorsa Definition The 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	Σ	1..1	id	Element id CarePlan.meta.versionId Short description Versione della risorsa Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	1..1	instant	Element id CarePlan.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element id CarePlan.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element id CarePlan.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id CarePlan.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id CarePlan.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id CarePlan.implicitRules Short description A set of rules under which this content was created Definition A 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. Comments 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 it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id CarePlan.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A 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. Comments Contained resources do not have 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id CarePlan.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments 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. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	1..*	Extension	There are no (further) constraints on this element Element id CarePlan.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versioneProgettoIndividuale	I	1..1	Extension(unsignedInt)	Element id CarePlan.extension:versioneProgettoIndividuale Short description Versione del progetto individuale Alternate names extensions, user content Definition Stringa numerica di al più 3 cifre Comments Il dato è detenuto dal SGDT Data type Extension(unsignedInt) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVersionePAI Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier	Σ	1..1	Identifier	Element id CarePlan.identifier Short description Identificativo univoco del progetto Definition Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Request.identifier w5: FiveWs.identifier v2: PTH-3 rim: .id
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id CarePlan.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	Σ	1..1	uriFixed Value	Element id CarePlan.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoPI Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	Σ	1..1	string	Element id CarePlan.identifier.value Short description Identificativo univoco del progetto Definition Stringa alfanumerica di 15 caratteri Comments Il dato è detenuto dal SGDT Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id CarePlan.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments 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. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id CarePlan.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition \| Questionnaire \| Measure \| ActivityDefinition \| OperationDefinition)	There are no (further) constraints on this element Element id CarePlan.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. Comments see Canonical References Data type canonical(PlanDefinition \| Questionnaire \| Measure \| ActivityDefinition \| OperationDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesCanonical rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element id CarePlan.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesUri rim: .outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.basedOn Short description Fulfills CarePlan Alternate names fulfills Definition A care plan that is fulfilled in whole or in part by this care plan. Requirements Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.basedOn
replaces	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.replaces Short description CarePlan replaced by this CarePlan Alternate names supersedes Definition Completed or terminated care plan whose function is taken by this new care plan. Requirements Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans. Comments 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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.replaces
partOf	Σ I	0..*	Reference(CarePlan)	There are no (further) constraints on this element Element id CarePlan.partOf Short description Part of referenced CarePlan Definition A larger care plan of which this particular care plan is a component or step. Comments 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. Data type Reference(CarePlan) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
status	Σ ?!	1..1	codeBinding	Element id CarePlan.status Short description Stato del progetto individuale Definition Active: equivalente allo stato 'Attivo' del SGDT Completed: equivalente allo stato 'Chiuso' del SGDT Requirements Allows clinicians to determine whether the plan is actionable or not. Comments Il dato è detenuto dal SGDT Data type code Binding Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. RequestStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.status {uses different ValueSet} w5: FiveWs.status v2: PTH-5 rim: .statusCode planned = new active = active completed = completed
intent	Σ ?!	1..1	codeBindingFixed Value	Element id CarePlan.intent Short description Intento del progetto individuale Definition Valore fisso su "order" Requirements Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. Comments This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. Data type code Binding Codes indicating the degree of authority/intentionality associated with a care plan. CarePlanIntent (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value order Mappings rim: n/a workflow: Request.intent
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.category Short description Type of plan Definition Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc. Requirements Used for filtering what plan(s) are retrieved and displayed to different types of users. Comments There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern. Data type CodeableConcept Binding Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. CarePlanCategory (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class
title	Σ	0..1	string	There are no (further) constraints on this element Element id CarePlan.title Short description Human-friendly name for the care plan Definition Human-friendly name for the care plan. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
description	Σ	0..1	string	There are no (further) constraints on this element Element id CarePlan.description Short description Summary of nature of plan Definition A description of the scope and nature of the plan. Requirements Provides more detail than conveyed by category. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.what[x]
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element id CarePlan.subject Short description Paziente al quale il progetto individuale fa riferimento Alternate names patient Definition Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente Comments Il dato è acquisito dal servizio di identificazione del cittadino del SISS Data type Reference(RLPatientCittadino) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.subject w5: FiveWs.subject[x] v2: PID-3 rim: .participation[typeCode=PAT].role[classCode=PAT] w5: FiveWs.subject
encounter	Σ I	0..1	Reference(RLEncounterAccesso)	Element id CarePlan.encounter Short description Dettagli dell'accesso del paziente che ha portato alla stesura del progetto individuale Definition Reference al profilo RLEncounterAccesso contenente i dettagli dell'accesso del cittadino Comments Il dato è detenuto dal SGDT Data type Reference(RLEncounterAccesso) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.context w5: FiveWs.context v2: Associated PV1 rim: .
period	Σ I	1..1	Period	Element id CarePlan.period Short description Periodo temporale nel quale il progetto individuale deve essere eseguito Alternate names timing Definition Indicates when the plan did (or is intended to) come into effect and end. Requirements Allows tracking what plan(s) are in effect at a particular time. Comments 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). Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Request.occurrence[x] w5: FiveWs.planned v2: GOL-7 / GOL-8 rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.period.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.period.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	Σ I	1..1	dateTime	Element id CarePlan.period.start Short description Data di inizio del progetto individuale Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id CarePlan.period.end Short description Data di fine del progetto individuale Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
created	Σ	1..1	dateTime	Element id CarePlan.created Short description Data di creazione del progetto individuale Alternate names authoredOn Definition Formato: YYYY-MM-DD secondo lo standard FHIR Comments Il dato è detenuto dal SGDT Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.authoredOn w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
author	Σ I	1..1	Reference(RLOrganizationL1)	Element id CarePlan.author Short description ASST che ha prodotto il progetto individuale Definition Reference al profilo RLOrganizationL1 inerente all'ASST produttrice del progetto individuale. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide Comments Il dato è detenuto dal SGDT Data type Reference(RLOrganizationL1) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.requester w5: FiveWs.author
