{
"description": "The clinical circumstance for PROMs collection. The CarePlan is used to group Collection Events and provide context to the pathway.",
"_filename": "Profile-DataStandardsWales-PSOM-CarePlan.json",
"package_name": "fhir.r4.wales.psom",
"date": null,
"derivation": "constraint",
"publisher": "NHS Wales",
"fhirVersion": "4.0.1",
"purpose": "The CarePlan functions as linking pin of all DSCN metadata relevant for a clinical circumstance.",
"name": "DataStandardsWalesPSOMCarePlan",
"mapping": [ {
"name": "NHS Wales DSCN Metadata Mapping",
"identity": "PROMs-Metadata-2024004"
} ],
"abstract": false,
"copyright": "© 2023 NHS Wales.",
"type": "CarePlan",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Data Standards Wales PSOM CarePlan",
"package_version": "1.0.0-rc2",
"status": "draft",
"id": "855b0768-7a4a-4208-b539-64b213cacad1",
"kind": "resource",
"url": "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-CarePlan",
"version": null,
"differential": {
"element": [ {
"id": "CarePlan",
"path": "CarePlan",
"short": "Clinical Circumstance"
}, {
"id": "CarePlan.extension:pathwayLaterality",
"path": "CarePlan.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-PathwayLaterality" ]
} ],
"short": "Laterality of the PSOM pathway",
"sliceName": "pathwayLaterality",
"definition": "The laterality is used to capture the anatomical side associated with the healthcare referral / pathway record.",
"isModifier": false
}, {
"id": "CarePlan.identifier",
"min": 1,
"path": "CarePlan.identifier",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "profile"
} ]
}
}, {
"id": "CarePlan.identifier:referralIdentifier",
"max": "1",
"min": 1,
"path": "CarePlan.identifier",
"type": [ {
"code": "Identifier",
"profile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-ReferralIdentifier" ]
} ],
"sliceName": "referralIdentifier"
}, {
"id": "CarePlan.category",
"min": 1,
"path": "CarePlan.category",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
}
}, {
"id": "CarePlan.category:treatmentSpecialty",
"max": "1",
"path": "CarePlan.category",
"short": "Treatment Specialty",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/c80-practice-codes",
"description": "Identifies the pathway specialty"
},
"sliceName": "treatmentSpecialty",
"definition": "This is the pathway specialty at the time the PROMs form is generated."
}, {
"id": "CarePlan.category:treatmentSpecialty.coding.code",
"path": "CarePlan.category.coding.code",
"short": "Treatment Specialty Code",
"mapping": [ {
"map": "MEDPX001X",
"comment": "Treatment Specialty Code",
"identity": "PROMs-Metadata-2024004"
} ],
"definition": "The code for the pathway specialty at the time the PROMs form is generated."
}, {
"path": "CarePlan.category",
"min": 1,
"definition": "The type of pathway that the PROM is associated to, e.g. lung cancer, heart failure, cataract, etc.",
"short": "PROMs Pathway Type",
"mapping": [ {
"map": "MPRPX005X",
"comment": "PROMs Pathway Type",
"identity": "PROMs-Metadata-2024004"
} ],
"sliceName": "pathwayType",
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.nhs.wales/ValueSet/DataStandardsWales-PSOM-PathwayType",
"description": "Identifies the type of pathway"
},
"max": "1",
"id": "CarePlan.category:pathwayType",
"comment": "For local pathways use `.coding.code` _OTH_ and fill the Local PROMs Pathway Type in `.text`.",
"patternCodeableConcept": {
"coding": [ {
"system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayType"
} ]
}
}, {
"id": "CarePlan.category:pathwayType.text",
"path": "CarePlan.category.text",
"short": "Local PROMs Pathway Type",
"comment": "For local pathways `.coding.code` SHALL be filled with _OTH_.",
"mapping": [ {
"map": "MPRPX009X",
"comment": "Local PROMs Pathway Type",
"identity": "PROMs-Metadata-2024004"
} ],
"definition": "A locally-defined code to identify the PROMs pathway. This type is only required for local pathways."
