FHIR Server FHIR Server Version n/a

{
  "resourceType" : "StructureDefinition",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Profilo fhir dei piani di cura valido per la regione Toscana</div>"
  },
  "url" : "https://sanita.toscana.it/fhir/StructureDefinition/CarePlan_RT",
  "name" : "CarePlan_RT",
  "status" : "draft",
  "date" : "2022-06-14T09:41:13.2062246+00:00",
  "fhirVersion" : "4.0.1",
  "kind" : "resource",
  "abstract" : false,
  "type" : "CarePlan",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/CarePlan",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "CarePlan.contained",
        "path" : "CarePlan.contained",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "definition" : "Queste risorse non hanno un'esistenza indipendente al di fuori della risorsa che le contiene: verranno utilizzate fino a che non saranno disponibili le istanze delle risorse fhir definite negli slices seguenti."
      },
      {
        "id" : "CarePlan.contained:PractitionerRole_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "PractitionerRole_RT",
        "definition" : "Risorsa contained PractitionerRole utilizzata per indicare in linea le informazioni relative all'autore del piano, al ruolo, all'unità operativa e all'azienda di afferenza (referenziata a partire da author)",
        "max" : "1",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/PractitionerRole_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.contained:Observation_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "Observation_RT",
        "definition" : "Risorse contained Observation utilizzate per indicare in linea le informazioni referenziate a partire da supportingInfo",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Observation_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.contained:Condition_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "Condition_RT",
        "definition" : "Risorse contained Condition utilizzate per indicare in linea le informazioni referenziate a partire da supportingInfo o addresses",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Condition_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.contained:QuestionnaireResponse_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "QuestionnaireResponse_RT",
        "definition" : "Risorse contained QuestionnaireResponse utilizzate per indicare in linea le informazioni referenziate a partire da supportingInfo",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/QuestionnaireResponse_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.contained:ServiceRequest_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "ServiceRequest_RT",
        "definition" : "Risorse contained ServiceRequest utilizzate per indicare in linea le informazioni referenziate a partire da supportingInfo",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/ServiceRequest_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.contained:Procedure_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "Procedure_RT",
        "definition" : "Risorse contained Procedure utilizzate per indicare in linea le informazioni referenziate a partire da supportingInfo",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Procedure_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.contained:AllergyIntolerance_RT",
        "path" : "CarePlan.contained",
        "sliceName" : "AllergyIntolerance_RT",
        "definition" : "Risorse contained AllergyIntolerance utilizzate per indicare in linea le informazioni referenziate a partire da supportingInfo",
        "type" : [
          {
            "code" : "Resource",
            "profile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/AllergyIntolerance_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.extension",
        "path" : "CarePlan.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "rules" : "open"
        },
        "min" : 0
      },
      {
        "id" : "CarePlan.extension:myExtension",
        "path" : "CarePlan.extension",
        "sliceName" : "myExtension",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://example.org/fhir/StructureDefinition/MyExtensionProva"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.identifier",
        "path" : "CarePlan.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "definition" : "Identificativi aziendali assegnati al piano di cura che rimangono costanti mentre la risorsa viene aggiornata e si propaga da server a server: dovrà essere presente almeno un identificativo",
        "min" : 1
      },
      {
        "id" : "CarePlan.identifier:scheda-valutazione",
        "path" : "CarePlan.identifier",
        "sliceName" : "scheda-valutazione",
        "definition" : "Identificativo associato alla scheda di valutazione",
        "max" : "1"
      },
      {
        "id" : "CarePlan.identifier:scheda-valutazione.system",
        "path" : "CarePlan.identifier.system",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique",
        "min" : 1,
        "fixedUri" : "http://sanita.toscana.it/careplan/identifier-scheda"
      },
      {
        "id" : "CarePlan.identifier:scheda-followup",
        "path" : "CarePlan.identifier",
