Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan vs http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan

Left:US Core CarePlan Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan)
Right:ADI Preference Care Plan (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan' vs 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '0.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreCarePlanProfile' vs 'PADIPreferenceCarePlan'
InformationStructureDefinition.titleValues for title differ: 'US Core CarePlan Profile' vs 'ADI Preference Care Plan'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-02-26T22:11:50+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Patient Empowerment Working Group'
WarningCarePlanElements differ in definition: '\-' vs 'Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.'
WarningCarePlan.textElements differ in definition for mustSupport: 'true' vs 'false'
InformationCarePlan.textElement minimum cardinalities differ: '1' vs '0'
WarningCarePlan.text.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningCarePlan.text.statusElements differ in description: 'Constrained value set of narrative statuses.' vs 'The status of a resource narrative.'
WarningCarePlan.text.statusElements differ in description: 'Constrained value set of narrative statuses.' vs 'The status of a resource narrative.'
WarningCarePlan.text.divElements differ in definition for mustSupport: 'true' vs 'false'
WarningCarePlan.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningCarePlan.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
WarningCarePlan.statusElements differ in requirements: 'Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.' vs 'Allows clinicians to determine whether the plan is actionable or not.'
WarningCarePlan.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningCarePlan.intentElements differ in definition for mustSupport: 'true' vs 'false'
WarningCarePlan.intentElements differ in description: 'Codes indicating the degree of authority/intentionality associated with a care plan' vs 'Codes indicating the degree of authority/intentionality associated with a care plan.'
WarningCarePlan.intentElements differ in description: 'Codes indicating the degree of authority/intentionality associated with a care plan' vs 'Codes indicating the degree of authority/intentionality associated with a care plan.'
WarningCarePlan.categoryElements differ in definition: 'Type of plan.' vs 'Identifies what 'kind' of plan this is to support differentiation between multiple co-existing plans; e.g. 'Home health', 'psychiatric', 'asthma', 'disease management', 'wellness plan', etc.'
WarningCarePlan.categoryElements differ in requirements: 'Identifies what 'kind' of plan this is to support differentiation between multiple co-existing plans; e.g. 'Home health', 'psychiatric', 'asthma', 'disease management', 'wellness plan', etc.' vs 'Used for filtering what plan(s) are retrieved and displayed to different types of users.'
WarningCarePlan.categoryElements differ in definition for mustSupport: 'true' vs 'false'
WarningCarePlan.titleElements differ in definition for mustSupport: 'false' vs 'true'
InformationCarePlan.titleElement minimum cardinalities differ: '0' vs '1'
WarningCarePlan.subjectElements differ in definition: 'Who care plan is for.' vs 'Identifies the patient or group whose intended care is described by the plan.'
WarningCarePlan.addressesElements differ in short: 'Health issues this plan addresses' vs 'Health issues this plan addresses (use display only for potential conditions the patient does not currently have)'
WarningCarePlan.addressesElements differ in comments: 'When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.' vs 'The conditions or circumstances in which the stated preferences and goals of the care plan apply. If there are no contained or referenceable resources (e.g. these are potential future conditions that do not represent a condition the patient currently has), the display should be in addresses.display. If no specific circumstances, then the display should indicate something like 'General' or 'All''
WarningCarePlan.addressesElements differ in definition for mustSupport: 'false' vs 'true'
InformationCarePlan.addressesElement minimum cardinalities differ: '0' vs '1'
WarningCarePlan.goalElements differ in short: 'Desired outcome of plan' vs 'Patient's preferences and goals for the scope of this care plan.'
WarningCarePlan.goalElements differ in definition for mustSupport: 'false' vs 'true'
InformationCarePlan.goalElement minimum cardinalities differ: '0' vs '1'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/CarePlan
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
      .date2022-04-202023-02-26T22:11:50+00:00
      • Values Differ
      .descriptionThis profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific use cases.The Preference Care Plan is a means for an individual to express their goals and preferences under certain circumstances that may be pertinent when planning his or her care.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreCarePlanProfilePADIPreferenceCarePlan
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 Patient Empowerment Working Group
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core CarePlan ProfileADI Preference Care Plan
                  • Values Differ
                  .typeCarePlan
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-careplanhttp://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan
                    • Values Differ
                    .version6.0.0-ballot0.1.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. CarePlan 0..*CarePlanHealthcare plan for patient or group
                    0..*CarePlanHealthcare plan for patient or group
                    • Elements differ in definition: '\-' vs 'Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.'
                    ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                          ... language 0..1codeLanguage of the resource content
                          Binding: todo (preferred): A human language.

                          Additional BindingsPurpose
                          todoMax Binding
                          0..1codeLanguage of the resource content
                          Binding: todo (preferred): A human language.

                          Additional BindingsPurpose
                          todoMax Binding
                            ... text S1..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                            • Element minimum cardinalities differ: '1' vs '0'
                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                                .... status S1..1codegenerated | extensions | additional | empty
                                Binding: todo (required): Constrained value set of narrative statuses.

