ePath R4 Implementation Guide
1.0.1 - ci-build Japan

ePath R4 Implementation Guide - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: EPath CarePlan EPathApply

Official URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanEPathApply | Version: 1.0.1
Active as of 2026-02-19 | Computable Name: EPathCarePlanEPathApply
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

パス適用情報

Usages:

- Use this Profile: EPath Bundle Message EP12
- Refer to this Profile: EPath CarePlan Assessment, EPath CarePlan Event, EPath CarePlan OATUnit and EPath QuestionnaireResponse

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
meta | Σ | 1..1 | Meta | Metadata about the resource
profile | S Σ | 1..* | canonical(StructureDefinition) | 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/EPathCarePlanePathApply|x.y.z を設定する。
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ePathCarePlanAdaptiveCriteriaConfirmation | S | 1..1 | code | 適応基準 確認区分 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation Binding: EPath CarePlanAdaptiveCriteriaConfirmation VS (required)
extension:ePathCarePlanAdaptiveCriteriaText | S | 1..1 | string | 適応基準 内容 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
extension:ePathCarePlanScheduledDays |  | 0..1 | integer | パス予定日数 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | External Ids for this plan Slice: Unordered, Open by value:system
identifier:applyId | S Σ | 1..1 | Identifier | リソース一意識別子（パス）
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | 固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。 Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/apply-id
value | S Σ | 1..1 | string | 医療機関コード、適用時パス識別子を半角ピリオド"."で連結したものを設定する。 Example General: 123456
instantiatesCanonical | S Σ | 0..* | canonical(EPath PlanDefinition EP01 | EPath PlanDefinition EP02) | ひな型パス（PlanDefinition）、施設パス（PlanDefinition）の正規URLを指定する。
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan
title | S Σ | 1..1 | string | 施設パス名称
subject | S Σ | 1..1 | Reference(JP Core Patient Profile) | パスを適用する患者リソース（Patient）への参照
encounter | S Σ | 0..1 | Reference(Encounter) | 受診情報を記述しているEncounterリソースへの参照
period | S Σ | 1..1 | Period | パス実施期間
start | S Σ C | 1..1 | dateTime | パス実施期間開始日時
end | Σ C | 0..1 | dateTime | パス実施期間終了日時
goal |  | 0..* | Reference(EPath Goal EPathApply) | パス適用情報 目標・評価情報（Goal）への参照
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.identifier:applyId.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  |  | CarePlan |
meta |  | 1..1 | Meta | Metadata about the resource
profile | S | 1..* | canonical(StructureDefinition) | 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/EPathCarePlanePathApply|x.y.z を設定する。
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ePathCarePlanAdaptiveCriteriaConfirmation | S | 1..1 | code | 適応基準 確認区分 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation Binding: EPath CarePlanAdaptiveCriteriaConfirmation VS (required)
extension:ePathCarePlanAdaptiveCriteriaText | S | 1..1 | string | 適応基準 内容 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
extension:ePathCarePlanScheduledDays |  | 0..1 | integer | パス予定日数 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays
Slices for identifier |  | 1..* | Identifier | External Ids for this plan Slice: Unordered, Open by value:system
identifier:applyId | S | 1..1 | Identifier | リソース一意識別子（パス）
system |  | 1..1 | uri | 固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。 Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/apply-id
value | S | 1..1 | string | 医療機関コード、適用時パス識別子を半角ピリオド"."で連結したものを設定する。
instantiatesCanonical | S | 0..* | canonical(EPath PlanDefinition EP01 | EPath PlanDefinition EP02) | ひな型パス（PlanDefinition）、施設パス（PlanDefinition）の正規URLを指定する。
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent | S | 1..1 | code | proposal | plan | order | option Fixed Value: plan
title | S | 1..1 | string | 施設パス名称
subject | S | 1..1 | Reference(JP Core Patient Profile) | パスを適用する患者リソース（Patient）への参照
encounter | S | 0..1 | Reference(Encounter) | 受診情報を記述しているEncounterリソースへの参照
period | S | 1..1 | Period | パス実施期間
start | S | 1..1 | dateTime | パス実施期間開始日時
end |  | 0..1 | dateTime | パス実施期間終了日時
goal |  | 0..* | Reference(EPath Goal EPathApply) | パス適用情報 目標・評価情報（Goal）への参照
activity |  |  |  |
outcomeReference |  | 0..* | Reference(EPath Procedure MajorEvent) | 主要イベント情報（Procedure）への参照
detail |  | 0..0 |  | 後のFHIRバージョンとの整合性のため削除
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 1..* | canonical(StructureDefinition) | 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/EPathCarePlanePathApply|x.y.z を設定する。
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ePathCarePlanAdaptiveCriteriaConfirmation | S | 1..1 | code | 適応基準 確認区分 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation Binding: EPath CarePlanAdaptiveCriteriaConfirmation VS (required)
extension:ePathCarePlanAdaptiveCriteriaText | S | 1..1 | string | 適応基準 内容 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
extension:ePathCarePlanScheduledDays |  | 0..1 | integer | パス予定日数 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | External Ids for this plan Slice: Unordered, Open by value:system
identifier:applyId | S Σ | 1..1 | Identifier | リソース一意識別子（パス）
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | 固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。 Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/apply-id
value | S Σ | 1..1 | string | 医療機関コード、適用時パス識別子を半角ピリオド"."で連結したものを設定する。 Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
instantiatesCanonical | S Σ | 0..* | canonical(EPath PlanDefinition EP01 | EPath PlanDefinition EP02) | ひな型パス（PlanDefinition）、施設パス（PlanDefinition）の正規URLを指定する。
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan
category | Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
title | S Σ | 1..1 | string | 施設パス名称
description | Σ | 0..1 | string | Summary of nature of plan
subject | S Σ | 1..1 | Reference(JP Core Patient Profile) | パスを適用する患者リソース（Patient）への参照
encounter | S Σ | 0..1 | Reference(Encounter) | 受診情報を記述しているEncounterリソースへの参照
period | S Σ | 1..1 | Period | パス実施期間
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | パス実施期間開始日時
end | Σ C | 0..1 | dateTime | パス実施期間終了日時
created | Σ | 0..1 | dateTime | Date record was first recorded
author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party
contributor |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan
careTeam |  | 0..* | Reference(CareTeam) | Who's involved in plan?
addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses
supportingInfo |  | 0..* | Reference(Resource) | Information considered as part of plan
goal |  | 0..* | Reference(EPath Goal EPathApply) | パス適用情報 目標・評価情報（Goal）への参照
activity | C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept |  | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference |  | 0..* | Reference(EPath Procedure MajorEvent) | 主要イベント情報（Procedure）への参照
progress |  | 0..* | Annotation | Comments about the activity status/progress
reference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource
note |  | 0..* | Annotation | Comments about the plan
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
CarePlan.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
CarePlan.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
CarePlan.identifier:applyId.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
CarePlan.identifier:applyId.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std.
CarePlan.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std.
CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​product[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both | `detail.empty() or reference.empty()`
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from CarePlan