        "sliceName" : "scheda-followup",
        "definition" : "Identificativo asociato alla scheda di followup",
        "max" : "1"
      },
      {
        "id" : "CarePlan.identifier:scheda-followup.system",
        "path" : "CarePlan.identifier.system",
        "min" : 1,
        "fixedUri" : "http://sanita.toscana.it/careplan/identifier-followup"
      },
      {
        "id" : "CarePlan.identifier:protocollo-ts",
        "path" : "CarePlan.identifier",
        "sliceName" : "protocollo-ts",
        "definition" : "Identificativo associato al piano dal sistema TS",
        "max" : "1"
      },
      {
        "id" : "CarePlan.identifier:protocollo-ts.system",
        "path" : "CarePlan.identifier.system",
        "min" : 1,
        "fixedUri" : "http://sanita.toscana.it/careplan/identifier-protocollo"
      },
      {
        "id" : "CarePlan.partOf",
        "path" : "CarePlan.partOf",
        "definition" : "Nel caso di followup, l'elemento contiene il riferimento alla scheda di valutazione da cui ha avuto origine"
      },
      {
        "id" : "CarePlan.partOf.identifier.system",
        "path" : "CarePlan.partOf.identifier.system",
        "definition" : "Reference per identifier di scheda",
        "fixedUri" : "http://sanita.toscana.it/careplan/identifier-scheda"
      },
      {
        "id" : "CarePlan.intent",
        "path" : "CarePlan.intent",
        "definition" : "Indica il livello di autorità/intenzionalità associato al piano di cura e dove il piano di cura si inserisce nella catena del flusso di lavoro.",
        "fixedCode" : "order"
      },
      {
        "id" : "CarePlan.category",
        "path" : "CarePlan.category",
        "definition" : "Identifica che tipologia di piano si tratta per supportare la differenziazione tra più piani. E' definita la terminologia associata nell'elemento coding",
        "min" : 1,
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://sanita.toscana.it/fhir/ValueSet/careplan-category"
        }
      },
      {
        "id" : "CarePlan.category.coding",
        "path" : "CarePlan.category.coding",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://sanita.toscana.it/fhir/ValueSet/careplan-category"
        }
      },
      {
        "id" : "CarePlan.category.coding.system",
        "path" : "CarePlan.category.coding.system",
        "fixedUri" : "http://sanita.toscana.it/fhir/CodeSystem/careplan-category"
      },
      {
        "id" : "CarePlan.description",
        "path" : "CarePlan.description",
        "definition" : "Descrizione sulla natura del piano, obbligatorio per conformità al profilo IHE DCP",
        "min" : 1
      },
      {
        "id" : "CarePlan.subject",
        "path" : "CarePlan.subject",
        "definition" : "Identifies the patient whose intended care is described by the plan.",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.subject.identifier",
        "path" : "CarePlan.subject.identifier",
        "definition" : "Reference per identifier al paziente a cui il piano si riferisce. Viene utilizzato quando non c'è modo di fare riferimento direttamente alla risorsa Patient perché l'entità che non è disponibile su un server FHIR"
      },
      {
        "id" : "CarePlan.subject.identifier.system",
        "path" : "CarePlan.subject.identifier.system",
        "constraint" : [
          {
            "key" : "key-1",
            "severity" : "error",
            "human" : "Verifica system Patient aur o cur",
            "expression" : "(contains('http://sanita.toscana.it/aur') or contains('http://sanita.toscana.it/cur'))",
            "source" : "https://sanita.toscana.it/fhir/StructureDefinition/CarePlan_RT"
          }
        ]
      },
      {
        "id" : "CarePlan.encounter",
        "path" : "CarePlan.encounter",
        "type" : [
          {
            "code" : "Reference",
            "aggregation" : [
              "referenced"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.encounter.identifier",
        "path" : "CarePlan.encounter.identifier",
        "definition" : "Reference per identifier all'eventuale evento clinico a cui il piano si riferisce. Viene utilizzato quando non c'è modo di fare riferimento direttamente alla risorsa Encounterperché l'entità che non è disponibile su un server FHIR"
      },
      {
        "id" : "CarePlan.encounter.identifier.system",
        "path" : "CarePlan.encounter.identifier.system",
        "constraint" : [
          {
            "key" : "key-2",
            "severity" : "error",
            "human" : "Controllo system Encounter",
            "expression" : "(contains('http://sanita.toscana.it/encounter-ADT') or contains('http://sanita.toscana.it/encounter-AMB') or contains('http://sanita.toscana.it/encounter-WL') or contains('http://sanita.toscana.it/encounter-PS'))",
            "source" : "https://sanita.toscana.it/fhir/StructureDefinition/CarePlan_RT"
          }
        ]
      },
      {
        "id" : "CarePlan.period",
        "path" : "CarePlan.period",
        "definition" : "Indica quando il piano entra in vigore e quando termina",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.period.start",
        "path" : "CarePlan.period.start",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.period.end",
