Scope and usage

A CarePlan is created as soon as a citizen participates in an LTT (Lettilgængeligt tilbud) at the municipality. It models the treatment pathway the citizen follows within the LTT and groups together all related contacts belonging to the same treatment process.

CarePlan.status and CarePlan.intent are mandatory in the FHIR CarePlan resource. CarePlan.intent is always 'plan' in this implementation guide. CarePlan status should at least distiguish between 'active', 'completed' and 'entered-in-error'. The status 'active' means that the care plan is currently being acted upon and should be used until the service is completed and the status of the care plan changes to 'completed'. If the care plan has been created by mistake and should never have existed, then the status 'entered-in-error' must be used.

CarePlan.activity.detail.status is also mandatory, and it is recommended to use the status codes 'in-progress', 'completed' and 'entered-in-error'. The status should align with the CarePlan.status.

CarePlan.subject references the citizen, which is always the child or youth.

CarePlan.period.start is the tima at which the service for that specific citizen was first started (forløbstart).

CarePlan.activity.detail.reasonCode describes the child or youth's issue and the focus area of treatment.

Conversions between Danish information model and FHIR profile

Nedenstående tabel definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter, 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	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	Conformance	ValueSet / Code	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	required	LTTCarePlanActivityTypes http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-care-plan-activity-types From this IG
CarePlan.activity.detail.reasonCode	required	LTTFocusArea http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-focus-area From this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time. : status = 'completed' implies period.end.exists()

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..0
partOf		0..0
status		1..1	code	[DK] forløbsstatus
intent		1..1	code	[DK] forløbshensigt Required Pattern: plan
category		0..0
title		0..0
description		0..0
subject		1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
encounter		0..0
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] forløbstart
end		0..1	dateTime	[DK] forløbslut
created		0..0
author		0..0
contributor		0..0
careTeam		0..0
addresses		0..0
supportingInfo		0..0
goal		0..0
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0
outcomeReference		0..0
progress		0..0
reference		0..0
detail		1..1	BackboneElement	In-line definition of activity
kind		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding		1..1	Coding	Code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version		0..0
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display		0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
userSelected		0..0
text		0..0
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding		1..1	Coding	Code defined by a terminology system
version		0..0
userSelected		0..0
text		0..0
reasonReference		0..0
goal		0..0
status		1..1	code	[DK] forløbsAktivitetsstatus
statusReason		0..0
doNotPerform		0..0
scheduled[x]		0..0
location		0..0
performer		0..0
product[x]		0..0
dailyAmount		0..0
quantity		0..0
description		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.code	required	LTTCarePlanActivityTypes http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-care-plan-activity-types From this IG
CarePlan.activity.detail.reasonCode	required	LTTFocusArea http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-focus-area From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time. : status = 'completed' implies period.end.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
status	?!Σ	1..1	code	[DK] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
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] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (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
coding	Σ	1..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	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (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
coding	Σ	1..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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	Conformance	ValueSet / Code	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	required	LTTCarePlanActivityTypes http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-care-plan-activity-types From this IG
CarePlan.activity.detail.reasonCode	required	LTTFocusArea http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-focus-area From this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time. : status = 'completed' implies period.end.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	Conformance	ValueSet / Code	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	required	LTTCarePlanActivityTypes http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-care-plan-activity-types From this IG
CarePlan.activity.detail.reasonCode	required	LTTFocusArea http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-focus-area From this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time. : status = 'completed' implies period.end.exists()

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..0
partOf		0..0
status		1..1	code	[DK] forløbsstatus
intent		1..1	code	[DK] forløbshensigt Required Pattern: plan
category		0..0
title		0..0
description		0..0
subject		1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
encounter		0..0
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] forløbstart
end		0..1	dateTime	[DK] forløbslut
created		0..0
author		0..0
contributor		0..0
careTeam		0..0
addresses		0..0
supportingInfo		0..0
goal		0..0
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0
outcomeReference		0..0
progress		0..0
reference		0..0
detail		1..1	BackboneElement	In-line definition of activity
kind		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding		1..1	Coding	Code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version		0..0
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display		0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
userSelected		0..0
text		0..0
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding		1..1	Coding	Code defined by a terminology system
version		0..0
userSelected		0..0
text		0..0
reasonReference		0..0
goal		0..0
status		1..1	code	[DK] forløbsAktivitetsstatus
statusReason		0..0
doNotPerform		0..0
scheduled[x]		0..0
location		0..0
performer		0..0
product[x]		0..0
dailyAmount		0..0
quantity		0..0
description		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.code	required	LTTCarePlanActivityTypes http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-care-plan-activity-types From this IG
CarePlan.activity.detail.reasonCode	required	LTTFocusArea http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-focus-area From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time. : status = 'completed' implies period.end.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
status	?!Σ	1..1	code	[DK] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
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] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (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
coding	Σ	1..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	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (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
coding	Σ	1..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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	Conformance	ValueSet / Code	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	required	LTTCarePlanActivityTypes http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-care-plan-activity-types From this IG
CarePlan.activity.detail.reasonCode	required	LTTFocusArea http://fhir.kl.dk/ltt/ValueSet/fkgateway-ltt-focus-area From this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time. : status = 'completed' implies period.end.exists()

This structure is derived from CarePlan

Summary

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 41 elements

Structures

This structure refers to these other structures:

• KLGatewayLTTCitizen (http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-citizen)