Summary

Mandatory: 11 elements
Must-Support: 13 elements
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- EPath PlanDefinition EP01 (http://e-path.jp/fhir/ePath/StructureDefinition/EPathPlanDefinitionEP01)
- EPath PlanDefinition EP02 (http://e-path.jp/fhir/ePath/StructureDefinition/EPathPlanDefinitionEP02)
- JP Core Patient Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient)
- EPath Goal EPathApply (http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalEPathApply)
- EPath Procedure MajorEvent (http://e-path.jp/fhir/ePath/StructureDefinition/EPathProcedureMajorEvent)

Extensions

This structure refers to these extensions:

- http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation
- http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
- http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the values of CarePlan.identifier

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
meta | Σ | 1..1 | Meta | Metadata about the resource
profile | S Σ | 1..* | canonical(StructureDefinition) | 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/EPathCarePlanePathApply|x.y.z を設定する。
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ePathCarePlanAdaptiveCriteriaConfirmation | S | 1..1 | code | 適応基準 確認区分 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation Binding: EPath CarePlanAdaptiveCriteriaConfirmation VS (required)
extension:ePathCarePlanAdaptiveCriteriaText | S | 1..1 | string | 適応基準 内容 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
extension:ePathCarePlanScheduledDays |  | 0..1 | integer | パス予定日数 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | External Ids for this plan Slice: Unordered, Open by value:system
identifier:applyId | S Σ | 1..1 | Identifier | リソース一意識別子（パス）
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | 固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。 Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/apply-id
value | S Σ | 1..1 | string | 医療機関コード、適用時パス識別子を半角ピリオド"."で連結したものを設定する。 Example General: 123456
instantiatesCanonical | S Σ | 0..* | canonical(EPath PlanDefinition EP01 | EPath PlanDefinition EP02) | ひな型パス（PlanDefinition）、施設パス（PlanDefinition）の正規URLを指定する。
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan
title | S Σ | 1..1 | string | 施設パス名称
subject | S Σ | 1..1 | Reference(JP Core Patient Profile) | パスを適用する患者リソース（Patient）への参照
encounter | S Σ | 0..1 | Reference(Encounter) | 受診情報を記述しているEncounterリソースへの参照
period | S Σ | 1..1 | Period | パス実施期間
start | S Σ C | 1..1 | dateTime | パス実施期間開始日時
end | Σ C | 0..1 | dateTime | パス実施期間終了日時
goal |  | 0..* | Reference(EPath Goal EPathApply) | パス適用情報 目標・評価情報（Goal）への参照
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.identifier:applyId.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  |  | CarePlan |
meta |  | 1..1 | Meta | Metadata about the resource
profile | S | 1..* | canonical(StructureDefinition) | 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/EPathCarePlanePathApply|x.y.z を設定する。
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ePathCarePlanAdaptiveCriteriaConfirmation | S | 1..1 | code | 適応基準 確認区分 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation Binding: EPath CarePlanAdaptiveCriteriaConfirmation VS (required)
extension:ePathCarePlanAdaptiveCriteriaText | S | 1..1 | string | 適応基準 内容 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
extension:ePathCarePlanScheduledDays |  | 0..1 | integer | パス予定日数 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays
Slices for identifier |  | 1..* | Identifier | External Ids for this plan Slice: Unordered, Open by value:system
identifier:applyId | S | 1..1 | Identifier | リソース一意識別子（パス）
system |  | 1..1 | uri | 固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。 Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/apply-id
value | S | 1..1 | string | 医療機関コード、適用時パス識別子を半角ピリオド"."で連結したものを設定する。
instantiatesCanonical | S | 0..* | canonical(EPath PlanDefinition EP01 | EPath PlanDefinition EP02) | ひな型パス（PlanDefinition）、施設パス（PlanDefinition）の正規URLを指定する。
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent | S | 1..1 | code | proposal | plan | order | option Fixed Value: plan
title | S | 1..1 | string | 施設パス名称
subject | S | 1..1 | Reference(JP Core Patient Profile) | パスを適用する患者リソース（Patient）への参照
encounter | S | 0..1 | Reference(Encounter) | 受診情報を記述しているEncounterリソースへの参照
period | S | 1..1 | Period | パス実施期間
start | S | 1..1 | dateTime | パス実施期間開始日時
end |  | 0..1 | dateTime | パス実施期間終了日時
goal |  | 0..* | Reference(EPath Goal EPathApply) | パス適用情報 目標・評価情報（Goal）への参照
