Integrierte Versorgung Diabetes (R4) - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Diabetes CarePlan

Dokumentation einer Diabetes-Behandlungsplans (Careplan).

Usages:

• Use this Profile: Diab Bundle
• Refer to this Profile: Diabetes Composition

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	AtApsCarePlan	Diabetes Behandlungsplan
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
title	SΣ	1..1	string	Bezeichnung des Behandlungsplans / der Schulung
description	Σ	0..1	string	Inhalte des Behandlungsplans / der Schulung
subject	Σ	1..1	Reference(AT APS Patient)	IV Patient, für den die Behandlung / Schulung bestimmt ist
period	SΣ	0..1	Period	Behandlung / Schulung für den Zeitraum
created	SΣ	0..1	dateTime	Behandlung / Schulung festgelegt am (Datum)
author	SΣ	1..1	Reference(AT APS Practitioner | AT APS PractitionerRole)	Verantwortlicher GDA
addresses	Σ	0..*	Reference(AT APS Condition)	Gesundheitsproblem, das dieser Behandlungsplan adressiert
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CarePlan	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-4	error	CarePlan	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-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AtApsCarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	AtApsCarePlan	Diabetes Behandlungsplan
title	S	1..1	string	Bezeichnung des Behandlungsplans / der Schulung
description		0..1	string	Inhalte des Behandlungsplans / der Schulung
subject		1..1	Reference(AT APS Patient)	IV Patient, für den die Behandlung / Schulung bestimmt ist
period	S	0..1	Period	Behandlung / Schulung für den Zeitraum
created	S	0..1	dateTime	Behandlung / Schulung festgelegt am (Datum)
author	S	1..1	Reference(AT APS Practitioner | AT APS PractitionerRole)	Verantwortlicher GDA
addresses		0..*	Reference(AT APS Condition)	Gesundheitsproblem, das dieser Behandlungsplan adressiert
activity
detail		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	AtApsCarePlan	Diabetes Behandlungsplan
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	Σ	0..*	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
title	SΣ	1..1	string	Bezeichnung des Behandlungsplans / der Schulung
description	Σ	0..1	string	Inhalte des Behandlungsplans / der Schulung
subject	Σ	1..1	Reference(AT APS Patient)	IV Patient, für den die Behandlung / Schulung bestimmt ist
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Behandlung / Schulung für den Zeitraum
created	SΣ	0..1	dateTime	Behandlung / Schulung festgelegt am (Datum)
author	SΣ	1..1	Reference(AT APS Practitioner | AT APS PractitionerRole)	Verantwortlicher GDA
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam		0..*	Reference(CareTeam)	Who's involved in plan?
addresses	Σ	0..*	Reference(AT APS Condition)	Gesundheitsproblem, das dieser Behandlungsplan adressiert
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal		0..*	Reference(Goal)	Desired outcome of plan
activity	C	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category From the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome From the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both : detail.empty() or reference.empty()
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CarePlan	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-4	error	CarePlan	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-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AtApsCarePlan

Summary

Mandatory: 2 elements
Must-Support: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
• AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
• AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)
• AT APS Condition (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	AtApsCarePlan	Diabetes Behandlungsplan
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
title	SΣ	1..1	string	Bezeichnung des Behandlungsplans / der Schulung
description	Σ	0..1	string	Inhalte des Behandlungsplans / der Schulung
subject	Σ	1..1	Reference(AT APS Patient)	IV Patient, für den die Behandlung / Schulung bestimmt ist
period	SΣ	0..1	Period	Behandlung / Schulung für den Zeitraum
created	SΣ	0..1	dateTime	Behandlung / Schulung festgelegt am (Datum)
author	SΣ	1..1	Reference(AT APS Practitioner | AT APS PractitionerRole)	Verantwortlicher GDA
addresses	Σ	0..*	Reference(AT APS Condition)	Gesundheitsproblem, das dieser Behandlungsplan adressiert
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CarePlan	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-4	error	CarePlan	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-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from AtApsCarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	AtApsCarePlan	Diabetes Behandlungsplan
title	S	1..1	string	Bezeichnung des Behandlungsplans / der Schulung
description		0..1	string	Inhalte des Behandlungsplans / der Schulung
subject		1..1	Reference(AT APS Patient)	IV Patient, für den die Behandlung / Schulung bestimmt ist
period	S	0..1	Period	Behandlung / Schulung für den Zeitraum
created	S	0..1	dateTime	Behandlung / Schulung festgelegt am (Datum)
author	S	1..1	Reference(AT APS Practitioner | AT APS PractitionerRole)	Verantwortlicher GDA
addresses		0..*	Reference(AT APS Condition)	Gesundheitsproblem, das dieser Behandlungsplan adressiert
activity
detail		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	AtApsCarePlan	Diabetes Behandlungsplan
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	Σ	0..*	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
title	SΣ	1..1	string	Bezeichnung des Behandlungsplans / der Schulung
description	Σ	0..1	string	Inhalte des Behandlungsplans / der Schulung
subject	Σ	1..1	Reference(AT APS Patient)	IV Patient, für den die Behandlung / Schulung bestimmt ist
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Behandlung / Schulung für den Zeitraum
created	SΣ	0..1	dateTime	Behandlung / Schulung festgelegt am (Datum)
author	SΣ	1..1	Reference(AT APS Practitioner | AT APS PractitionerRole)	Verantwortlicher GDA
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam		0..*	Reference(CareTeam)	Who's involved in plan?
addresses	Σ	0..*	Reference(AT APS Condition)	Gesundheitsproblem, das dieser Behandlungsplan adressiert
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal		0..*	Reference(Goal)	Desired outcome of plan
activity	C	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category From the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome From the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both : detail.empty() or reference.empty()
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CarePlan	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-4	error	CarePlan	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-5	error	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CarePlan	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AtApsCarePlan

Summary

Mandatory: 2 elements
Must-Support: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
• AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
• AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)
• AT APS Condition (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition)

Other representations of profile: CSV, Excel, Schematron