contributor	I	0..1	Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe)	Element id CarePlan.contributor Short description Case manager del progetto individuale. La figura del case manager può essere identificata in un professionista santatirio o in un equipe di professionisti sanitari. Definition Reference al profilo RLPractitionerRoleProfessionistaSanitario nel caso in cui il case manager sia un professionista sanitario. Reference al profilo RLCareTeamEquipe nel caso in cui il case manager sia un equipe di professionisti sanitari. Comments Il dato è detenuto dal SGDT Data type Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
careTeam	I	0..*	Reference(CareTeam)	There are no (further) constraints on this element Element id CarePlan.careTeam Short description Who's involved in plan? Definition Identifies all people and organizations who are expected to be involved in the care envisioned by this plan. Requirements Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(CareTeam) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.performer {similar but does not entail CareTeam} w5: FiveWs.actor
addresses	Σ I	0..*	Reference(RLConditionProblemiSalute)	Element id CarePlan.addresses Short description Problemi di salute del paziente Definition Reference al profilo RLConditionProblemiSalute contenente i dettagli dei problemi di salute del paziente (condizione clinica, patologie, ecc.) Requirements Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like "at risk for hypertension" or "fall risk".) Also scopes plans - multiple plans may exist addressing different concerns. Comments Il dato è detenuto dal SGDT Data type Reference(RLConditionProblemiSalute) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.reasonReference w5: FiveWs.why[x] v2: PRB-4 rim: .actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]
supportingInfo	I	0..*	Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni)	Element id CarePlan.supportingInfo Short description Il campo contiene quattro riferimenti: allergie del paziente, esito della valutazione del paziente, stile di vita del paziente ed esenzioni relative al cittadino Definition Reference ai profili: RLAllergyIntoleranceAllergie contenente i dettagli delle allergie, RLObservationEsitoValutazione contenente gli esisti delle valutazioni effettuate dal paziente, RLObservationStiliVita contenente i dettagli sullo stile di vita del paziente, RLCoverageEsenzione contenente le esenzioni relative al cittadino Requirements Identifies barriers and other considerations associated with the care plan. Comments Use "concern" to identify specific conditions addressed by the care plan. Data type Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni) Sliced: Unordered, Open, by resolve()(Profile) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
Allergie	I	0..0	Reference(RLAllergyIntoleranceAllergie)	Element id CarePlan.supportingInfo:Allergie Short description Allergie del paziente Definition Reference ai profilo RLAllergyIntoleranceAllergie contenente i dettagli delle allergie del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale Data type Reference(RLAllergyIntoleranceAllergie) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
EsitoValutazione	I	0..*	Reference(RLObservationEsitoValutazione)	Element id CarePlan.supportingInfo:EsitoValutazione Short description Esito della valutazione del paziente Definition Reference al profilo RLObservationEsitoValutazione contenente lo score di una determinata valutazione del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT Data type Reference(RLObservationEsitoValutazione) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
StileVita	I	0..0	Reference(RLObservationStiliVita)	Element id CarePlan.supportingInfo:StileVita Short description Stile di vita del paziente Definition Reference ai profilo RLObservationStiliVita contente i dettagli sullo stile di vita del paziente Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale Data type Reference(RLObservationStiliVita) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
Esenzioni	I	0..0	Reference(RLCoverageEsenzioni)	Element id CarePlan.supportingInfo:Esenzioni Short description Esenzioni relative al paziente Definition Reference al profilo RLCoverageEsenzione contenente le esenzioni relative al cittadino Requirements Identifies barriers and other considerations associated with the care plan. Comments Il dato è acquisto dal servizio di identificazione del cittadino del SISS Data type Reference(RLCoverageEsenzioni) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.supportingInfo
goal	I	0..*	Reference(RLGoalObiettiviSalute)	Element id CarePlan.goal Short description Obiettivi di salute del paziente Definition Reference al profilo RLGoalObiettiviSalute contenente gli obiettivi di salute del paziente Requirements Provides context for plan. Allows plan effectiveness to be evaluated by clinicians. Comments Il dato è detenuto dal SGDT Data type Reference(RLGoalObiettiviSalute) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: GOL.1 rim: .outboundRelationship[typeCode<=OBJ].
activity	I	1..*	BackboneElement	Element id CarePlan.activity Short description Attività previste dal progetto individuale. Le possibili attività sono: prestazioni specialistiche e/o diagnostiche, prestazioni infermieristiche, servizi socio-assistenziali, terapia farmacologica, protesi ed ausili, ossigenoterapia, interventi educazionali e prestazioni sociali Definition Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc. Requirements Allows systems to prompt for performance of planned activities, and validate plans against best practice. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpl-3: Provide a reference or detail, not both `detail.empty() or reference.empty()` Mappings rim: n/a workflow: {no mapping NOTE: This is a list of contained Request-Event tuples!} rim: .outboundRelationship[typeCode=COMP].target
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
outcomeCodeableConcept		0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.outcomeCodeableConcept Short description Results of the activity Definition Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not). Comments Note that this should not duplicate the activity status (e.g. completed or in progress). Data type CodeableConcept Binding Identifies the results of the activity. CarePlanActivityOutcome (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element id CarePlan.activity.outcomeReference Short description Appointment, Encounter, Procedure, etc. Definition Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource). Requirements Links plan to resulting actions. Comments The activity outcome 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 diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: {Event that is outcome of Request in activity.reference} rim: .inboundRelationship[typeCode=FLFS].source
progress		0..*	Annotation	There are no (further) constraints on this element Element id CarePlan.activity.progress Short description Comments about the activity status/progress Definition Notes about the adherence/status/progress of the activity. Requirements Can be used to capture information about adherence, progress, concerns, etc. Comments 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. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act v2: NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
reference	I	1..1	Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili)	Element id CarePlan.activity.reference Short description Dettagli delle possibili attività inserite nel progetto individuali Definition Reference ai profili: RLServiceRequestPrestazioniSpecialistiche, RLMedicationRequestTerapiaFarmacologica, RLServiceRequestServiziSocioAssistenziali, RLMedicationRequestOssigenoterapia, RLServiceRequestInterventoEducazionali, RLDeviceRequestProtesiAusili, RLServiceRequestPrestazioniInfermieristiche Requirements Details in a form consistent with other applications and contexts of use. Comments Il dato è detenuto dal SGDT Data type Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: {Request that resulted in Event in activity.actionResulting} rim: .outboundRelationship[typeCode=COMP].target
detail	I	0..1	BackboneElement	There are no (further) constraints on this element Element id CarePlan.activity.detail Short description In-line definition of activity Definition A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc. Requirements Details in a simple form for generic care plan systems. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target
id		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.detail.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.detail.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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 manageable, 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id CarePlan.activity.detail.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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 manageable, 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). Requirements 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. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
kind		0..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.activity.detail.kind Short description Appointment \| CommunicationRequest \| DeviceRequest \| MedicationRequest \| NutritionOrder \| Task \| ServiceRequest \| VisionPrescription Definition A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Requirements May determine what types of extensions are permitted. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. CarePlanActivityKind (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .inboundRelationship[typeCode=COMP].source[classCode=LIST].code