}, {
"id": "CarePlan.subject",
"path": "CarePlan.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" ]
} ],
"mapping": [ {
"map": "MPDPX001X",
"comment": "NHS Number (implicit, main mapping is on Patient.identifier:nhsNumber)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX001A",
"comment": "NHS Number Status Indicator (implicit, main mapping is on Patient.identifier:nhsNumber.extension:nhsNumberVerificationStatus)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX002A",
"comment": "Local Person Identifier Origination (implicit, main mapping is on Patient.identifier:[HealthBoard]PasIdentifier.type)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX002X",
"comment": "Local Person Identifier (implicit, main mapping is on Patient.identifier:[HealthBoard]PasIdentifier.value)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX003X",
"comment": "Given Name (implicit, main mapping is on Patient.name.given)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX004X",
"comment": "Family Name (implicit, main mapping is on Patient.name.family)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX005X",
"comment": "Date of Birth (implicit, main mapping is on Patient.birthDate)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX006X",
"comment": "Gender Identity (implicit, main mapping is on Patient.gender)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MPDPX007X",
"comment": "Postcode (implicit, main mapping is on Patient.address.postalCode)",
"identity": "PROMs-Metadata-2024004"
} ]
}, {
"id": "CarePlan.author",
"path": "CarePlan.author",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" ]
} ],
"short": "Senior Responsible Professional",
"comment": "While the `.author` element is a good fit for holding the Senior Responsible Professional information, a more elaborate approach could be to use a dedicated CareTeam resource referenced through the `.careTeam` element. However, to reduce implementation workload, we have decided to continue using the `.author` element for this information in the current version.",
"mapping": [ {
"map": "MEDPX002A",
"comment": "Senior Responsible Professional Name (implicit, main mapping is on Practitioner.name)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MEDPX002B",
"comment": "Senior Responsible Professional Identifier Code System (implicit, main mapping is on Practitioner.identifier.system)",
"identity": "PROMs-Metadata-2024004"
}, {
"map": "MEDPX002C",
"comment": "Senior Responsible Professional Identifier (implicit, main mapping is on Practitioner.identifier.value)",
"identity": "PROMs-Metadata-2024004"
} ],
"definition": "Senior Responsible Professional responsible for the patient's care plan."
}, {
"id": "CarePlan.activity",
"path": "CarePlan.activity",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "reference.resolve()",
"type": "profile"
} ]
}
}, {
"id": "CarePlan.activity.outcomeReference",
"path": "CarePlan.activity.outcomeReference",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Encounter", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure", "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"comment": "The outcome of activities may trigger or lead to re-evaluation of the PROMs collection schedule. For now references to Encounter and Procedure are added because these resources most likely contain information relevant for PROMs collection."
}, {
"id": "CarePlan.activity.reference",
"path": "CarePlan.activity.reference",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Appointment", "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-ServiceRequest", "http://hl7.org/fhir/StructureDefinition/CommunicationRequest", "http://hl7.org/fhir/StructureDefinition/DeviceRequest", "http://hl7.org/fhir/StructureDefinition/NutritionOrder", "http://hl7.org/fhir/StructureDefinition/VisionPrescription", "http://hl7.org/fhir/StructureDefinition/RequestGroup", "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://hl7.org/fhir/StructureDefinition/Task" ]
} ],
"comment": "Proposed activities may trigger or lead to re-evaluation of the PROMs collection schedule. For now references to Appointment and ServiceRequest are added because these resources most likely contain information relevant for PROMs collection.\r\n\r\nEach reference to an Appointment or a ServiceRequest represents a planned activity that functions as a trigger for the PROMs provider to re-evaluate the PROMs collection schedule and adjust if necessary."
}, {
"id": "CarePlan.activity:completeQuestionnaire",
"path": "CarePlan.activity",
"sliceName": "completeQuestionnaire"
}, {
"id": "CarePlan.activity:completeQuestionnaire.outcomeCodeableConcept",
"max": "0",
"path": "CarePlan.activity.outcomeCodeableConcept"
}, {
"id": "CarePlan.activity:completeQuestionnaire.outcomeReference",
"max": "0",
"path": "CarePlan.activity.outcomeReference"
}, {
"id": "CarePlan.activity:completeQuestionnaire.progress",
"max": "0",
"path": "CarePlan.activity.progress"
}, {
"id": "CarePlan.activity:completeQuestionnaire.reference",
"min": 1,
"path": "CarePlan.activity.reference",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task" ]
} ],
"short": "PSOM Task reference",
"definition": "Each reference to a Task represents a PROMs Tool within a Collection Event. A Collection Event is a trigger to request a patient to fill in a specific PROMs Tool and to receive the scores and answers filled in by the patient."
}, {
"id": "CarePlan.activity:completeQuestionnaire.detail",
"max": "0",
"path": "CarePlan.activity.detail"
} ]
},
"contact": [ {
"name": "Data Standards",
"telecom": [ {
"use": "work",
"value": "data.standards@wales.nhs.uk",
"system": "email"
} ]
} ],
"baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan"
}