Assisted Reproduction Treatment Plan DE - German Practice Management FHIR Profiles (R4) v0.90.0

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

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

0..*

Additional content defined by implementations

?!

0..*

Extensions that cannot be ignored

identifier

SΣ

1..*

Identifier

Interne Plan-ID

Σ

0..*

canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)

Instantiates FHIR protocol or definition

Σ

0..*

Instantiates external protocol or definition

basedOn

Σ

0..*

Fulfills CarePlan

replaces

Σ

0..*

CarePlan replaced by this CarePlan

partOf

Σ

0..*

Part of referenced CarePlan

?!SΣ

1..1

Planstatus: draft | active | on-hold | revoked | completed
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

Planabsicht: immer 'plan'
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan

Slices for category

Σ

2..*

Type of plan
Slice: Unordered, Open by pattern:$this
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:praxis

SΣ

1..1

Praxis-Kategorie (immer 'praxis')
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.

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/praxis-care-plan-category

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: praxis

1..1

Representation defined by the system
Fixed Value: Praxis

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

category:planType

SΣ

1..1

Plan type: HZV, DMP, generic, or a source-versioned domain plan
Binding: Praxis CarePlan Type (required)

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/annex-2b-care-domain

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: e70-assisted-reproduction-plan

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

title

SΣ

1..1

Planbeschreibung

Σ

0..1

Summary of nature of plan

subject

SΣ

1..1

Reference(Patient)

Patient

encounter

Σ

0..1

Reference(Encounter)

Encounter created as part of

period

SΣ

1..1

Period

Behandlungszeitraum

created

SΣ

1..1

dateTime

Erstelldatum

author

SΣ

1..1

Reference(PractitionerRole | Practitioner | Organization)

Who is the designated responsible party

contributor

0..*

Who provided the content of the care plan

careTeam

0..*

Reference(CareTeam)

Who's involved in plan?

addresses

SΣ

0..*

Reference(Condition)

Zugehoerige Diagnose (Condition), relevant fuer DMP-Plaene

supportingInfo

S

1..*

Reference(Condition | Observation | DiagnosticReport | QuestionnaireResponse | DocumentReference)

Unterstuetzende Informationen

S

1..*

Desired outcome of plan

activity

SC

1..*

Action to occur as part of plan
Constraints: cpl-3

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

outcomeCodeableConcept

0..*

Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.

outcomeReference

0..*

Reference(Resource)

Appointment, Encounter, Procedure, etc.

progress

0..*

Comments about the activity status/progress

reference

SC

0..1

Activity details defined in specific resource

detail

SC

0..1

In-line definition of activity

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

kind

0..1

0..*

canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)

Instantiates FHIR protocol or definition

0..*

Instantiates external protocol or definition

0..1

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..*

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

0..*

Reference(Condition | Observation | DiagnosticReport | DocumentReference)

Why activity is needed

0..*

Goals this activity relates to

?!

1..1

statusReason

0..1

Reason for current status

doNotPerform

?!

0..1

If true, activity is prohibiting action

scheduled[x]

0..1

When activity is to occur

scheduledTiming

scheduledPeriod

scheduledString

0..1

Where it should happen

performer

0..*

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

productReference

Reference(Medication | Substance)

dailyAmount

0..1

How to consume/day?

quantity

0..1

How much to administer/supply/consume

0..1

Extra info describing activity to perform

note

0..*

Documentation for this format

Comments about the plan

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.category	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:praxis	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:planType	Base	required	Praxis CarePlan Type	📦0.90.0	This IG
CarePlan.activity.outcomeCodeableConcept	Base	example	Care Plan Activity Outcome	📍4.0.1	FHIR Std.
CarePlan.activity.detail.kind	Base	required	Care Plan Activity Kind	📍4.0.1	FHIR Std.
CarePlan.activity.detail.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
CarePlan.activity.detail.status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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 DomainTreatmentPlanDE

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan		0..*	DomainTreatmentPlanDE	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	SΣ	1..*	Identifier	Interne Plan-ID
status	?!SΣ	1..1	code	Planstatus: draft \| active \| on-hold \| revoked \| completed 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	Planabsicht: immer 'plan' Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
Slices for category	Σ	2..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this 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:praxis	SΣ	1..1	CodeableConcept	Praxis-Kategorie (immer 'praxis') 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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/praxis-care-plan-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: praxis
display		1..1	string	Representation defined by the system Fixed Value: Praxis
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:planType	SΣ	1..1	CodeableConcept	Plan type: HZV, DMP, generic, or a source-versioned domain plan Binding: Praxis CarePlan Type (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/annex-2b-care-domain
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: e70-assisted-reproduction-plan
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
title	SΣ	1..1	string	Planbeschreibung
subject	SΣ	1..1	Reference(Patient)	Patient
period	SΣ	1..1	Period	Behandlungszeitraum
created	SΣ	1..1	dateTime	Erstelldatum
author	SΣ	1..1	Reference(PractitionerRole \| Practitioner \| Organization)	Who is the designated responsible party
addresses	SΣ	0..*	Reference(Condition)	Zugehoerige Diagnose (Condition), relevant fuer DMP-Plaene
supportingInfo	S	1..*	Reference(Condition \| Observation \| DiagnosticReport \| QuestionnaireResponse \| DocumentReference)	Unterstuetzende Informationen
goal	S	1..*	Reference(Goal)	Desired outcome of plan
activity	SC	1..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
reference	SC	0..1	Reference(Appointment \| CommunicationRequest \| DeviceRequest \| MedicationRequest \| NutritionOrder \| Task \| ServiceRequest \| VisionPrescription \| RequestGroup)	Activity details defined in specific resource
detail	SC	0..1	BackboneElement	In-line definition of activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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	Status	Usage	ValueSet	Version	Source
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.category	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:praxis	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:planType	Base	required	Praxis CarePlan Type	📦0.90.0	This IG
CarePlan.activity.detail.status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()`

