Profiling a FHIR Careplan for Immunizations: part 2

I’ve been trying to figure out a good way of showing a profiled resource. In the previous post, we had a paragraph on each element we wanted to change, but that isn’t the easiest to understand. I do know that the core team is looking at ways of doing this – and I think it’s going to be a focus of the next connectathon, but in the mean time here’s an option to consider – a simple table.

It’s not complete – for example it’s doesn’t (yet) show ValueSet bindings or types of Resource in Resource references, but it’s a start…

The key to the table:

• Path is the path to the element or extension
• Source is whether it comes from the core resource unaltered (core), has been altered by the profile (prof) or is an extension (ext).
• Multiplicity, datatype and description are obvious.

Still not completely happy with the display as yet (and it only just fits in the space on this blog) – will continue working on it. The actual profile can be found here, (it’s the Blaze  server that Richard (one of my Orion Health colleagues) wrote – the validation is truly brutal – if Blaze accepts it, then I know it’s good!). Again a work in progress, and I’ll update as we go.

Oh – by the way – if you do view the profile, be aware that at the moment the SSL certificate is self signed, and some clients aren’t happy with that. We are getting a certificate from a recognized CA, but the wheels grind slowly…

Path	Source	Mult	DataType	Description
CarePlan	core	1..1	Resource	Healthcare plan for patient
-> profileDescription	ext	0..1	string	Describes the Protocol
-> profileUri	ext	0..1	string	The URI that points to the description of the profile
CarePlan.identifier	core	0..*	Identifier	External Ids for this plan
CarePlan.patient	prof	1..1	Resource Reference	Who care plan is for
-> dob	ext	0..1	date	Date of Birth
CarePlan.status	core	1..1	code	planned | active | completed
CarePlan.period	core	0..1	Period	Time period plan covers
CarePlan.modified	prof	1..1	dateTime	When last updated
CarePlan.concern	prof	0..0	Resource Reference	Health issues this plan addresses
CarePlan.participant	core	0..1		Who’s involved in plan?
CarePlan.participant.role	core	0..1	Codeable Concept	Type of involvement
CarePlan.participant.member	core	1..1	Resource Reference	Who is involved
CarePlan.goal	core	0..1		Desired outcome of plan
-> disease	ext	0..1	string	Allows a goal to specify the disease it is protecting against
CarePlan.goal.description	core	1..1	string	What’s the desired outcome?
CarePlan.goal.status	prof	0..0	code	in progress | achieved | sustaining | cancelled
CarePlan.goal.notes	core	0..1	string	Comments about the goal
CarePlan.goal.concern	prof	0..0	Resource Reference	Health issues this goal addresses
CarePlan.activity	core	0..1		Action to occur as part of plan
-> immunization	ext	0..1	Resource Reference	If a completed activity, then references the immunization record
CarePlan.activity.goal	core	0..*	idref	Goals this activity relates to
CarePlan.activity.status	core	0..1	code	not started | scheduled | in progress | on hold | completed | cancelled
CarePlan.activity.prohibited	core	1..1	boolean	Do NOT do
CarePlan.activity.actionResulting	prof	0..0	Resource Reference	Appointments, orders, etc.
CarePlan.activity.notes	core	0..1	string	Comments about the activity
CarePlan.activity.detail	prof	0..0	Resource Reference	Activity details defined in specific resource
CarePlan.activity.simple	core	0..1		Activity details summarised here
CarePlan.activity.simple.category	core	1..1	code	diet | drug | encounter | observation | procedure | supply | other
CarePlan.activity.simple.code	prof	1..1	Codeable Concept	Detail type of activity
-> numberOfDoses	ext	0..1	integer	Total number of doses for this vaccine
-> doseSequence	ext	0..1	integer	Sequence number of this vaccine in the series
CarePlan.activity.simple.timing[x]	core	0..1	Schedule	When activity is to occur
CarePlan.activity.simple.location	prof	0..0	Resource Reference	Where it should happen
CarePlan.activity.simple.performer	core	0..*	Resource Reference	Who’s responsible?
CarePlan.activity.simple.product	prof	0..0	Resource Reference	What’s administered/supplied
CarePlan.activity.simple.dailyAmount	prof	0..0	Quantity	How much consumed/day?
CarePlan.activity.simple.quantity	prof	0..0	Quantity	How much is administered/supplied/consumed
CarePlan.activity.simple.details	core	0..1	string	Extra info on activity occurrence
CarePlan.notes	core	0..1	string	Comments about the plan