                                1..1codegenerated | extensions | additional | empty
                                Binding: todo (required): The status of a resource narrative.

                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                • Elements differ in description: 'Constrained value set of narrative statuses.' vs 'The status of a resource narrative.'
                                • Elements differ in description: 'Constrained value set of narrative statuses.' vs 'The status of a resource narrative.'
                                .... div SC1..1xhtmlLimited xhtml contentC1..1xhtmlLimited xhtml content
                                txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
                                txt-2: The narrative SHALL have some non-whitespace content
                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                ... contained 0..*ResourceContained, inline Resources
                                0..*ResourceContained, inline Resources
                                  ... extension 0..*ExtensionAdditional content defined by implementations
                                  0..*ExtensionExtension
                                  Slice: Unordered, Open by value:url
                                  • Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
                                  • Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                  ?!0..*ExtensionExtensions that cannot be ignored
                                    ... identifier Σ0..*IdentifierExternal Ids for this plan
                                    Σ0..*IdentifierExternal Ids for this plan
                                      ... instantiatesCanonical Σ0..*canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)Instantiates FHIR protocol or definition
                                      Σ0..*canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)Instantiates FHIR protocol or definition
                                        ... instantiatesUri Σ0..*uriInstantiates external protocol or definition
                                        Σ0..*uriInstantiates external protocol or definition
                                          ... basedOn Σ0..*Reference(CarePlan)Fulfills CarePlan
                                          Σ0..*Reference(CarePlan)Fulfills CarePlan
                                            ... replaces Σ0..*Reference(CarePlan)CarePlan replaced by this CarePlan
                                            Σ0..*Reference(CarePlan)CarePlan replaced by this CarePlan
                                              ... partOf Σ0..*Reference(CarePlan)Part of referenced CarePlan
                                              Σ0..*Reference(CarePlan)Part of referenced CarePlan
                                                ... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                Binding: todo (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

                                                ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                Binding: todo (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.


                                                Required Pattern: active
                                                • Elements differ in requirements: 'Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.' vs 'Allows clinicians to determine whether the plan is actionable or not.'
                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                ... intent ?!SΣ1..1codeproposal | plan | order | option
                                                Binding: todo (required): Codes indicating the degree of authority/intentionality associated with a care plan

                                                ?!Σ1..1codeproposal | plan | order | option
                                                Binding: todo (required): Codes indicating the degree of authority/intentionality associated with a care plan.


                                                Required Pattern: proposal
                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                • Elements differ in description: 'Codes indicating the degree of authority/intentionality associated with a care plan' vs 'Codes indicating the degree of authority/intentionality associated with a care plan.'
                                                • Elements differ in description: 'Codes indicating the degree of authority/intentionality associated with a care plan' vs 'Codes indicating the degree of authority/intentionality associated with a care plan.'
                                                ... Slices for category SΣ1..*CodeableConceptType of plan
                                                Slice: Unordered, Open by pattern:$this
                                                Binding: todo (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.


                                                Σ1..*CodeableConceptType of plan
                                                Slice: Unordered, Open by pattern:$this
                                                Binding: todo (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.


                                                • Elements differ in definition: 'Type of plan.' vs 'Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc.'
                                                • Elements differ in requirements: 'Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc.' vs 'Used for filtering what plan(s) are retrieved and displayed to different types of users.'
                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                ... title Σ0..1stringHuman-friendly name for the care planSΣ1..1stringHuman-friendly name for the care plan
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                • Element minimum cardinalities differ: '0' vs '1'
                                                ... description Σ0..1stringSummary of nature of planΣ0..1stringSummary of nature of plan
                                                  ... subject SΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who the care plan is forSΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who the care plan is for
                                                  • Elements differ in definition: 'Who care plan is for.' vs 'Identifies the patient or group whose intended care is described by the plan.'
                                                  ... encounter Σ0..1Reference(Encounter)Encounter created as part ofΣ0..1Reference(Encounter)Encounter created as part of
                                                    ... period Σ0..1PeriodTime period plan coversΣ0..1PeriodTime period plan covers
                                                      ... created Σ0..1dateTimeDate record was first recordedΣ0..1dateTimeDate record was first recorded
                                                        ... author Σ0..1Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)Who is the designated responsible partyΣ0..1Reference(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
                                                          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?
                                                            0..*Reference(CareTeam)Who's involved in plan?
                                                              ... addresses Σ0..*Reference(Condition)Health issues this plan addresses
                                                              SΣ1..*Reference(Condition)Health issues this plan addresses (use display only for potential conditions the patient does not currently have)
                                                              • Elements differ in short: 'Health issues this plan addresses' vs 'Health issues this plan addresses (use display only for potential conditions the patient does not currently have)'
                                                              • Elements differ in comments: 'When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.' vs 'The conditions or circumstances in which the stated preferences and goals of the care plan apply. If there are no contained or referenceable resources (e.g. these are potential future conditions that do not represent a condition the patient currently has), the display should be in addresses.display. If no specific circumstances, then the display should indicate something like 'General' or 'All''
                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                              • Element minimum cardinalities differ: '0' vs '1'
                                                              ... supportingInfo 0..*Reference(Resource)Information considered as part of plan
                                                              0..*Reference(Resource)Information considered as part of plan
                                                                ... goal 0..*Reference(Goal)Desired outcome of plan
                                                                S1..*Reference(http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference)Patient's preferences and goals for the scope of this care plan.
                                                                • Elements differ in short: 'Desired outcome of plan' vs 'Patient's preferences and goals for the scope of this care plan.'
                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                • Element minimum cardinalities differ: '0' vs '1'
                                                                ... activity C0..*BackboneElementAction to occur as part of plan
                                                                C0..*BackboneElementAction to occur as part of plan
                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                    0..*ExtensionAdditional content defined by implementations
                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                        .... outcomeCodeableConcept 0..*CodeableConceptResults of the activity
                                                                        Binding: todo (example): Identifies the results of the activity.


