## Profile Comparison between http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan vs http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan

Left: | ADI Preference Care Plan (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan)
Right: | ADI PtAuthored Care Plan (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '2.0.0-ballot'
Information | StructureDefinition.title | Values for title differ: 'ADI Preference Care Plan' vs 'ADI PtAuthored Care Plan'
Information | StructureDefinition.date | Values for date differ: '2024-01-11T17:46:11+00:00' vs '2025-08-04T20:07:18+00:00'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/CarePlan' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
Information | StructureDefinition.requirements | Values for requirements differ: 'Allows clinicians to determine whether the plan is actionable or not.' vs 'Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.'
Warning | CarePlan.status | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | CarePlan.intent | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.definition | Values for definition differ: '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 'Type of plan.'
Information | StructureDefinition.requirements | Values for requirements differ: 'Used for filtering what plan(s) are retrieved and displayed to different types of users.' 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.'
Warning | CarePlan.category | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.definition | Values for definition differ: 'Identifies the patient or group whose intended care is described by the plan.' vs 'Who care plan is for.'
Information | StructureDefinition.short | Values for short differ: 'Who provided the content of the care plan' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who provided the content of the care plan'
Error | CarePlan.contributor | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]])
Information | StructureDefinition.short | Values for short differ: 'Health issues this plan addresses (use display only for potential conditions the patient does not currently have)' vs 'The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have)'
Information | StructureDefinition.comment | Values for comment differ: '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'' 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 there are no specific circumstances, then the display should indicate something like 'General' or 'All'. Identified future potential health scenarios should not be expressed as a Condition resource. Instead, the future health scenario codes are to be placed in the adi-condition-code-extension. If there is conditional (AND/OR) logic involved in indicating the situation in which the care plan is to be considered to address, this is to be included in addresses.text as text.'
Information | CarePlan.addresses | Element minimum cardinalities differ: '1' vs '0'
Error | CarePlan.activity.reference | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Appointment], CanonicalType[http://hl7.org/fhir/StructureDefinition/CommunicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/Task], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/VisionPrescription], CanonicalType[http://hl7.org/fhir/StructureDefinition/RequestGroup]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest]])

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/CarePlan | http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan | Values Differ
copyright |  |
date | 2024-01-11T17:46:11+00:00 | 2025-08-04T20:07:18+00:00 | Values Differ
description | 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. |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | ADIPreferenceCarePlan |
publisher | HL7 International / Patient Empowerment |
purpose |  |
status | active |
title | ADI Preference Care Plan | ADI PtAuthored Care Plan | Values Differ
type | CarePlan |
url | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan |
version | 1.0.0 | 2.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
CarePlan | C | 0..* | CarePlan | Healthcare plan for patient or group Constraints: goal-or-supportingInfo-required | C | 0..* | USCoreCarePlanProfile | Healthcare plan for patient or group Constraints: goal-or-supportingInfo-required |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text | S | 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 | S | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile constrains the narrative content by fixing the status codes to generated and additional This profile does not constrain the narrative in regard to language specific sections This profile does not constrain the narrative in regard to traceability to data elements |
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
status |  |  |  |  | S | 1..1 | code | generated | additional Binding: ?? (required): Constrained value set of narrative statuses. | Added this element
div |  |  |  |  | S C | 1..1 | xhtml | Limited xhtml content | Added this element
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Ids for this plan | Σ | 0..* | Identifier | External Ids for this plan |
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan |
replaces | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan |
partOf | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan |
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Required Pattern: active | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (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 definition for mustSupport: 'false' vs 'true'
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: proposal | ?!S Σ | 1..1 | code | proposal | plan | order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal | Elements differ in definition for mustSupport: 'false' vs 'true'
Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this Binding: ?? (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | S Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by value:$this Binding: ?? (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 for mustSupport: 'false' vs 'true'