instantiatesCanonical		0..*	canonical(PlanDefinition \| ActivityDefinition \| Questionnaire \| Measure \| OperationDefinition)	There are no (further) constraints on this element Element id CarePlan.activity.detail.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity. Requirements Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity. Comments see Canonical References Data type canonical(PlanDefinition \| ActivityDefinition \| Questionnaire \| Measure \| OperationDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesCanonical rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUri		0..*	uri	There are no (further) constraints on this element Element id CarePlan.activity.detail.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity. Requirements Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity. Comments This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.instantiatesUri rim: .outboundRelationship[typeCode=DEFN].target
code		0..1	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.code Short description Detail type of activity Definition Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter. Requirements Allows matching performed to planned as well as validation against protocols. Comments Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead. Data type CodeableConcept Binding Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. ProcedureCodes(SNOMEDCT) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.code v2: OBR-4 / RXE-2 / RXO-1 / RXD-2 rim: .code
reasonCode		0..*	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.reasonCode Short description Why activity should be done or why activity was prohibited Definition Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited. Comments This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead. Data type CodeableConcept Binding Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. SNOMEDCTClinicalFindings (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.reasonCode
reasonReference	I	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element id CarePlan.activity.detail.reasonReference Short description Why activity is needed Definition Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan. Comments Conditions can be identified at the activity level that are not identified as reasons for the overall plan. Data type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.reasonReference
goal	I	0..*	Reference(Goal)	There are no (further) constraints on this element Element id CarePlan.activity.detail.goal Short description Goals this activity relates to Definition Internal reference that identifies the goals that this activity is intended to contribute towards meeting. Requirements So that participants know the link explicitly. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (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. Data type Reference(Goal) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: .outboundRelationship[typeCode<=OBJ].
status	?!	1..1	codeBinding	There are no (further) constraints on this element Element id CarePlan.activity.detail.status Short description not-started \| scheduled \| in-progress \| on-hold \| completed \| cancelled \| stopped \| unknown \| entered-in-error Definition Identifies what progress is being made for the specific activity. Requirements Indicates progress against the plan, whether the activity is still relevant for the plan. Comments Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated. 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 activity. Data type code Binding Codes that reflect the current state of a care plan activity within its overall life cycle. CarePlanActivityStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.status v2: ORC-5? rim: .statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted
statusReason		0..1	CodeableConcept	There are no (further) constraints on this element Element id CarePlan.activity.detail.statusReason Short description Reason for current status Definition Provides reason why the activity isn't yet started, is on hold, was cancelled, etc. Comments Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Request.statusReason
doNotPerform	?!	0..1	boolean	There are no (further) constraints on this element Element id CarePlan.activity.detail.doNotPerform Short description If true, activity is prohibiting action Definition If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan. Requirements Captures intention to not do something that may have been previously typical. Comments This element is labeled as a modifier because it marks an activity as an activity that is not to be performed. Meaning when missing If missing indicates that the described activity is one that should be engaged in when following the plan. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.doNotPerform rim: actionNegationInd
scheduled[x]		0..1		There are no (further) constraints on this element Element id CarePlan.activity.detail.scheduled[x] Short description When activity is to occur Definition The period, timing or frequency upon which the described activity is to occur. Requirements Allows prompting for activities and detection of missed planned activities. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Request.occurrence[x] v2: TQ1 rim: .effectiveTime
scheduledTiming			Timing	There are no (further) constraints on this element Data type Timing
scheduledPeriod			Period	There are no (further) constraints on this element Data type Period
scheduledString			string	There are no (further) constraints on this element Data type string
location	I	0..1	Reference(Location)	There are no (further) constraints on this element Element id CarePlan.activity.detail.location Short description Where it should happen Definition Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc. Requirements Helps in planning of activity. Comments May reference a specific clinical location or may identify a type of location. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: OBR-24(???!!) rim: .participation[typeCode=LOC].role
performer	I	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| RelatedPerson \| Patient \| CareTeam \| HealthcareService \| Device)	There are no (further) constraints on this element Element id CarePlan.activity.detail.performer Short description Who will be responsible? Definition Identifies who's expected to be involved in the activity. Requirements Helps in planning of activity. Comments A performer MAY also be a participant in the care plan. Data type Reference(Practitioner \| PractitionerRole \| Organization \| RelatedPerson \| Patient \| CareTeam \| HealthcareService \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Request.performer v2: PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8 rim: .participation[typeCode=PFM]
product[x]		0..1		There are no (further) constraints on this element Element id CarePlan.activity.detail.product[x] Short description What is to be administered/supplied Definition Identifies the food, drug or other product to be consumed or supplied in the activity. Binding A product supplied or administered as part of a care plan activity. SNOMEDCTMedicationCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: RXE-2 / RXO-1 / RXD-2 rim: .participation[typeCode=PRD].role
productCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
productReference			Reference(Medication \| Substance)	There are no (further) constraints on this element Data type Reference(Medication \| Substance)
dailyAmount	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id CarePlan.activity.detail.dailyAmount Short description How to consume/day? Alternate names daily dose Definition Identifies the quantity expected to be consumed in a given day. Requirements Allows rough dose checking. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: RXO-23 / RXE-19 / RXD-12 rim: .outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity
quantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element id CarePlan.activity.detail.quantity Short description How much to administer/supply/consume Definition Identifies the quantity expected to be supplied, administered or consumed by the subject. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type SimpleQuantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1: The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values v2: RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 / TQ1-2.1 and RXO-12 / RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2 rim: .outboundRelationship[typeCode=COMP][classCode=SPLY].quantity
description		0..1	string	There are no (further) constraints on this element Element id CarePlan.activity.detail.description Short description Extra info describing activity to perform Definition This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: NTE? rim: .text
note		0..1	Annotation	Element id CarePlan.note Short description Note / commenti aggiuntivi Definition Stringa alfanumerica al più di 1000 caratteri Requirements Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements. Comments Il dato è detenuto dal SGDT Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Request.note v2: NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Table View

