Shared Care Planning (SCP) Implementation Guide
            
            0.3.0 - ci-build
            
          
Shared Care Planning (SCP) Implementation Guide, published by Santeon. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SanteonNL/shared-care-planning/ and changes regularly. See the Directory of published versions
| Official URL: http://santeonnl.github.io/shared-care-planning/StructureDefinition/SCPCareplan | Version: 0.3.0 | |||
| Draft as of 2025-10-13 | Computable Name: SCPCareplan | |||
A care plan for a patient that is shared between multiple care providers.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | 
1..1 | CareTeam | Contained, inline Resources | |
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | 
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.  | 
![]() ![]()  | 
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.  | 
![]() ![]()  | 
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following  | 
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)  | |
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct  | |
![]() ![]() ![]() ![]()  | 
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 135411000146103  | |
![]() ![]() ![]() ![]()  | 
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]()  | 
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]()  | 
0..1 | string | Plain text representation of the concept | |
![]() ![]()  | 
Σ | 1..1 | Reference(Patient) | Who the care plan is for | 
![]() ![]()  | 
Σ | 1..1 | Reference(PractitionerRole) | Who is the designated responsible party | 
![]() ![]()  | 
1..1 | Reference(CareTeam) | Who's involved in plan? | |
  Documentation for this format | ||||
| 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.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. | 
| Id | Grade | Path(s) | Description | Expression | 
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | 
      contained.contained.empty()
     | 
  
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | 
      contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
     | 
  
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | 
      contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
     | 
  
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | 
      contained.meta.security.empty()
     | 
  
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management | 
      text.`div`.exists()
     | 
  
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | 
      hasValue() or (children().count() > id.count())
     | 
  
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | 
      extension.exists() != value.exists()
     | 
  
This structure is derived from CarePlan
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]()  | 
1..1 | CareTeam | Contained, inline Resources | |
![]() ![]()  | 
0..* | CodeableConcept | Type of plan Required Pattern: At least the following  | |
![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)  | |
![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct  | |
![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 135411000146103  | |
![]() ![]()  | 
1..1 | Reference(Patient) | Who the care plan is for | |
![]() ![]()  | 
1..1 | Reference(PractitionerRole) | Who is the designated responsible party | |
![]() ![]()  | 
1..1 | Reference(CareTeam) | Who's involved in plan? | |
  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||
|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CarePlan | Healthcare plan for patient or group | |||||
![]() ![]()  | 
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]()  | 
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]()  | 
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
  | |||||
![]() ![]()  | 
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  | |||||
![]() ![]()  | 
1..1 | CareTeam | Contained, inline Resources | |||||
![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]()  | 
Σ | 0..* | Identifier | External Ids for this plan | ||||
![]() ![]()  | 
Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
![]() ![]()  | 
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]()  | 
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
![]() ![]()  | 
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
![]() ![]()  | 
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
![]() ![]()  | 
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.  | ||||
![]() ![]()  | 
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.  | ||||
![]() ![]()  | 
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following  | ||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)  | |||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct  | |||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 135411000146103  | |||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]()  | 
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]()  | 
0..1 | string | Plain text representation of the concept | |||||
![]() ![]()  | 
Σ | 0..1 | string | Human-friendly name for the care plan | ||||
![]() ![]()  | 
Σ | 0..1 | string | Summary of nature of plan | ||||
![]() ![]()  | 
Σ | 1..1 | Reference(Patient) | Who the care plan is for | ||||
![]() ![]()  | 
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
![]() ![]()  | 
Σ | 0..1 | Period | Time period plan covers | ||||
![]() ![]()  | 
Σ | 0..1 | dateTime | Date record was first recorded | ||||
![]() ![]()  | 
Σ | 1..1 | Reference(PractitionerRole) | Who is the designated responsible party | ||||
![]() ![]()  | 
0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||
![]() ![]()  | 
1..1 | Reference(CareTeam) | Who's involved in plan? | |||||
![]() ![]()  | 
Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
![]() ![]()  | 
0..* | Reference(Resource) | Information considered as part of plan | |||||
![]() ![]()  | 
0..* | Reference(Goal) | Desired outcome of plan | |||||
![]() ![]()  | 
C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3  | ||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]()  | 
0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.  | |||||
![]() ![]() ![]()  | 
0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
![]() ![]() ![]()  | 
0..* | Annotation | Comments about the activity status/progress | |||||
![]() ![]() ![]()  | 
C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource | ||||
![]() ![]() ![]()  | 
C | 0..1 | BackboneElement | In-line definition of activity | ||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]()  | 
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.  | |||||
![]() ![]() ![]() ![]()  | 
0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
![]() ![]() ![]() ![]()  | 
0..* | uri | Instantiates external protocol or definition | |||||
![]() ![]() ![]() ![]()  | 
0..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.  | |||||
![]() ![]() ![]() ![]()  | 
0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (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..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Goal) | Goals this activity relates to | |||||
![]() ![]() ![]() ![]()  | 
?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.  | ||||
![]() ![]() ![]() ![]()  | 
0..1 | CodeableConcept | Reason for current status | |||||
![]() ![]() ![]() ![]()  | 
?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
![]() ![]() ![]() ![]()  | 
0..1 | When activity is to occur | ||||||
![]() ![]() ![]() ![]() ![]()  | 
Timing | |||||||
![]() ![]() ![]() ![]() ![]()  | 
Period | |||||||
![]() ![]() ![]() ![]() ![]()  | 
string | |||||||
![]() ![]() ![]() ![]()  | 
0..1 | Reference(Location) | Where it should happen | |||||
![]() ![]() ![]() ![]()  | 
0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||
![]() ![]() ![]() ![]()  | 
0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.  | ||||||
![]() ![]() ![]() ![]() ![]()  | 
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]()  | 
Reference(Medication | Substance) | |||||||
![]() ![]() ![]() ![]()  | 
0..1 | SimpleQuantity(4.0.1) | How to consume/day? | |||||
![]() ![]() ![]() ![]()  | 
0..1 | SimpleQuantity(4.0.1) | How much to administer/supply/consume | |||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Extra info describing activity to perform | |||||
![]() ![]()  | 
0..* | Annotation | Comments about the plan | |||||
  Documentation for this format | ||||||||
| 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.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.product[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. | 
| 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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | 
1..1 | CareTeam | Contained, inline Resources | |
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | 
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.  | 
![]() ![]()  | 
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.  | 
![]() ![]()  | 
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following  | 
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)  | |
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct  | |
![]() ![]() ![]() ![]()  | 
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 135411000146103  | |
![]() ![]() ![]() ![]()  | 
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]()  | 
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]()  | 
0..1 | string | Plain text representation of the concept | |
![]() ![]()  | 
Σ | 1..1 | Reference(Patient) | Who the care plan is for | 
![]() ![]()  | 
Σ | 1..1 | Reference(PractitionerRole) | Who is the designated responsible party | 
![]() ![]()  | 
1..1 | Reference(CareTeam) | Who's involved in plan? | |
  Documentation for this format | ||||
| 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.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. | 
| Id | Grade | Path(s) | Description | Expression | 
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | 
      contained.contained.empty()
     | 
  
