HL7 FHIR Implementation Guide: Public Health IG Release 1 - BE Realm | STU1
1.0.0 - STU1

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## Resource Profile: PopulationScreening Plan

Official URL: https://www.ehealth.fgov.be/standards/fhir/public-health/StructureDefinition/be-populationscreening-plan | Version: 1.0.0
Active as of 2023-06-27 | Maturity Level: 1 | Computable Name: BePopulationScreeningPlan

A longitudinal plan for a patient’s screening activities. This resource exists to articulate the different activities as part of following a defined plan for certain populations.

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### Formal Views of Profile Content

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

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

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
identifier | S | 0..* | Identifier | External Ids for this plan
partOf | S | 0..* | Reference(CarePlan) | Part of referenced CarePlan
Slices for category | S | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:coding.system
category:cancerScreeningType |  | 1..1 | CodeableConcept | Type of plan Binding: Population Screening Type Value Set (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/public-health/ValueSet/be-vs-populationscreening-type
subject |  | 1..1 | Reference(Patient core BE profile) | Who the care plan is for
author | S | 1..1 | Reference(Organisation core BE profile) | Who is the designated responsible party
activity | S | 0..* | BackboneElement | Action to occur as part of plan
outcomeReference | S | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
reference | S | 0..1 | Reference(PopulationScreening Follow Up | Population Screening Appointment) | Activity details defined in specific resource
detail |  |  |  |
reasonReference | S | 0..* | Reference(BeObservation) | Why activity is needed
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
CarePlan.category:cancerScreeningType | required | BeVSPopulationScreeningType

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Ids for this plan
partOf | S 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.
Slices for category | S Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:coding.system 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.
category:cancerScreeningType | Σ | 1..1 | CodeableConcept | Type of plan Binding: Population Screening Type Value Set (required)
subject | Σ | 1..1 | Reference(Patient core BE profile) | Who the care plan is for
author | S Σ | 1..1 | Reference(Organisation core BE profile) | Who is the designated responsible party
activity | S C | 0..* | BackboneElement | Action to occur as part of plan
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
outcomeReference | S | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
reference | S C | 0..1 | Reference(PopulationScreening Follow Up | Population Screening Appointment) | Activity details defined in specific resource
detail | C | 0..1 | BackboneElement | In-line definition of activity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reasonReference | S | 0..* | Reference(BeObservation) | Why activity is needed
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
CarePlan.status | required | RequestStatus
CarePlan.intent | required | CarePlanIntent
CarePlan.category | example | CarePlanCategory
CarePlan.category:cancerScreeningType | required | BeVSPopulationScreeningType
CarePlan.activity.detail.status | required | CarePlanActivityStatus

#### 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() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S 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 | S 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.
Slices for category | S Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:coding.system 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.
category:cancerScreeningType | Σ | 1..1 | CodeableConcept | Type of plan Binding: Population Screening Type Value Set (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/public-health/ValueSet/be-vs-populationscreening-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | Σ | 1..1 | Reference(Patient core BE profile) | Who the care plan is for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..1 | Period | Time period plan covers
created | Σ | 0..1 | dateTime | Date record was first recorded
author | S Σ | 1..1 | Reference(Organisation core BE profile) | Who is the designated responsible party
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(Condition) | Health issues this plan addresses
supportingInfo |  | 0..* | Reference(Resource) | Information considered as part of plan
goal |  | 0..* | Reference(Goal) | Desired outcome of plan
activity | S C | 0..* | BackboneElement | Action to occur as part of plan
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 | S | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
progress |  | 0..* | Annotation | Comments about the activity status/progress
reference | S C | 0..1 | Reference(PopulationScreening Follow Up | Population Screening Appointment) | Activity details defined in specific resource
detail | C | 0..1 | BackboneElement | In-line definition of activity
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
kind |  | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical |  | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..* | uri | Instantiates external protocol or definition
code |  | 0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode |  | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): 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.
reasonReference | S | 0..* | Reference(BeObservation) | Why activity is needed
goal |  | 0..* | Reference(Goal) | Goals this activity relates to
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason |  | 0..1 | CodeableConcept | Reason for current status
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
scheduled[x] |  | 0..1 |  | When activity is to occur
scheduledTiming |  |  | Timing |
scheduledPeriod |  |  | Period |
scheduledString |  |  | string |
location |  | 0..1 | Reference(Location) | Where it should happen
performer |  | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible?
product[x] |  | 0..1 |  | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept |  |  | CodeableConcept |
productReference |  |  | Reference(Medication | Substance) |
dailyAmount |  | 0..1 | SimpleQuantity | How to consume/day?
quantity |  | 0..1 | SimpleQuantity | How much to administer/supply/consume
description |  | 0..1 | string | Extra info describing activity to perform
note |  | 0..* | Annotation | Comments about the plan
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
CarePlan.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
CarePlan.status | required | RequestStatus
CarePlan.intent | required | CarePlanIntent
CarePlan.category | example | CarePlanCategory
CarePlan.category:cancerScreeningType | required | BeVSPopulationScreeningType
CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome
CarePlan.activity.detail.kind | required | CarePlanActivityKind
CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)
CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings
CarePlan.activity.detail.status | required | CarePlanActivityStatus
CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() |
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 CarePlan

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

- Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- Organisation core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
- PopulationScreening Follow Up (https://www.ehealth.fgov.be/standards/fhir/public-health/StructureDefinition/be-populationscreening-follow-up)
- Population Screening Appointment (https://www.ehealth.fgov.be/standards/fhir/public-health/StructureDefinition/be-populationscreening-appointment)
- BeObservation (https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation)