CarePlan		..
CarePlan.id		1..
CarePlan.meta		1..
CarePlan.meta.versionId		1..
CarePlan.meta.lastUpdated		1..
CarePlan.meta.profile		1..1
CarePlan.extension		1..
CarePlan.extension	Extension	1..1
CarePlan.identifier		1..1
CarePlan.identifier.system		1..
CarePlan.identifier.value		1..
CarePlan.status		..
CarePlan.intent		..
CarePlan.subject	Reference(RLPatientCittadino)	..
CarePlan.encounter	Reference(RLEncounterAccesso)	..
CarePlan.period		1..
CarePlan.period.start		1..
CarePlan.period.end		..
CarePlan.created		1..
CarePlan.author	Reference(RLOrganizationL1)	1..
CarePlan.contributor	Reference(RLPractitionerRoleProfessionistaSanitario \| RLCareTeamEquipe)	..1
CarePlan.addresses	Reference(RLConditionProblemiSalute)	..
CarePlan.supportingInfo	Reference(RLAllergyIntoleranceAllergie \| RLObservationEsitoValutazione \| RLObservationStiliVita \| RLCoverageEsenzioni)	..
CarePlan.supportingInfo	Reference(RLAllergyIntoleranceAllergie)	..0
CarePlan.supportingInfo	Reference(RLObservationEsitoValutazione)	..
CarePlan.supportingInfo	Reference(RLObservationStiliVita)	..0
CarePlan.supportingInfo	Reference(RLCoverageEsenzioni)	..0
CarePlan.goal	Reference(RLGoalObiettiviSalute)	..
CarePlan.activity		1..
CarePlan.activity.reference	Reference(RLServiceRequestPrestazioniSpecialistiche \| RLMedicationRequestOssigenoterapia \| RLMedicationRequestTerapiaFarmacologica \| RLServiceRequestServiziSocioAssistenziali \| RLServiceRequestInterventoEducazionale \| RLServiceRequestPrestazioniInfermieristiche \| RLDeviceRequestProtesiAusili)	1..
CarePlan.note		..1

