FHIR IG Statistics: StructureDefinition/DataStandardsWales-PSOM-CarePlan

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{
  "resourceType": "StructureDefinition",
  "id": "DataStandardsWales-PSOM-CarePlan",
  "url": "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-CarePlan",
  "name": "DataStandardsWalesPSOMCarePlan",
  "title": "Data Standards Wales PSOM CarePlan",
  "status": "draft",
  "publisher": "NHS Wales",
  "contact": [
    {
      "name": "Data Standards",
      "telecom": [
        {
          "system": "email",
          "value": "data.standards@wales.nhs.uk",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The clinical circumstance for PROMs collection. The CarePlan is used to group Collection Events and provide context to the pathway.",
  "purpose": "The CarePlan functions as linking pin of all DSCN metadata relevant for a clinical circumstance.",
  "copyright": "© 2023 NHS Wales.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "PROMs-Metadata-2024004",
      "name": "NHS Wales DSCN Metadata Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "CarePlan",
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "CarePlan",
        "path": "CarePlan",
        "short": "Clinical Circumstance"
      },
      {
        "id": "CarePlan.extension",
        "path": "CarePlan.extension",
        "min": 1
      },
      {
        "id": "CarePlan.extension:pathwayLaterality",
        "path": "CarePlan.extension",
        "sliceName": "pathwayLaterality",
        "short": "Laterality of the PSOM pathway",
        "definition": "The laterality is used to capture the anatomical side associated with the healthcare referral / pathway record.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-PathwayLaterality"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "CarePlan.identifier",
        "path": "CarePlan.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "CarePlan.identifier:referralIdentifier",
        "path": "CarePlan.identifier",
        "sliceName": "referralIdentifier",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-ReferralIdentifier"
            ]
          }
        ]
      },
      {
        "id": "CarePlan.category",
        "path": "CarePlan.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "CarePlan.category:treatmentSpecialty",
        "path": "CarePlan.category",
        "sliceName": "treatmentSpecialty",
        "short": "Treatment Specialty Code",
        "definition": "The code for the pathway specialty at the time the PROMs form is generated.",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "Identifies the pathway specialty",
          "valueSet": "http://hl7.org/fhir/ValueSet/c80-practice-codes"
        },
        "mapping": [
          {
            "identity": "PROMs-Metadata-2024004",
            "map": "MEDPX001X",
            "comment": "Treatment Specialty Code"
          }
        ]
      },
      {
        "id": "CarePlan.category:pathwayType",
        "path": "CarePlan.category",
        "sliceName": "pathwayType",
        "short": "PROMs Pathway Type",
        "definition": "The type of pathway that the PROM is associated to, e.g. lung cancer, heart failure, cataract, etc.",
        "comment": "For local pathways use `.coding.code` _OTH_ and fill the Local PROMs Pathway Type in `.text`.",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayType"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "description": "Identifies the type of pathway",
          "valueSet": "https://fhir.nhs.wales/ValueSet/DataStandardsWales-PSOM-PathwayType"
        },
        "mapping": [
          {
            "identity": "PROMs-Metadata-2024004",
            "map": "MPRPX005X",
            "comment": "PROMs Pathway Type"
          }
        ]
      },
      {
        "id": "CarePlan.category:pathwayType.text",
        "path": "CarePlan.category.text",
        "short": "Local PROMs Pathway Type",
        "definition": "A locally-defined code to identify the PROMs pathway. This type is only required for local pathways.",
        "comment": "For local pathways `.coding.code` SHALL be filled with _OTH_.",
        "mapping": [
          {
            "identity": "PROMs-Metadata-2024004",
            "map": "MPRPX009X",
            "comment": "Local PROMs Pathway Type"
          }
        ]
      },
      {
        "id": "CarePlan.subject",
        "path": "CarePlan.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "PROMs-Metadata-2024004",
            "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)"
          }
        ]
      },
      {
        "id": "CarePlan.author",
        "path": "CarePlan.author",
        "short": "Reference to Senior Responsible Professional and Originating Organisation",
        "definition": "Reference to Senior Responsible Professional and Originating Organisation",
        "comment": "Each occurrence of a Senior Responsible Professional is represented by two FHIR resources: a PractitionerRole resource (instance of DataStandardsWales-PractitionerRole) and a Practitioner resource (DataStandardsWales-Practitioner). The Originating Organisation is related to the Senior Responsible Professional and is represented by the Organization resorce (instance of DataStandardsWales-Organization). The Practitioner and Organization resource are both referenced from the PractitionerRole instance through the elements `.practitioner` and `.organization` respectively. Sending systems should fill the reference to the PractitionerRole instance here. Receiving systems can then retrieve the reference to the Practitioner and the Organization resource from that PractitionerRole instance.\r\n\r\nWhile 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.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PractitionerRole"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "PROMs-Metadata-2024004",
            "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",
            "map": "MDDPX002X",
            "comment": "Originating Organisation Code (implicit, main mapping is on Organization.identifier)"
          }
        ]
      },
      {
        "id": "CarePlan.activity",
        "path": "CarePlan.activity",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "CarePlan.activity.outcomeReference",
        "path": "CarePlan.activity.outcomeReference",
        "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.",
        "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"
            ]
          }
        ]
      },
      {
        "id": "CarePlan.activity.reference",
        "path": "CarePlan.activity.reference",
        "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.",
        "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"
            ]
          }
        ]
      },
      {
        "id": "CarePlan.activity:completeQuestionnaire",
        "path": "CarePlan.activity",
        "sliceName": "completeQuestionnaire"
      },
      {
        "id": "CarePlan.activity:completeQuestionnaire.outcomeCodeableConcept",
        "path": "CarePlan.activity.outcomeCodeableConcept",
        "max": "0"
      },
      {
        "id": "CarePlan.activity:completeQuestionnaire.outcomeReference",
        "path": "CarePlan.activity.outcomeReference",
        "max": "0"
      },
      {
        "id": "CarePlan.activity:completeQuestionnaire.progress",
        "path": "CarePlan.activity.progress",
        "max": "0"
      },
      {
        "id": "CarePlan.activity:completeQuestionnaire.reference",
        "path": "CarePlan.activity.reference",
        "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.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
            ]
          }
        ]
      },
      {
        "id": "CarePlan.activity:completeQuestionnaire.detail",
        "path": "CarePlan.activity.detail",
        "max": "0"
      }
    ]
  }
}