Slices

This structure defines the following Slices:

- The element CarePlan.category is sliced based on the value of pattern:coding.system

Maturity: 1

Differential View

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
identifier | S | 0..* | Identifier | External Ids for this plan
partOf | S | 0..* | Reference(CarePlan) | Part of referenced CarePlan
Slices for category | S | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:coding.system
category:cancerScreeningType |  | 1..1 | CodeableConcept | Type of plan Binding: Population Screening Type Value Set (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/public-health/ValueSet/be-vs-populationscreening-type
subject |  | 1..1 | Reference(Patient core BE profile) | Who the care plan is for
author | S | 1..1 | Reference(Organisation core BE profile) | Who is the designated responsible party
activity | S | 0..* | BackboneElement | Action to occur as part of plan
outcomeReference | S | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
reference | S | 0..1 | Reference(PopulationScreening Follow Up | Population Screening Appointment) | Activity details defined in specific resource
detail |  |  |  |
reasonReference | S | 0..* | Reference(BeObservation) | Why activity is needed
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
CarePlan.category:cancerScreeningType | required | BeVSPopulationScreeningType

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Ids for this plan
partOf | S 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.
Slices for category | S Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:coding.system 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.
category:cancerScreeningType | Σ | 1..1 | CodeableConcept | Type of plan Binding: Population Screening Type Value Set (required)
subject | Σ | 1..1 | Reference(Patient core BE profile) | Who the care plan is for
author | S Σ | 1..1 | Reference(Organisation core BE profile) | Who is the designated responsible party
activity | S C | 0..* | BackboneElement | Action to occur as part of plan
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
outcomeReference | S | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
reference | S C | 0..1 | Reference(PopulationScreening Follow Up | Population Screening Appointment) | Activity details defined in specific resource
detail | C | 0..1 | BackboneElement | In-line definition of activity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reasonReference | S | 0..* | Reference(BeObservation) | Why activity is needed
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
CarePlan.status | required | RequestStatus
CarePlan.intent | required | CarePlanIntent
CarePlan.category | example | CarePlanCategory
CarePlan.category:cancerScreeningType | required | BeVSPopulationScreeningType
CarePlan.activity.detail.status | required | CarePlanActivityStatus

#### 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() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S 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 | S 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.
Slices for category | S Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:coding.system 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.
category:cancerScreeningType | Σ | 1..1 | CodeableConcept | Type of plan Binding: Population Screening Type Value Set (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/public-health/ValueSet/be-vs-populationscreening-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | Σ | 1..1 | Reference(Patient core BE profile) | Who the care plan is for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..1 | Period | Time period plan covers
created | Σ | 0..1 | dateTime | Date record was first recorded
author | S Σ | 1..1 | Reference(Organisation core BE profile) | Who is the designated responsible party
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(Condition) | Health issues this plan addresses
supportingInfo |  | 0..* | Reference(Resource) | Information considered as part of plan
goal |  | 0..* | Reference(Goal) | Desired outcome of plan
activity | S C | 0..* | BackboneElement | Action to occur as part of plan
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 | S | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
progress |  | 0..* | Annotation | Comments about the activity status/progress
reference | S C | 0..1 | Reference(PopulationScreening Follow Up | Population Screening Appointment) | Activity details defined in specific resource
detail | C | 0..1 | BackboneElement | In-line definition of activity
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
kind |  | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical |  | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..* | uri | Instantiates external protocol or definition
code |  | 0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode |  | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): 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.
reasonReference | S | 0..* | Reference(BeObservation) | Why activity is needed
goal |  | 0..* | Reference(Goal) | Goals this activity relates to
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason |  | 0..1 | CodeableConcept | Reason for current status
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
scheduled[x] |  | 0..1 |  | When activity is to occur
scheduledTiming |  |  | Timing |
scheduledPeriod |  |  | Period |
scheduledString |  |  | string |
location |  | 0..1 | Reference(Location) | Where it should happen
performer |  | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible?
product[x] |  | 0..1 |  | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept |  |  | CodeableConcept |
productReference |  |  | Reference(Medication | Substance) |
dailyAmount |  | 0..1 | SimpleQuantity | How to consume/day?
quantity |  | 0..1 | SimpleQuantity | How much to administer/supply/consume
description |  | 0..1 | string | Extra info describing activity to perform
note |  | 0..* | Annotation | Comments about the plan
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
CarePlan.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
CarePlan.status | required | RequestStatus
CarePlan.intent | required | CarePlanIntent
CarePlan.category | example | CarePlanCategory
CarePlan.category:cancerScreeningType | required | BeVSPopulationScreeningType
CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome
CarePlan.activity.detail.kind | required | CarePlanActivityKind
CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)
CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings
CarePlan.activity.detail.status | required | CarePlanActivityStatus
CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes

#### Constraints

Id | Grade | Path(s) | Details | Requirements
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() |
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 CarePlan

Summary

Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

- Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- Organisation core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)
- PopulationScreening Follow Up (https://www.ehealth.fgov.be/standards/fhir/public-health/StructureDefinition/be-populationscreening-follow-up)
- Population Screening Appointment (https://www.ehealth.fgov.be/standards/fhir/public-health/StructureDefinition/be-populationscreening-appointment)
- BeObservation (https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation)

Slices

This structure defines the following Slices:

- The element CarePlan.category is sliced based on the value of pattern:coding.system

Maturity: 1

Other representations of profile: CSV, Excel, Schematron