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="RLCarePlanProgettoIndividuale" />
    <meta>
        <lastUpdated value="2023-10-17T08:30:40.6508863+00:00" />
    </meta>
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale" />
    <name value="RLCarePlanProgettoIndividuale" />
    <status value="active" />
    <description value="Profilo contenente tutte le attivit&#224; e le informazioni definite in un progetto individuale di un cittadino redatto sul Sistema di Gestione Digitale del Territorio." />
    <keyword>
        <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" />
        <code value="PI" />
    </keyword>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="CarePlan" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
    <derivation value="constraint" />
    <differential>
        <element id="CarePlan.id">
            <path value="CarePlan.id" />
            <short value="UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto" />
            <min value="1" />
        </element>
        <element id="CarePlan.meta">
            <path value="CarePlan.meta" />
            <short value="Metadati della risorsa" />
            <min value="1" />
        </element>
        <element id="CarePlan.meta.versionId">
            <path value="CarePlan.meta.versionId" />
            <short value="Versione della risorsa" />
            <min value="1" />
        </element>
        <element id="CarePlan.meta.lastUpdated">
            <path value="CarePlan.meta.lastUpdated" />
            <short value="Data e ora di ultimo aggiornamento della risorsa" />
            <definition value="Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz" />
            <min value="1" />
        </element>
        <element id="CarePlan.meta.profile">
            <path value="CarePlan.meta.profile" />
            <short value="Profilo al quale la risorsa si riferisce" />
            <min value="1" />
            <max value="1" />
            <fixedCanonical value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale" />
        </element>
        <element id="CarePlan.extension">
            <path value="CarePlan.extension" />
            <min value="1" />
        </element>
        <element id="CarePlan.extension:versioneProgettoIndividuale">
            <path value="CarePlan.extension" />
            <sliceName value="versioneProgettoIndividuale" />
            <short value="Versione del progetto individuale" />
            <definition value="Stringa numerica di al pi&#249; 3 cifre" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVersionePAI" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="CarePlan.identifier">
            <path value="CarePlan.identifier" />
            <short value="Identificativo univoco del progetto" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="CarePlan.identifier.system">
            <path value="CarePlan.identifier.system" />
            <min value="1" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoPI" />
        </element>
        <element id="CarePlan.identifier.value">
            <path value="CarePlan.identifier.value" />
            <short value="Identificativo univoco del progetto" />
            <definition value="Stringa alfanumerica di 15 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="CarePlan.status">
            <path value="CarePlan.status" />
            <short value="Stato del progetto individuale" />
            <definition value="- Active: equivalente allo stato &#39;Attivo&#39; del SGDT\n- Completed: equivalente allo stato &#39;Chiuso&#39; del SGDT" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
        </element>
        <element id="CarePlan.intent">
            <path value="CarePlan.intent" />
            <short value="Intento del progetto individuale" />
            <definition value="Valore fisso su &quot;order&quot;" />
            <fixedCode value="order" />
        </element>
        <element id="CarePlan.subject">
            <path value="CarePlan.subject" />
            <short value="Paziente al quale il progetto individuale fa riferimento" />
            <definition value="Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente" />
            <comment value="Il dato &#232; acquisito dal servizio di identificazione del cittadino del SISS" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino" />
            </type>
        </element>
        <element id="CarePlan.encounter">
            <path value="CarePlan.encounter" />
            <short value="Dettagli dell&#39;accesso del paziente che ha portato alla stesura del progetto individuale" />
            <definition value="Reference al profilo RLEncounterAccesso contenente i dettagli dell&#39;accesso del cittadino" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterAccesso" />
            </type>
        </element>
        <element id="CarePlan.period">
            <path value="CarePlan.period" />
            <short value="Periodo temporale nel quale il progetto individuale deve essere eseguito" />
            <min value="1" />
        </element>
        <element id="CarePlan.period.start">
            <path value="CarePlan.period.start" />
            <short value="Data di inizio del progetto individuale" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="CarePlan.period.end">
            <path value="CarePlan.period.end" />
            <short value="Data di fine del progetto individuale" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
        </element>
        <element id="CarePlan.created">
            <path value="CarePlan.created" />
            <short value="Data di creazione del progetto individuale" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="CarePlan.author">
            <path value="CarePlan.author" />
            <short value="ASST che ha prodotto il progetto individuale" />
            <definition value="Reference al profilo RLOrganizationL1 inerente all&#39;ASST produttrice del progetto individuale. Deve essere inserito l&#39;UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL1" />
            </type>
        </element>
        <element id="CarePlan.contributor">
            <path value="CarePlan.contributor" />
            <short value="Case manager del progetto individuale. La figura del case manager pu&#242; essere identificata in un professionista santatirio o in un equipe di professionisti sanitari." />
            <definition value="- Reference al profilo RLPractitionerRoleProfessionistaSanitario nel caso in cui il case manager sia un professionista sanitario. \n- Reference al profilo RLCareTeamEquipe nel caso in cui il case manager sia un equipe di professionisti sanitari." />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleProfessionistaSanitario" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCareTeamEquipe" />
            </type>
        </element>
        <element id="CarePlan.addresses">
            <path value="CarePlan.addresses" />
            <short value="Problemi di salute del paziente" />
            <definition value="Reference al profilo RLConditionProblemiSalute contenente i dettagli dei problemi di salute del paziente (condizione clinica, patologie, ecc.)" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute" />
            </type>
        </element>
        <element id="CarePlan.supportingInfo">
            <path value="CarePlan.supportingInfo" />
            <slicing>
                <discriminator>
                    <type value="profile" />
                    <path value="resolve()" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Il campo contiene quattro riferimenti: allergie del paziente, esito della valutazione del paziente, stile di vita del paziente ed esenzioni relative al cittadino" />
            <definition value="Reference ai profili:\n- RLAllergyIntoleranceAllergie contenente i dettagli delle allergie, \n- RLObservationEsitoValutazione contenente gli esisti delle valutazioni effettuate dal paziente, \n- RLObservationStiliVita contenente i dettagli sullo stile di vita del paziente, \n- RLCoverageEsenzione contenente le esenzioni relative al cittadino" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLAllergyIntoleranceAllergie" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationEsitoValutazione" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationStiliVita" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCoverageEsenzioni" />
            </type>
        </element>
        <element id="CarePlan.supportingInfo:Allergie">
            <path value="CarePlan.supportingInfo" />
            <sliceName value="Allergie" />
            <short value="Allergie del paziente" />