activity |  |  |  |
outcomeReference |  | 0..* | Reference(EPath Procedure MajorEvent) | 主要イベント情報（Procedure）への参照
detail |  | 0..0 |  | 後のFHIRバージョンとの整合性のため削除
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 1..* | canonical(StructureDefinition) | 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/EPathCarePlanePathApply|x.y.z を設定する。
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ePathCarePlanAdaptiveCriteriaConfirmation | S | 1..1 | code | 適応基準 確認区分 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation Binding: EPath CarePlanAdaptiveCriteriaConfirmation VS (required)
extension:ePathCarePlanAdaptiveCriteriaText | S | 1..1 | string | 適応基準 内容 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
extension:ePathCarePlanScheduledDays |  | 0..1 | integer | パス予定日数 URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | External Ids for this plan Slice: Unordered, Open by value:system
identifier:applyId | S Σ | 1..1 | Identifier | リソース一意識別子（パス）
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | 固定値 http://e-path.jp/fhir/ePath/IdSystem/apply-id を設定する。 Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/apply-id
value | S Σ | 1..1 | string | 医療機関コード、適用時パス識別子を半角ピリオド"."で連結したものを設定する。 Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
instantiatesCanonical | S Σ | 0..* | canonical(EPath PlanDefinition EP01 | EPath PlanDefinition EP02) | ひな型パス（PlanDefinition）、施設パス（PlanDefinition）の正規URLを指定する。
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan
category | Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
title | S Σ | 1..1 | string | 施設パス名称
description | Σ | 0..1 | string | Summary of nature of plan
subject | S Σ | 1..1 | Reference(JP Core Patient Profile) | パスを適用する患者リソース（Patient）への参照
encounter | S Σ | 0..1 | Reference(Encounter) | 受診情報を記述しているEncounterリソースへの参照
period | S Σ | 1..1 | Period | パス実施期間
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | パス実施期間開始日時
end | Σ C | 0..1 | dateTime | パス実施期間終了日時
created | Σ | 0..1 | dateTime | Date record was first recorded
author | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party
contributor |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan
careTeam |  | 0..* | Reference(CareTeam) | Who's involved in plan?
addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses
supportingInfo |  | 0..* | Reference(Resource) | Information considered as part of plan
goal |  | 0..* | Reference(EPath Goal EPathApply) | パス適用情報 目標・評価情報（Goal）への参照
activity | C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept |  | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference |  | 0..* | Reference(EPath Procedure MajorEvent) | 主要イベント情報（Procedure）への参照
progress |  | 0..* | Annotation | Comments about the activity status/progress
reference | C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource
note |  | 0..* | Annotation | Comments about the plan
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
CarePlan.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
CarePlan.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
CarePlan.identifier:applyId.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
CarePlan.identifier:applyId.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std.
CarePlan.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std.
CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​product[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both | `detail.empty() or reference.empty()`
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from CarePlan

Summary

Mandatory: 11 elements
Must-Support: 13 elements
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- EPath PlanDefinition EP01 (http://e-path.jp/fhir/ePath/StructureDefinition/EPathPlanDefinitionEP01)
- EPath PlanDefinition EP02 (http://e-path.jp/fhir/ePath/StructureDefinition/EPathPlanDefinitionEP02)
- JP Core Patient Profile (http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient)
- EPath Goal EPathApply (http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalEPathApply)
- EPath Procedure MajorEvent (http://e-path.jp/fhir/ePath/StructureDefinition/EPathProcedureMajorEvent)

Extensions

This structure refers to these extensions:

- http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaConfirmation
- http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanAdaptiveCriteriaText
- http://e-path.jp/fhir/ePath/StructureDefinition/EPathCarePlanScheduledDays

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the values of CarePlan.identifier

Other representations of profile: CSV, Excel, Schematron