title | S Σ | 1..1 | string | Human-friendly name for the care plan | S Σ | 1..1 | string | Human-friendly name for the care plan |
description | Σ | 0..1 | string | Summary of nature of plan | Σ | 0..1 | string | Summary of nature of plan |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for | S Σ | 1..1 | Reference(US Core Patient Profile S) | Who the care plan is for |
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
period | Σ | 0..1 | Period | Time period plan covers | Σ | 0..1 | Period | Time period plan covers |
created | Σ | 0..1 | dateTime | Date record was first recorded | 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 | 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 |  | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile | Device) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who provided the content of the care plan | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]])
careTeam |  | 0..* | Reference(CareTeam) | Who's involved in plan? |  | 0..* | Reference(CareTeam) | Who's involved in plan? |
addresses | S Σ | 1..* | Reference(Condition) | Health issues this plan addresses (use display only for potential conditions the patient does not currently have) | S Σ | 0..* | Reference(Condition) | The future potential health scenario or condition in which this ADI preference care plan is relevant (use display only for potential conditions the patient does not currently have) | Element minimum cardinalities differ: '1' vs '0'
supportingInfo | S | 0..* | Reference(Personal Intervention Preference | ADI Care Experience Preference) | Observations of a patient's preferences for the scope of this care plan. | S | 0..* | Reference(ADI PtAuthored Care Experience Preference) | Observations of a patient's preferences for the scope of this care plan. |
goal | S | 0..* | Reference(ADI Personal Goal) | Patient's goals for the scope of this care plan. | S | 0..* | Reference(ADI Personal Goal) | Patient's goals for the scope of this care plan. |
activity | C | 0..* | BackboneElement | Action to occur as part of plan | C | 0..* | BackboneElement | Action to occur as part of plan |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
outcomeCodeableConcept |  | 0..* | CodeableConcept | Results of the activity Binding: ?? (example): Identifies the results of the activity. |  | 0..* | CodeableConcept | Results of the activity Binding: ?? (example): Identifies the results of the activity. |
outcomeReference |  | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. |  | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. |
progress |  | 0..* | Annotation | Comments about the activity status/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 | C | 0..1 | Reference(US Core ServiceRequest Profile) | Activity details defined in specific resource | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Appointment], CanonicalType[http://hl7.org/fhir/StructureDefinition/CommunicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/Task], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/VisionPrescription], CanonicalType[http://hl7.org/fhir/StructureDefinition/RequestGroup]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest]])
detail | C | 0..1 | BackboneElement | In-line definition of activity | C | 0..1 | BackboneElement | In-line definition of activity |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
kind |  | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: ?? (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. |  | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: ?? (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..* | uri | Instantiates external protocol or definition |  | 0..* | uri | Instantiates external protocol or definition |
code |  | 0..1 | CodeableConcept | Detail type of activity Binding: ?? (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. |  | 0..1 | CodeableConcept | Detail type of activity Binding: ?? (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. |
reasonCode |  | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: ?? (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..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: ?? (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..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: ?? (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: ?? (required): Codes that reflect the current state of a care plan activity within its overall life cycle. |
statusReason |  | 0..1 | CodeableConcept | Reason for current status |  | 0..1 | CodeableConcept | Reason for current status |
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action | ?! | 0..1 | boolean | If true, activity is prohibiting action |
scheduled[x] |  | 0..1 | Timing, Period, string | When activity is to occur |  | 0..1 | Timing, Period, string | When activity is to occur |
location |  | 0..1 | Reference(Location) | Where it should happen |  | 0..1 | Reference(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..1 | CodeableConcept, Reference(Medication | Substance) | What is to be administered/supplied Binding: ?? (example): A product supplied or administered as part of a care plan activity. |  | 0..1 | CodeableConcept, Reference(Medication | Substance) | What is to be administered/supplied Binding: ?? (example): A product supplied or administered as part of a care plan activity. |
dailyAmount |  | 0..1 | ?? | How to consume/day? |  | 0..1 | ?? | How to consume/day? |
quantity |  | 0..1 | ?? | How much to administer/supply/consume |  | 0..1 | ?? | How much to administer/supply/consume |
description |  | 0..1 | string | Extra info describing activity to perform |  | 0..1 | string | Extra info describing activity to perform |
note |  | 0..* | Annotation | Comments about the plan |  | 0..* | Annotation | Comments about the plan |
Documentation for this format