            <definition value="Reference ai profilo RLAllergyIntoleranceAllergie contenente i dettagli delle allergie del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT ma non &#232; attualmente inserito all&#39;interno del progetto individuale" />
            <max value="0" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLAllergyIntoleranceAllergie" />
            </type>
        </element>
        <element id="CarePlan.supportingInfo:EsitoValutazione">
            <path value="CarePlan.supportingInfo" />
            <sliceName value="EsitoValutazione" />
            <short value="Esito della valutazione del paziente" />
            <definition value="Reference al profilo RLObservationEsitoValutazione contenente lo score di una determinata valutazione del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationEsitoValutazione" />
            </type>
        </element>
        <element id="CarePlan.supportingInfo:StileVita">
            <path value="CarePlan.supportingInfo" />
            <sliceName value="StileVita" />
            <short value="Stile di vita del paziente" />
            <definition value="Reference ai profilo RLObservationStiliVita contente i dettagli sullo stile di vita del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT ma non &#232; attualmente inserito all&#39;interno del progetto individuale" />
            <max value="0" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationStiliVita" />
            </type>
        </element>
        <element id="CarePlan.supportingInfo:Esenzioni">
            <path value="CarePlan.supportingInfo" />
            <sliceName value="Esenzioni" />
            <short value="Esenzioni relative al paziente" />
            <definition value="Reference al profilo RLCoverageEsenzione contenente le esenzioni relative al cittadino" />
            <comment value="Il dato &#232; acquisto dal servizio di identificazione del cittadino del SISS" />
            <max value="0" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCoverageEsenzioni" />
            </type>
        </element>
        <element id="CarePlan.goal">
            <path value="CarePlan.goal" />
            <short value="Obiettivi di salute del paziente" />
            <definition value="Reference al profilo RLGoalObiettiviSalute contenente gli obiettivi di salute del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLGoalObiettiviSalute" />
            </type>
        </element>
        <element id="CarePlan.activity">
            <path value="CarePlan.activity" />
            <short value="Attivit&#224; previste dal progetto individuale. Le possibili attivit&#224; sono: prestazioni specialistiche e/o diagnostiche, prestazioni infermieristiche, servizi socio-assistenziali, terapia farmacologica, protesi ed ausili, ossigenoterapia, interventi educazionali e prestazioni sociali" />
            <min value="1" />
        </element>
        <element id="CarePlan.activity.reference">
            <path value="CarePlan.activity.reference" />
            <short value="Dettagli delle possibili attivit&#224; inserite nel progetto individuali" />
            <definition value="Reference ai profili:\n- RLServiceRequestPrestazioniSpecialistiche,\n- RLMedicationRequestTerapiaFarmacologica,\n- RLServiceRequestServiziSocioAssistenziali,  \n- RLMedicationRequestOssigenoterapia, \n- RLServiceRequestInterventoEducazionali, \n- RLDeviceRequestProtesiAusili, \n- RLServiceRequestPrestazioniInfermieristiche" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestPrestazioniSpecialistiche" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestOssigenoterapia" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestTerapiaFarmacologica" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestServiziSocioAssistenziali" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestInterventoEducazionale" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestPrestazioniInfermieristiche" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestProtesiAusili" />
            </type>
        </element>
        <element id="CarePlan.note">
            <path value="CarePlan.note" />
            <short value="Note / commenti aggiuntivi" />
            <definition value="Stringa alfanumerica al pi&#249; di 1000 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <max value="1" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "RLCarePlanProgettoIndividuale",
    "meta": {
        "lastUpdated": "2023-10-17T08:30:40.6508863+00:00"
    },
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale",
    "name": "RLCarePlanProgettoIndividuale",
    "status": "active",
    "description": "Profilo contenente tutte le attività e le informazioni definite in un progetto individuale di un cittadino redatto sul Sistema di Gestione Digitale del Territorio.",
    "keyword":  [
        {
            "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag",
            "code": "PI"
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "CarePlan",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CarePlan",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "CarePlan.id",
                "path": "CarePlan.id",
                "short": "UUID prodotto dal server FHIR (applicativo) che detiene la risorsa. Per maggiori informazioni su chi detiene la risorsa consultare il paragrafo API-Restful nella pagina di Contesto",
                "min": 1
            },
            {
                "id": "CarePlan.meta",
                "path": "CarePlan.meta",
                "short": "Metadati della risorsa",
                "min": 1
            },
            {
                "id": "CarePlan.meta.versionId",
                "path": "CarePlan.meta.versionId",
                "short": "Versione della risorsa",
                "min": 1
            },
            {
                "id": "CarePlan.meta.lastUpdated",
                "path": "CarePlan.meta.lastUpdated",
                "short": "Data e ora di ultimo aggiornamento della risorsa",
                "definition": "Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz",
                "min": 1
            },
            {
                "id": "CarePlan.meta.profile",
                "path": "CarePlan.meta.profile",
                "short": "Profilo al quale la risorsa si riferisce",
                "min": 1,
                "max": "1",
                "fixedCanonical": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale"
            },
            {
                "id": "CarePlan.extension",
                "path": "CarePlan.extension",
                "min": 1
            },
            {
                "id": "CarePlan.extension:versioneProgettoIndividuale",
                "path": "CarePlan.extension",
                "sliceName": "versioneProgettoIndividuale",
                "short": "Versione del progetto individuale",
                "definition": "Stringa numerica di al più 3 cifre",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVersionePAI"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "CarePlan.identifier",
                "path": "CarePlan.identifier",
                "short": "Identificativo univoco del progetto",
                "min": 1,
                "max": "1"
            },
            {
                "id": "CarePlan.identifier.system",
                "path": "CarePlan.identifier.system",
                "min": 1,
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoPI"
            },
            {
                "id": "CarePlan.identifier.value",
                "path": "CarePlan.identifier.value",
                "short": "Identificativo univoco del progetto",
                "definition": "Stringa alfanumerica di 15 caratteri",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "CarePlan.status",
                "path": "CarePlan.status",
                "short": "Stato del progetto individuale",
                "definition": "- Active: equivalente allo stato 'Attivo' del SGDT\n- Completed: equivalente allo stato 'Chiuso' del SGDT",
                "comment": "Il dato è detenuto dal SGDT"
            },
            {
                "id": "CarePlan.intent",
                "path": "CarePlan.intent",
                "short": "Intento del progetto individuale",
                "definition": "Valore fisso su \"order\"",
                "fixedCode": "order"
            },
            {
                "id": "CarePlan.subject",
                "path": "CarePlan.subject",
                "short": "Paziente al quale il progetto individuale fa riferimento",
                "definition": "Reference al profilo RLPatientCittadino contenente i dettagli anagrafici del paziente",
                "comment": "Il dato è acquisito dal servizio di identificazione del cittadino del SISS",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.encounter",