                                                                        0..*CodeableConceptResults of the activity
                                                                        Binding: todo (example): Identifies the results of the activity.


                                                                          .... outcomeReference 0..*Reference(Resource)Appointment, Encounter, Procedure, etc.
                                                                          0..*Reference(Resource)Appointment, Encounter, Procedure, etc.
                                                                            .... progress 0..*AnnotationComments about the activity status/progress
                                                                            0..*AnnotationComments about the activity status/progress
                                                                              .... reference C0..1Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)Activity details defined in specific resourceC0..1Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)Activity details defined in specific resource
                                                                                .... detail C0..1BackboneElementIn-line definition of activityC0..1BackboneElementIn-line definition of activity
                                                                                  ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                    ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                      ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                        ..... kind 0..1codeAppointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
                                                                                        Binding: todo (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

                                                                                        0..1codeAppointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
                                                                                        Binding: todo (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

                                                                                          ..... instantiatesCanonical 0..*canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)Instantiates FHIR protocol or definition
                                                                                          0..*canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)Instantiates FHIR protocol or definition
                                                                                            ..... instantiatesUri 0..*uriInstantiates external protocol or definition
                                                                                            0..*uriInstantiates external protocol or definition
                                                                                              ..... code 0..1CodeableConceptDetail type of activity
                                                                                              Binding: todo (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

                                                                                              0..1CodeableConceptDetail type of activity
                                                                                              Binding: todo (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

                                                                                                ..... reasonCode 0..*CodeableConceptWhy activity should be done or why activity was prohibited
                                                                                                Binding: todo (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.


                                                                                                0..*CodeableConceptWhy activity should be done or why activity was prohibited
                                                                                                Binding: todo (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.


                                                                                                  ..... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Why activity is needed
                                                                                                  0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Why activity is needed
                                                                                                    ..... goal 0..*Reference(Goal)Goals this activity relates to
                                                                                                    0..*Reference(Goal)Goals this activity relates to
                                                                                                      ..... status ?!1..1codenot-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
                                                                                                      Binding: todo (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

                                                                                                      ?!1..1codenot-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
                                                                                                      Binding: todo (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

                                                                                                        ..... statusReason 0..1CodeableConceptReason for current status0..1CodeableConceptReason for current status
                                                                                                          ..... doNotPerform ?!0..1booleanIf true, activity is prohibiting action?!0..1booleanIf true, activity is prohibiting action
                                                                                                            ..... scheduled[x] 0..1Timing, Period, stringWhen activity is to occur0..1Timing, Period, stringWhen activity is to occur
                                                                                                              ..... location 0..1Reference(Location)Where it should happen0..1Reference(Location)Where it should happen
                                                                                                                ..... performer 0..*Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)Who will be responsible?
                                                                                                                0..*Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)Who will be responsible?
                                                                                                                  ..... product[x] 0..1CodeableConcept, Reference(Medication | Substance)What is to be administered/supplied
                                                                                                                  Binding: todo (example): A product supplied or administered as part of a care plan activity.

                                                                                                                  0..1CodeableConcept, Reference(Medication | Substance)What is to be administered/supplied
                                                                                                                  Binding: todo (example): A product supplied or administered as part of a care plan activity.

                                                                                                                    ..... dailyAmount 0..1QuantityHow to consume/day?0..1QuantityHow to consume/day?
                                                                                                                      ..... quantity 0..1QuantityHow much to administer/supply/consume0..1QuantityHow much to administer/supply/consume
                                                                                                                        ..... description 0..1stringExtra info describing activity to perform0..1stringExtra info describing activity to perform
                                                                                                                          ... note 0..*AnnotationComments about the plan
                                                                                                                          0..*AnnotationComments about the plan

                                                                                                                            doco Documentation for this format