Differential View

This structure is derived from DomainTreatmentPlanDE

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan	0..*	DomainTreatmentPlanDE	Healthcare plan for patient or group
Slices for category			Content/Rules for all slices
category:planType	1..1	CodeableConcept	Plan type: HZV, DMP, generic, or a source-versioned domain plan Required Pattern: At least the following
coding	1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/annex-2b-care-domain
code	1..1	code	Symbol in syntax defined by the system Fixed Value: e70-assisted-reproduction-plan
Documentation for this format

Snapshot View

Description & Constraints Filter: Filters

CarePlan

0..*

DomainTreatmentPlanDE

Healthcare plan for patient or group

id

Σ

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

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

0..*

Additional content defined by implementations

?!

0..*

Extensions that cannot be ignored

identifier

SΣ

1..*

Identifier

Interne Plan-ID

Σ

0..*

canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)

Instantiates FHIR protocol or definition

Σ

0..*

Instantiates external protocol or definition

basedOn

Σ

0..*

Fulfills CarePlan

replaces

Σ

0..*

CarePlan replaced by this CarePlan

partOf

Σ

0..*

Part of referenced CarePlan

?!SΣ

1..1

Planstatus: draft | active | on-hold | revoked | completed
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

Planabsicht: immer 'plan'
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan

Slices for category

Σ

2..*

Type of plan
Slice: Unordered, Open by pattern:$this
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:praxis

SΣ

1..1

Praxis-Kategorie (immer 'praxis')
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.

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/praxis-care-plan-category

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: praxis

1..1

Representation defined by the system
Fixed Value: Praxis

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

category:planType

SΣ

1..1

Plan type: HZV, DMP, generic, or a source-versioned domain plan
Binding: Praxis CarePlan Type (required)

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/annex-2b-care-domain

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: e70-assisted-reproduction-plan

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

title

SΣ

1..1

Planbeschreibung

Σ

0..1

Summary of nature of plan

subject

SΣ

1..1

Reference(Patient)

Patient

encounter

Σ

0..1

Reference(Encounter)

Encounter created as part of

period

SΣ

1..1

Period

Behandlungszeitraum

created

SΣ

1..1

dateTime

Erstelldatum

author

SΣ

1..1

Reference(PractitionerRole | Practitioner | Organization)

Who is the designated responsible party

contributor

0..*

Who provided the content of the care plan

careTeam

0..*

Reference(CareTeam)

Who's involved in plan?

addresses

SΣ

0..*

Reference(Condition)

Zugehoerige Diagnose (Condition), relevant fuer DMP-Plaene

supportingInfo

S

1..*

Reference(Condition | Observation | DiagnosticReport | QuestionnaireResponse | DocumentReference)

Unterstuetzende Informationen

S

1..*

Desired outcome of plan

activity

SC

1..*

Action to occur as part of plan
Constraints: cpl-3

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

outcomeCodeableConcept

0..*

Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.

outcomeReference

0..*

Reference(Resource)

Appointment, Encounter, Procedure, etc.

progress

0..*

Comments about the activity status/progress

reference

SC

0..1

Activity details defined in specific resource

detail

SC

0..1

In-line definition of activity

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

kind

0..1

0..*

canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)

Instantiates FHIR protocol or definition

0..*

Instantiates external protocol or definition

0..1

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..*

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

0..*

Reference(Condition | Observation | DiagnosticReport | DocumentReference)

Why activity is needed

0..*

Goals this activity relates to

?!

1..1

statusReason

0..1

Reason for current status

doNotPerform

?!

0..1

If true, activity is prohibiting action

scheduled[x]

0..1

When activity is to occur

scheduledTiming

scheduledPeriod

scheduledString

0..1

Where it should happen

performer

0..*

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

productReference

Reference(Medication | Substance)

dailyAmount

0..1

How to consume/day?

quantity

0..1

How much to administer/supply/consume

0..1

Extra info describing activity to perform

note

0..*