                "path": "CarePlan.encounter",
                "short": "Dettagli dell'accesso del paziente che ha portato alla stesura del progetto individuale",
                "definition": "Reference al profilo RLEncounterAccesso contenente i dettagli dell'accesso del cittadino",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLEncounterAccesso"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.period",
                "path": "CarePlan.period",
                "short": "Periodo temporale nel quale il progetto individuale deve essere eseguito",
                "min": 1
            },
            {
                "id": "CarePlan.period.start",
                "path": "CarePlan.period.start",
                "short": "Data di inizio del progetto individuale",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "CarePlan.period.end",
                "path": "CarePlan.period.end",
                "short": "Data di fine del progetto individuale",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "Il dato è detenuto dal SGDT"
            },
            {
                "id": "CarePlan.created",
                "path": "CarePlan.created",
                "short": "Data di creazione del progetto individuale",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "CarePlan.author",
                "path": "CarePlan.author",
                "short": "ASST che ha prodotto il progetto individuale",
                "definition": "Reference al profilo RLOrganizationL1 inerente all'ASST produttrice del progetto individuale. Deve essere inserito l'UUID generato dal server FHIR (applicativo) detentore della risorsa. Per tutte le informazioni sui server FHIR (applicativi) e le relative risorse detenute consultare la pagina API RESTful della sezione Contesto di questa Implementation Guide",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLOrganizationL1"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.contributor",
                "path": "CarePlan.contributor",
                "short": "Case manager del progetto individuale. La figura del case manager può essere identificata in un professionista santatirio o in un equipe di professionisti sanitari.",
                "definition": "- Reference al profilo RLPractitionerRoleProfessionistaSanitario nel caso in cui il case manager sia un professionista sanitario. \n- Reference al profilo RLCareTeamEquipe nel caso in cui il case manager sia un equipe di professionisti sanitari.",
                "comment": "Il dato è detenuto dal SGDT",
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerRoleProfessionistaSanitario",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCareTeamEquipe"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.addresses",
                "path": "CarePlan.addresses",
                "short": "Problemi di salute del paziente",
                "definition": "Reference al profilo RLConditionProblemiSalute contenente i dettagli dei problemi di salute del paziente (condizione clinica, patologie, ecc.)",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLConditionProblemiSalute"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.supportingInfo",
                "path": "CarePlan.supportingInfo",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "profile",
                            "path": "resolve()"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Il campo contiene quattro riferimenti: allergie del paziente, esito della valutazione del paziente, stile di vita del paziente ed esenzioni relative al cittadino",
                "definition": "Reference ai profili:\n- RLAllergyIntoleranceAllergie contenente i dettagli delle allergie, \n- RLObservationEsitoValutazione contenente gli esisti delle valutazioni effettuate dal paziente, \n- RLObservationStiliVita contenente i dettagli sullo stile di vita del paziente, \n- RLCoverageEsenzione contenente le esenzioni relative al cittadino",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLAllergyIntoleranceAllergie",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationEsitoValutazione",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationStiliVita",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCoverageEsenzioni"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.supportingInfo:Allergie",
                "path": "CarePlan.supportingInfo",
                "sliceName": "Allergie",
                "short": "Allergie del paziente",
                "definition": "Reference ai profilo RLAllergyIntoleranceAllergie contenente i dettagli delle allergie del paziente",
                "comment": "Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale",
                "max": "0",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLAllergyIntoleranceAllergie"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.supportingInfo:EsitoValutazione",
                "path": "CarePlan.supportingInfo",
                "sliceName": "EsitoValutazione",
                "short": "Esito della valutazione del paziente",
                "definition": "Reference al profilo RLObservationEsitoValutazione contenente lo score di una determinata valutazione del paziente",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationEsitoValutazione"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.supportingInfo:StileVita",
                "path": "CarePlan.supportingInfo",
                "sliceName": "StileVita",
                "short": "Stile di vita del paziente",
                "definition": "Reference ai profilo RLObservationStiliVita contente i dettagli sullo stile di vita del paziente",
                "comment": "Il dato è detenuto dal SGDT ma non è attualmente inserito all'interno del progetto individuale",
                "max": "0",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLObservationStiliVita"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.supportingInfo:Esenzioni",
                "path": "CarePlan.supportingInfo",
                "sliceName": "Esenzioni",
                "short": "Esenzioni relative al paziente",
                "definition": "Reference al profilo RLCoverageEsenzione contenente le esenzioni relative al cittadino",
                "comment": "Il dato è acquisto dal servizio di identificazione del cittadino del SISS",
                "max": "0",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCoverageEsenzioni"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.goal",
                "path": "CarePlan.goal",
                "short": "Obiettivi di salute del paziente",
                "definition": "Reference al profilo RLGoalObiettiviSalute contenente gli obiettivi di salute del paziente",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLGoalObiettiviSalute"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.activity",
                "path": "CarePlan.activity",
                "short": "Attività previste dal progetto individuale. Le possibili attività sono: prestazioni specialistiche e/o diagnostiche, prestazioni infermieristiche, servizi socio-assistenziali, terapia farmacologica, protesi ed ausili, ossigenoterapia, interventi educazionali e prestazioni sociali",
                "min": 1
            },
            {
                "id": "CarePlan.activity.reference",
                "path": "CarePlan.activity.reference",
                "short": "Dettagli delle possibili attività inserite nel progetto individuali",
                "definition": "Reference ai profili:\n- RLServiceRequestPrestazioniSpecialistiche,\n- RLMedicationRequestTerapiaFarmacologica,\n- RLServiceRequestServiziSocioAssistenziali,  \n- RLMedicationRequestOssigenoterapia, \n- RLServiceRequestInterventoEducazionali, \n- RLDeviceRequestProtesiAusili, \n- RLServiceRequestPrestazioniInfermieristiche",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestPrestazioniSpecialistiche",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestOssigenoterapia",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLMedicationRequestTerapiaFarmacologica",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestServiziSocioAssistenziali",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestInterventoEducazionale",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestPrestazioniInfermieristiche",
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLDeviceRequestProtesiAusili"
                        ]
                    }
                ]
            },
            {
                "id": "CarePlan.note",
                "path": "CarePlan.note",
                "short": "Note / commenti aggiuntivi",
                "definition": "Stringa alfanumerica al più di 1000 caratteri",
                "comment": "Il dato è detenuto dal SGDT",
                "max": "1"
            }
        ]
    }
}