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | 
      contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
     | 
  
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | 
      contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
     | 
  
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | 
      contained.meta.security.empty()
     | 
  
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management | 
      text.`div`.exists()
     | 
  
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | 
      hasValue() or (children().count() > id.count())
     | 
  
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | 
      extension.exists() != value.exists()
     | 
  
Differential View
This structure is derived from CarePlan
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]()  | 
1..1 | CareTeam | Contained, inline Resources | |
![]() ![]()  | 
0..* | CodeableConcept | Type of plan Required Pattern: At least the following  | |
![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)  | |
![]() ![]() ![]() ![]()  | 
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct  | |
![]() ![]() ![]() ![]()  | 
1..1 | code | Symbol in syntax defined by the system Fixed Value: 135411000146103  | |
![]() ![]()  | 
1..1 | Reference(Patient) | Who the care plan is for | |
![]() ![]()  | 
1..1 | Reference(PractitionerRole) | Who is the designated responsible party | |
![]() ![]()  | 
1..1 | Reference(CareTeam) | Who's involved in plan? | |
  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||
|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | CarePlan | Healthcare plan for patient or group | |||||
![]() ![]()  | 
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]()  | 
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]()  | 
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
  | |||||
![]() ![]()  | 
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  | |||||
![]() ![]()  | 
1..1 | CareTeam | Contained, inline Resources | |||||
![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]()  | 
Σ | 0..* | Identifier | External Ids for this plan | ||||
![]() ![]()  | 
Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
![]() ![]()  | 
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]()  | 
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
![]() ![]()  | 
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
![]() ![]()  | 
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
![]() ![]()  | 
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.  | ||||
![]() ![]()  | 
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.  | ||||
![]() ![]()  | 
Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following  | ||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]()  | 
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)  | |||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct  | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 135411000146103  | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | string | Human-friendly name for the care plan | ||||
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Σ | 0..1 | string | Summary of nature of plan | ||||
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Σ | 1..1 | Reference(Patient) | Who the care plan is for | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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Σ | 0..1 | Period | Time period plan covers | ||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 1..1 | Reference(PractitionerRole) | Who is the designated responsible party | ||||
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0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||
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1..1 | Reference(CareTeam) | Who's involved in plan? | |||||
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Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
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0..* | Reference(Resource) | Information considered as part of plan | |||||
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0..* | Reference(Goal) | Desired outcome of plan | |||||
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C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3  | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.  | |||||
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0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. | |||||
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0..* | Annotation | Comments about the activity status/progress | |||||
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C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource | ||||
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C | 0..1 | BackboneElement | In-line definition of activity | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.  | |||||
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0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
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0..* | uri | Instantiates external protocol or definition | |||||
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0..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.  | |||||
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0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (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.  | |||||
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0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||
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0..* | Reference(Goal) | Goals this activity relates to | |||||
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?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.  | ||||
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0..1 | CodeableConcept | Reason for current status | |||||
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?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
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0..1 | When activity is to occur | ||||||
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Timing | |||||||
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Period | |||||||
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string | |||||||
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0..1 | Reference(Location) | Where it should happen | |||||
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0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||
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0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.  | ||||||
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CodeableConcept | |||||||
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Reference(Medication | Substance) | |||||||
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0..1 | SimpleQuantity(4.0.1) | How to consume/day? | |||||
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0..1 | SimpleQuantity(4.0.1) | How much to administer/supply/consume | |||||
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0..1 | string | Extra info describing activity to perform | |||||
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0..* | Annotation | Comments about the plan | |||||
  Documentation for this format | ||||||||
| 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.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. | 
| CarePlan.activity.detail.product[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. | 
| 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
Other representations of profile: CSV, Excel, Schematron