        "path" : "CarePlan.period.end",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.created",
        "path" : "CarePlan.created",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.author",
        "path" : "CarePlan.author",
        "definition" : "Riferimento al medico prescrittore",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/PractitionerRole_RT"
            ],
            "aggregation" : [
              "contained",
              "referenced"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.addresses",
        "path" : "CarePlan.addresses",
        "definition" : "Riferimento alla diagnosi che si intende curare con il piano in oggetto",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Condition_RT"
            ],
            "aggregation" : [
              "contained",
              "referenced"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.supportingInfo",
        "path" : "CarePlan.supportingInfo",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "definition" : "Lista delle risorse che hanno influenzato in modo specifico la formazione del piano.",
        "type" : [
          {
            "code" : "Reference",
            "aggregation" : [
              "contained",
              "referenced"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.supportingInfo:Observation_RT",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "Observation_RT",
        "definition" : "Risorse Observation legate al piano, utilizzate per rappresentare esami diagnostici o dati anamnestici",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Observation_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.supportingInfo:Condition_RT",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "Condition_RT",
        "definition" : "Risorse Condition legate al piano, utilizzate per rappresentare ulteriori diagnosi o patologie che hanno portato alla creazione del piano",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Condition_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.supportingInfo:ServiceRequest_RT",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "ServiceRequest_RT",
        "definition" : "Risorse ServiceRequest legate al piano, utilizzate per veicolare eventuali esami strumentali a supporto del piano",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/ServiceRequest_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.supportingInfo:AllergyIntolerance_RT",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "AllergyIntolerance_RT",
        "definition" : "Risorse AllergyIntolerance utilizzate per comunicare eventuali intolleranze o allergie a supporto del piano",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/AllergyIntolerance_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.supportingInfo:QuestionnaireResponse_RT",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "QuestionnaireResponse_RT",
        "definition" : "Risorse QuestionnaireResponse utilizzate per rappresentare questionari legati a piani specifici",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/QuestionnaireResponse_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.supportingInfo:Procedure_RT",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "Procedure_RT",
        "definition" : "Risorse Procedure utilizzate per comunicare eventuali procedure a supporto del piano",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://sanita.toscana.it/fhir/StructureDefinition/Procedure_RT"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.goal",
        "path" : "CarePlan.goal",
        "definition" : "Obiettivo del piano terapeutico",
        "min" : 1
      },
      {
        "id" : "CarePlan.goal.display",
        "path" : "CarePlan.goal.display",
        "definition" : "Descrizione dell'obiettivo del piano, introdotto per conformità al profilo IHE DCP",
        "min" : 1
      },
      {
        "id" : "CarePlan.activity",
        "path" : "CarePlan.activity",
        "definition" : "Azioni da realizzare nel piano terapeutico: sezione da utilizzare per la terapia proposta, terapia in atto e terapie precedenti",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail",
        "path" : "CarePlan.activity.detail",
        "definition" : "Definizione in-line dell'attività da erogare",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.extension",
        "path" : "CarePlan.activity.detail.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "rules" : "open"
        },
        "min" : 0
      },
      {
        "id" : "CarePlan.activity.detail.extension:care-continuity",
        "path" : "CarePlan.activity.detail.extension",
        "sliceName" : "care-continuity",
        "min" : 0,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://sanita.toscana.it.it/fhir/base/StructureDefinition-CarePlan-care-continuity"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.activity.detail.extension:hemorrhage",
        "path" : "CarePlan.activity.detail.extension",
        "sliceName" : "hemorrhage",
        "min" : 0,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://sanita.toscana.it.it/fhir/base/StructureDefinition-CarePlan-rt-hemorrhage"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.activity.detail.extension:modification-therapy",
