# EPath CarePlan Assessment - ePath R4 Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **EPath CarePlan Assessment**

## Resource Profile: EPath CarePlan Assessment 

| | |
| :--- | :--- |
| *Official URL*:http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAssessment | *Version*:1.0.1 |
| Active as of 2026-02-19 | *Computable Name*:EPathCarePlanAssessment |
| **Copyright/Legal**: Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0 | |

 
観察項目情報 

**Usages:**

* Use this Profile: [EPath Bundle Message EP12](StructureDefinition-EPathBundleMessageEP12.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/r4ig|current/StructureDefinition/EPathCarePlanAssessment)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-EPathCarePlanAssessment.csv), [Excel](StructureDefinition-EPathCarePlanAssessment.xlsx), [Schematron](StructureDefinition-EPathCarePlanAssessment.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "EPathCarePlanAssessment",
  "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAssessment",
  "version" : "1.0.1",
  "name" : "EPathCarePlanAssessment",
  "title" : "EPath CarePlan Assessment",
  "status" : "active",
  "date" : "2026-02-19T12:27:55+09:00",
  "contact" : [
    {
      "name" : "ePath Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://e-path.jp"
        }
      ]
    }
  ],
  "description" : "観察項目情報",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166-2",
          "code" : "JP"
        }
      ]
    }
  ],
  "copyright" : "Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "CarePlan",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/CarePlan",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "CarePlan.meta",
        "path" : "CarePlan.meta",
        "min" : 1
      },
      {
        "id" : "CarePlan.meta.profile",
        "path" : "CarePlan.meta.profile",
        "short" : "本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAssessment|x.y.z を設定する。",
        "definition" : "本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAssessment|x.y.z を設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.extension",
        "path" : "CarePlan.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "CarePlan.extension:ePathCarePlanStatusTypeWhenOccured",
        "path" : "CarePlan.extension",
        "sliceName" : "ePathCarePlanStatusTypeWhenOccured",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanStatusTypeWhenOccured"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.identifier",
        "path" : "CarePlan.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "CarePlan.identifier:assessmentId",
        "path" : "CarePlan.identifier",
        "sliceName" : "assessmentId",
        "short" : "リソース一意識別子（観察項目）",
        "definition" : "リソース一意識別子（観察項目）",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.identifier:assessmentId.system",
        "path" : "CarePlan.identifier.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/assessment-id"
      },
      {
        "id" : "CarePlan.identifier:assessmentId.value",
        "path" : "CarePlan.identifier.value",
        "short" : "医療機関コード、適用時パス識別子、病日[-パスステップ]、OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド\".\"で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。",
        "definition" : "医療機関コード、適用時パス識別子、病日[-パスステップ]、OATユニット識別子[-リピート番号]、観察項目識別子を半角ピリオド\".\"で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf",
        "path" : "CarePlan.partOf",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "identifier.system"
            }
          ],
          "rules" : "open"
        },
        "min" : 3
      },
      {
        "id" : "CarePlan.partOf:applyId",
        "path" : "CarePlan.partOf",
        "sliceName" : "applyId",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
                "valueBoolean" : true
              }
            ],
            "code" : "Reference",
            "targetProfile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanEPathApply"
            ]
          }
        ]
      },
      {
        "id" : "CarePlan.partOf:applyId.identifier",
        "path" : "CarePlan.partOf.identifier",
        "short" : "リソース一意識別子（パス）",
        "definition" : "リソース一意識別子（パス）",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:applyId.identifier.system",
        "path" : "CarePlan.partOf.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/apply-id",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:applyId.identifier.value",
        "path" : "CarePlan.partOf.identifier.value",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:eventId",
        "path" : "CarePlan.partOf",
        "sliceName" : "eventId",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "CarePlan.partOf:eventId.identifier",
        "path" : "CarePlan.partOf.identifier",
        "short" : "リソース一意識別子（イベント）",
        "definition" : "リソース一意識別子（イベント）",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:eventId.identifier.system",
        "path" : "CarePlan.partOf.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/event-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/event-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/event-id",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:eventId.identifier.value",
        "path" : "CarePlan.partOf.identifier.value",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:oatUnitId",
        "path" : "CarePlan.partOf",
        "sliceName" : "oatUnitId",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "CarePlan.partOf:oatUnitId.identifier",
        "path" : "CarePlan.partOf.identifier",
        "short" : "リソース一意識別子（OATユニット）",
        "definition" : "リソース一意識別子（OATユニット）",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.partOf:oatUnitId.identifier.system",
        "path" : "CarePlan.partOf.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/oat-unit-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/oat-unit-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/oat-unit-id",