Esempi

CarePlan for Mario Rossi

Tipologie di ricerca

1. Progetti individuali attivi

Questa ricerca deve essere effettuata dagli Enti Erogatori di servizi socioassistenziali con lo scopo di ottenere l’elenco dei progetti individuali prodotti da un’ASST per gli assistiti che necessitano dell’attivazione di un servizio sociosanitario presso l’Ente Erogatore stesso.

Premesso che esiste un'unica versione del progetto individuale in stato “attivo” e quindi in corso di validità, all’Ente Erogatore verrà restituito solo ed esclusivamente il dettaglio informativo del servizio socioassistenziale da attivare al cittadino. Inoltre, tra le informazioni disponibili riportate nel bundle saranno presenti anche i dettagli delle valutazioni effettuate dagli assistititi e gli eventuali esiti delle stesse.

I parametri da valorizzare obbligatoriamente per effettuare la ricerca sono:

status: da compilare con il valore “active”
activity.reference(RLServiceRequestServiziSocioAssistenziali).code.coding.code: codice del servizio socioassistenziale d’interesse
author.reference(RLOrgnizationL1).identifier: codice L1 dell’ASST che ha prodotto il progetto individuale

Inoltre, è possibile valorizzare il seguente parametro:

lastUpdated: data e ora dell’ultimo aggiornamento dei dati

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Progetti individuali attivi
VERB	GET
BASE_APIMANAGER	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	CarePlan?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale &activity-reference:ServiceRequest.code=C-DOM &author:Organization.identifier={codiceLivelloL1} &_lastUpdated=gt{dataLimiteIntervalloInferiore} &_lastUpdated=lt{dataLimiteIntervalloSuperiore} &status=active &_include=*

A titolo esemplificativo, la chiamata:

http://localhost:52773/nprifhirgtw/api/v1/fhir/r4/operatori-siss-fhir-service-v1/CarePlan?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale&activity-reference:ServiceRequest.code=C-DOM&author:Organization.identifier=030701&_lastUpdated=gt2022-11-18T16:00:00+00:00&_lastUpdated=lt2022-11-30T16:00:00+00:00&status=active&_include=*

Restituirà tutti i Progetti Individuali attivi contenenti esclusivamente i dettagli del ricovero domiciliare in carico all’ente con codice livello 1 "030701" e creati e/o modificati tra le 16:00 del giorno 18-11-2022 e le 16:00 del giorno 30-11-2022. Il risultato della ricerca conterrà anche tutte le informazioni associate referenziate nel profilo.

Un esempio di Bundle di risposta può essere consultato qui: esempio-ricerca-pi-attivi.

Criterio di ricerca applicato per le funzionalità descritte nei documenti:

DC-COOP-FHIR#01 (Specifiche di cooperazione applicativa nell’ambito delle cure domiciliari).

2. Progetti individuali di un paziente

Questa ricerca deve essere effettuata dagli Enti Erogatori di servizi socioassistenziali con lo scopo di fruire dello storico dei progetti individuali di un assistito che contengono l’attivazione di un determinato servizio socioassistenziale.

L’elenco dei progetti individuali conterrà solo ed esclusivamente i dettagli dell’attivazione di un servizio socioassistenziale affidato all’Ente Erogatore chiamante. In virtù di ciò, lo scopo della ricerca è quello di consentire all’Ente Erogatore il confronto tra le versioni del progetto individuale precedentemente salvate e quelle restituite dalla ricerca.

I parametri da valorizzare obbligatoriamente per effettuare la ricerca sono:

activity.reference(RLServiceRequestServiziSocioAssistenziali).identifier: codice identificativo del servizio sociosanitario attivato/da attivare all’assistito
subject.reference(RLPatientCittadino).identifier: codice fiscale dell’assistito

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Progetti individuali di un paziente
VERB	GET
BASE_APIMANAGER	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	CarePlan?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale &activity-reference:ServiceRequest.identifier={numeroPratica} &subject:Patient.identifier={codiceFiscale} &_include=CarePlan:activity-reference &_include=CarePlan:subject

A titolo esemplificativo, la chiamata:

CarePlan?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale&activity-reference:ServiceRequest.identifier=2022000001&subject:Patient.identifier=RSSMRA80A01F205X&_include=CarePlan:activity-reference&_include=CarePlan:subject

Restituirà lo storico dei progetti contenenti esclusivamente i dettagli del ricovero domiciliare dell’assistito con codice fiscale “RSSMRA80A01F205X”, afferente alla pratica numero "2022000001". Il risultato della ricerca conterrà anche le informazioni inerenti al servizio sociosanitario attivo e al paziente stesso.

Un esempio di Bundle di risposta può essere consultato qui: esempio-ricerca-storico-pi.

Criterio di ricerca applicato per le funzionalità descritte nei documenti:

DC-COOP-FHIR#01 (Specifiche di cooperazione applicativa nell’ambito delle cure domiciliari).

Search parameter

Sulla base di quanto descritto nelle tipologie di ricerca sono riportati di seguito i parametri di ricerca del profilo RLCarePlanProgettoIndividuale:

_include
_lastUpdated
_profile
activity-reference
status
subject

ValueSet

Attualmente non sono presenti value set nei campi del profilo RLCarePlanProgettoIndividuale.