Scope and usage

The PlannedIntervention may be instatiated whenever an intervention is planned for a citizen in Danish municipalities. PlannedIntervention is used for planning ahead. When the intervention is acute or otherwise not planned, use CompletedIntervention instead.

CarePlan.activity.detail.code.coding holds the intervention code from FSIII of the intervention that should be carried out.

It is important to distiguish correctly between the dates and times stated in the model. CarePlan.period.start is from when the PlannedIntervention is authorized (bevillingstid). The planned end-date is CarePlan.period.end, unless the date has already occured and the status is "completed", then it is the actual end-date.

CarePlan.status and CarePlan.intent are mandatory in the FHIR CarePlan resource. CarePlan.intent is always 'plan' in this implementation guide. CarePlan status should be either 'unknown', 'entered-in-error', or the status of the intervention at the time of reporting. Note that the meaning of 'active' is "ready to be acted upon", so it does not signify that the first activity has occured.

CarePlan.activity.detail.status is also mandatory, and all the statuses in the FHIR ValueSet may be used, however 'unknown' is permitted from the time where the intervention occurs in the record until its completion. It is recommended not to use 'entered-in-error' - if the CarePlan is entered-in-error use CarePlan.status.

CarePlan:extension.FollowUpEncounter can be used to explicitely state when follow-up on the intervention should occur. However, the followUpEncounter-extension will be depricated in the next version of this implementation guide. In the new version, GeneralEncounter can hold a reference to the PlannedIntervention.

CarePlan.activity.detail.reasonReference holds the link between conditions and interventions which are mandatory is FSIII, but optional in this context to allow reporting of interventions not yet linked to a reason.

CarePlan.activity.detail:extension.deliveryType can be used to state, how interventions are delivered. Valid values are 'individual', 'group based', 'delivered using a robot' 'delivered using digital solutions'. Note that more than one code may apply to one intervention e.g. cleaning may be done partially by a robot vacuum cleaner, and partially by a person. In this case, use both 'individual' and 'delivered using a robot'.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens attributter der skal bruges til specifikation af indholdet

• 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter	S	0..1	Reference(CareEncounter) {b}	[DK] indsatsPlanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	C	1..1	BackboneElement	In-line definition of activity
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
Slices for coding	Σ	1..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] indsatsbegrundelse
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code.coding:level2	Base	required	FSIIICareInterventions	📦1.3.0	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan			CarePlan
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter	S	0..1	Reference(CareEncounter) {b}	[DK] indsatsPlanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
identifier		0..0		External Ids for this plan
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
basedOn		0..0		Fulfills CarePlan
replaces		0..0		CarePlan replaced by this CarePlan
partOf		0..0		Part of referenced CarePlan
status		1..1	code	[DK] indsatsstatus
intent		1..1	code	[DK] indsatshensigt Required Pattern: plan
category		0..0		Type of plan
title		0..0		Human-friendly name for the care plan
description		0..0		Summary of nature of plan
subject		1..1	Reference(CareCitizen) {b}	[DK] indsatssubjekt
encounter		0..0		Encounter created as part of
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] indsatsbevillingstid
end		0..1	dateTime	[DK] indsatsafslutningstid
created		0..0		Date record was first recorded
author		0..0		Who is the designated responsible party
contributor		0..0		Who provided the content of the care plan
careTeam		0..0		Who's involved in plan?
addresses		0..0		Health issues this plan addresses
supportingInfo		0..0		Information considered as part of plan
goal		0..0		Desired outcome of plan
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0		Results of the activity
outcomeReference		0..0		[DK] indsatsgennemførtAktivitet
progress		0..0		Comments about the activity status/progress
reference		0..0		Activity details defined in specific resource
detail		1..1	BackboneElement	In-line definition of activity
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: DeliveryTypes (required)
kind		0..0		Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
code		1..1	CodeableConcept	Detail type of activity
Slices for coding		1..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2		1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	S	0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonCode		0..0		Why activity should be done or why activity was prohibited
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] indsatsbegrundelse
goal		0..0		Goals this activity relates to
status		1..1	code	[DK] indsatsAktivitetsstatus
statusReason		0..0		Reason for current status
doNotPerform		0..0		If true, activity is prohibiting action
scheduled[x]		0..0		When activity is to occur
location		0..0		Where it should happen
performer		0..0		Who will be responsible?
product[x]		0..0		What is to be administered/supplied
dailyAmount		0..0		How to consume/day?
quantity		0..0		How much to administer/supply/consume
description		0..0		[DK] handlingsanvisning
note		0..0		Comments about the plan
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
CarePlan.activity.detail.​extension:deliveryType.​value[x].coding	Base	required	DeliveryTypes	📦1.3.0	This IG
CarePlan.activity.detail.​code.coding:level2	Base	required	FSIIICareInterventions	📦1.3.0	This IG