        "mustSupport" : false
      },
      {
        "id" : "CarePlan.partOf:oatUnitId.identifier.value",
        "path" : "CarePlan.partOf.identifier.value",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.status",
        "path" : "CarePlan.status",
        "definition" : "active（有効かつ対応する準備ができている）、completed（完了）、revoked（中止）を設定する。",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.intent",
        "path" : "CarePlan.intent",
        "fixedCode" : "plan",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category",
        "path" : "CarePlan.category",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "coding.system"
            }
          ],
          "rules" : "open"
        },
        "mustSupport" : false
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCategory",
        "path" : "CarePlan.category",
        "sliceName" : "BOMAssessmentCategory",
        "short" : "BOM観察項目分類コード・名称",
        "definition" : "BOM観察項目分類コード・名称\r\n「BOM観察項目分類コード」より設定する。",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCategory.coding",
        "path" : "CarePlan.category.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS"
        }
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCategory.coding.system",
        "path" : "CarePlan.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCategoryCS"
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCategory.coding.code",
        "path" : "CarePlan.category.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCategory.coding.display",
        "path" : "CarePlan.category.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCategory",
        "path" : "CarePlan.category",
        "sliceName" : "LocalAssessmentCategory",
        "short" : "観察項目コード・名称",
        "definition" : "観察項目コード・名称",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCategory.coding",
        "path" : "CarePlan.category.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCategory.coding.system",
        "path" : "CarePlan.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCategoryCS"
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCategory.coding.code",
        "path" : "CarePlan.category.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCategory.coding.display",
        "path" : "CarePlan.category.coding.display",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCode",
        "path" : "CarePlan.category",
        "sliceName" : "BOMAssessmentCode",
        "short" : "BOM観察項目コード・名称",
        "definition" : "BOM観察項目コード・名称\r\n「BOM観察項目コード」より設定する。",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCode.coding",
        "path" : "CarePlan.category.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS"
        }
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCode.coding.system",
        "path" : "CarePlan.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS"
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCode.coding.code",
        "path" : "CarePlan.category.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:BOMAssessmentCode.coding.display",
        "path" : "CarePlan.category.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCode",
        "path" : "CarePlan.category",
        "sliceName" : "LocalAssessmentCode",
        "short" : "観察項目コード・名称",
        "definition" : "観察項目コード・名称",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCode.coding",
        "path" : "CarePlan.category.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCode.coding.system",
        "path" : "CarePlan.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS"
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCode.coding.code",
        "path" : "CarePlan.category.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:LocalAssessmentCode.coding.display",
        "path" : "CarePlan.category.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.category:AssesmentCodeEmpty",
        "path" : "CarePlan.category",
        "sliceName" : "AssesmentCodeEmpty",
        "short" : "観察項目なし",
        "definition" : "タスクのみの観察項目でBOMやローカル観察項目コードを設定できない場合に使用する。",
        "min" : 0,
        "max" : "1"
      },
      {
        "id" : "CarePlan.category:AssesmentCodeEmpty.coding",
        "path" : "CarePlan.category.coding",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS"
        }
      },
      {
        "id" : "CarePlan.category:AssesmentCodeEmpty.coding.system",
        "path" : "CarePlan.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathAssessmentCodeEmptyCS"
      },
      {
        "id" : "CarePlan.category:AssesmentCodeEmpty.coding.code",
        "path" : "CarePlan.category.coding.code",
        "min" : 1,
        "fixedCode" : "ZZZZZZZZZZ",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.title",
        "path" : "CarePlan.title",
        "short" : "観察項目名称",
        "definition" : "観察項目名称",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.subject",
        "path" : "CarePlan.subject",
        "short" : "パスを適用する患者リソース（Patient）への参照",
        "definition" : "パスを適用する患者リソース（Patient）への参照",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.goal",
        "path" : "CarePlan.goal",
        "short" : "観察項目実施目標・評価情報（Goal）への参照",
        "definition" : "観察項目実施目標・評価情報（Goal）への参照",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution"
            ]
          }
        ],
        "mustSupport" : false
      },
      {
        "id" : "CarePlan.activity.outcomeReference",
        "path" : "CarePlan.activity.outcomeReference",
        "short" : "観察項目にひもづくタスク（Procedure）への参照",
        "definition" : "観察項目にひもづくタスク（Procedure）への参照",
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathProcedureTask"
            ]
          }
        ],
        "mustSupport" : false
      }
    ]
  }
}

```