        "path" : "CarePlan.activity.detail.extension",
        "sliceName" : "modification-therapy",
        "min" : 0,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://sanita.toscana.it.it/fhir/base/StructureDefinition-CarePlan-modification-therapy"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.activity.detail.extension:regolar-hiring",
        "path" : "CarePlan.activity.detail.extension",
        "sliceName" : "regolar-hiring",
        "min" : 0,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://sanita.toscana.it.it/fhir/base/StructureDefinition-CarePlan-rt-regolar-hiring"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.activity.detail.extension:dose-reduction-motivation",
        "path" : "CarePlan.activity.detail.extension",
        "sliceName" : "dose-reduction-motivation",
        "min" : 0,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://sanita.toscana.it.it/fhir/base/StructureDefinition-CarePlan-dose-reduction-motivation"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.activity.detail.extension:delivery-info",
        "path" : "CarePlan.activity.detail.extension",
        "sliceName" : "delivery-info",
        "min" : 0,
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://sanita.toscana.it.it/fhir/base/StructureDefinition-CarePlan-rt-delivery-info"
            ]
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CarePlan.activity.detail.reasonCode",
        "path" : "CarePlan.activity.detail.reasonCode",
        "definition" : "Motivo prescrizione farmaco o non prescrizione farmaco"
      },
      {
        "id" : "CarePlan.activity.detail.reasonCode.text",
        "path" : "CarePlan.activity.detail.reasonCode.text",
        "definition" : "Si usa l'elemento text quando l'informazione non è codificata",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.status",
        "path" : "CarePlan.activity.detail.status",
        "definition" : "Identifica lo stato della specifica attività (terapia). Utilizzare: in-progress: per terapia in atto e confermata - scheduled: per terapia proposta - completed: per terapie precedenti - not-started: per farmaco da non somministrare"
      },
      {
        "id" : "CarePlan.activity.detail.doNotPerform",
        "path" : "CarePlan.activity.detail.doNotPerform",
        "definition" : "Se settato a true, l'attività vieta l'azione.",
        "mustSupport" : false
      },
      {
        "id" : "CarePlan.activity.detail.scheduled[x]",
        "path" : "CarePlan.activity.detail.scheduled[x]",
        "definition" : "Indica con che frequenza deve verificarsi l’attività e la sua durata",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.product[x]",
        "path" : "CarePlan.activity.detail.product[x]",
        "definition" : "Farmaco prescritto",
        "min" : 1,
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding",
        "path" : "CarePlan.activity.detail.product[x].coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "definition" : "Si avranno le codifiche minsan (italiano o estero) e ATC associate al farmaco., definite nelle slice seguenti",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding:codingMinsanIta",
        "path" : "CarePlan.activity.detail.product[x].coding",
        "sliceName" : "codingMinsanIta",
        "definition" : "Codifica minsan farmaci italiani",
        "max" : "1",
        "mustSupport" : false
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding:codingMinsanIta.system",
        "path" : "CarePlan.activity.detail.product[x].coding.system",
        "fixedUri" : "http://terminology.hl7.it/CodeSystem/aifa-aic"
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding:codingMinsanEstero",
        "path" : "CarePlan.activity.detail.product[x].coding",
        "sliceName" : "codingMinsanEstero",
        "definition" : "Codifica minsan farmaci esteri",
        "max" : "1"
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding:codingMinsanEstero.system",
        "path" : "CarePlan.activity.detail.product[x].coding.system",
        "fixedUri" : "www.dati.salute.gov.it/dataset/MedEsteri.jsp"
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding:codingATC",
        "path" : "CarePlan.activity.detail.product[x].coding",
        "sliceName" : "codingATC",
        "definition" : "Codifica farmaci atc",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "CarePlan.activity.detail.product[x].coding:codingATC.system",
        "path" : "CarePlan.activity.detail.product[x].coding.system",
        "fixedUri" : "http://www.whocc.no/atc"
      },
      {
        "id" : "CarePlan.activity.detail.quantity",
        "path" : "CarePlan.activity.detail.quantity",
        "definition" : "Quantità da somministrare",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.quantity.value",
        "path" : "CarePlan.activity.detail.quantity.value",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity.detail.quantity.unit",
        "path" : "CarePlan.activity.detail.quantity.unit",
        "mustSupport" : true
      }
    ]
  }
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.