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	0..1	Meta	Metadata about the resource
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter	S	0..1	Reference(CareEncounter) {b}	[DK] indsatsPlanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
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	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	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
detail	C	1..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType"
value[x]		0..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: DeliveryTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] indsatsbegrundelse
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📍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.activity.detail.​extension:deliveryType.​value[x].coding	Base	required	DeliveryTypes	📦1.3.0	This IG
CarePlan.activity.detail.​code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code.coding:level2	Base	required	FSIIICareInterventions	📦1.3.0	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter	S	0..1	Reference(CareEncounter) {b}	[DK] indsatsPlanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	C	1..1	BackboneElement	In-line definition of activity
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
Slices for coding	Σ	1..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] indsatsbegrundelse
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code.coding:level2	Base	required	FSIIICareInterventions	📦1.3.0	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍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()

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan			CarePlan
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter	S	0..1	Reference(CareEncounter) {b}	[DK] indsatsPlanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
identifier		0..0		External Ids for this plan
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
basedOn		0..0		Fulfills CarePlan
replaces		0..0		CarePlan replaced by this CarePlan
partOf		0..0		Part of referenced CarePlan
status		1..1	code	[DK] indsatsstatus
intent		1..1	code	[DK] indsatshensigt Required Pattern: plan
category		0..0		Type of plan
title		0..0		Human-friendly name for the care plan
description		0..0		Summary of nature of plan
subject		1..1	Reference(CareCitizen) {b}	[DK] indsatssubjekt
encounter		0..0		Encounter created as part of
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] indsatsbevillingstid
end		0..1	dateTime	[DK] indsatsafslutningstid
created		0..0		Date record was first recorded
author		0..0		Who is the designated responsible party
contributor		0..0		Who provided the content of the care plan
careTeam		0..0		Who's involved in plan?
addresses		0..0		Health issues this plan addresses
supportingInfo		0..0		Information considered as part of plan
goal		0..0		Desired outcome of plan
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0		Results of the activity
outcomeReference		0..0		[DK] indsatsgennemførtAktivitet
progress		0..0		Comments about the activity status/progress
reference		0..0		Activity details defined in specific resource
detail		1..1	BackboneElement	In-line definition of activity
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: DeliveryTypes (required)
kind		0..0		Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
code		1..1	CodeableConcept	Detail type of activity
Slices for coding		1..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2		1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	S	0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonCode		0..0		Why activity should be done or why activity was prohibited
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] indsatsbegrundelse
goal		0..0		Goals this activity relates to
status		1..1	code	[DK] indsatsAktivitetsstatus
statusReason		0..0		Reason for current status
doNotPerform		0..0		If true, activity is prohibiting action
scheduled[x]		0..0		When activity is to occur
location		0..0		Where it should happen
performer		0..0		Who will be responsible?
product[x]		0..0		What is to be administered/supplied
dailyAmount		0..0		How to consume/day?
quantity		0..0		How much to administer/supply/consume
description		0..0		[DK] handlingsanvisning
note		0..0		Comments about the plan
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
CarePlan.activity.detail.​extension:deliveryType.​value[x].coding	Base	required	DeliveryTypes	📦1.3.0	This IG
CarePlan.activity.detail.​code.coding:level2	Base	required	FSIIICareInterventions	📦1.3.0	This IG

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	0..1	Meta	Metadata about the resource
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter	S	0..1	Reference(CareEncounter) {b}	[DK] indsatsPlanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
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	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	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
detail	C	1..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deliveryType		0..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType"
value[x]		0..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: DeliveryTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] indsatsbegrundelse
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📍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.activity.detail.​extension:deliveryType.​value[x].coding	Base	required	DeliveryTypes	📦1.3.0	This IG
CarePlan.activity.detail.​code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.​code.coding:level2	Base	required	FSIIICareInterventions	📦1.3.0	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍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: 8 elements(3 nested mandatory elements)
Must-Support: 3 elements
Prohibited: 36 elements

Structures

This structure refers to these other structures:

• CareCitizen (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-citizen)
• CareCondition (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-condition)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
• http://fhir.kl.dk/gateway/StructureDefinition/DeliveryType

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.activity.detail.code.coding (Closed)