SMART Base Clinical, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-base-clinical/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: WHO SMART Guidelines CarePlan

The WHO SMART Guidelines CarePlan profile defines conformance requirements and exchange expectations for CarePlan resources in WHO Smart Guidelines content.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CPGCarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan	S	0..*	CPGCarePlan	Healthcare plan for patient or group
identifier	S	1..*	Identifier	External Ids for this plan
use	S	1..1	code	usual | official | temp | secondary | old (If known)
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | order | option
category	S	1..*	CodeableConcept	Type of plan
title	S	1..1	string	Human-friendly name for the care plan
description	S	0..1	string	Summary of nature of plan
subject	S	1..1	Reference(WHO SMART Guidelines Patient)	Who the care plan is for
encounter	S	0..1	Reference(WHO SMART Guidelines Encounter)	Encounter created as part of
period	S	0..1	Period	Time period plan covers
careTeam	S	1..1	Reference(WHO SMART Guidelines CareTeam)	Who's involved in plan?
addresses	S	0..*	Reference(WHO SMART Guidelines Condition)	Health issues this plan addresses
activity	S	0..*	BackboneElement	Action to occur as part of plan
outcomeReference	S	0..*	Reference(WHO SMART Guidelines AllergyIntolerance | WHO SMART Guidelines Condition | WHO SMART Guidelines Encounter | WHO SMART Guidelines EpisodeOfCare | WHO SMART Guidelines Immunization | WHO SMART Guidelines Immunization Not Done | WHO SMART Guidelines Observation | WHO SMART Guidelines Observation Not Done | WHO SMART Guidelines Procedure | WHO SMART Guidelines Procedure Not Done)	Appointment, Encounter, Procedure, etc.
reference	S	0..1	Reference(WHO SMART Guidelines Medication Not Requested | WHO SMART Guidelines MedicationRequest | WHO SMART Guidelines Service Not Requested | WHO SMART Guidelines ServiceRequest)	Activity details defined in specific resource
detail		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
CarePlan	S	0..*	CPGCarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
planFor	S	0..*	Reference(CPG Case)	CPG Plan For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-planFor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	External Ids for this plan
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
instantiatesCanonical	SΣ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
status	?!SΣ	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.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..*	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.
title	SΣ	1..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	Who the care plan is for
encounter	SΣ	0..1	Reference(WHO SMART Guidelines Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Time period plan covers
created	SΣ	0..1	dateTime	Date record was first recorded
careTeam	S	1..1	Reference(WHO SMART Guidelines CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(WHO SMART Guidelines Condition)	Health issues this plan addresses
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeReference	S	0..*	Reference(WHO SMART Guidelines AllergyIntolerance | WHO SMART Guidelines Condition | WHO SMART Guidelines Encounter | WHO SMART Guidelines EpisodeOfCare | WHO SMART Guidelines Immunization | WHO SMART Guidelines Immunization Not Done | WHO SMART Guidelines Observation | WHO SMART Guidelines Observation Not Done | WHO SMART Guidelines Procedure | WHO SMART Guidelines Procedure Not Done)	Appointment, Encounter, Procedure, etc.
reference	SC	0..1	Reference(WHO SMART Guidelines Medication Not Requested | WHO SMART Guidelines MedicationRequest | WHO SMART Guidelines Service Not Requested | WHO SMART Guidelines ServiceRequest)	Activity details defined in specific resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
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()

Name	Flags	Card.	Type	Description & Constraints
CarePlan	S	0..*	CPGCarePlan	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
planFor	S	0..*	Reference(CPG Case)	CPG Plan For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-planFor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	External Ids for this plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	SΣ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	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.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..*	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.
title	SΣ	1..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	Who the care plan is for
encounter	SΣ	0..1	Reference(WHO SMART Guidelines Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Time period plan covers
created	SΣ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam	S	1..1	Reference(WHO SMART Guidelines CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(WHO SMART Guidelines Condition)	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
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
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference	S	0..*	Reference(WHO SMART Guidelines AllergyIntolerance | WHO SMART Guidelines Condition | WHO SMART Guidelines Encounter | WHO SMART Guidelines EpisodeOfCare | WHO SMART Guidelines Immunization | WHO SMART Guidelines Immunization Not Done | WHO SMART Guidelines Observation | WHO SMART Guidelines Observation Not Done | WHO SMART Guidelines Procedure | WHO SMART Guidelines Procedure Not Done)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	SC	0..1	Reference(WHO SMART Guidelines Medication Not Requested | WHO SMART Guidelines MedicationRequest | WHO SMART Guidelines Service Not Requested | WHO SMART Guidelines ServiceRequest)	Activity details defined in specific resource
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CarePlan.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CarePlan.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes 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()

This structure is derived from CPGCarePlan

Summary

Mandatory: 6 elements
Must-Support: 17 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• WHO SMART Guidelines Patient (http://smart.who.int/base-clinical/StructureDefinition/sg-patient)
• WHO SMART Guidelines Encounter (http://smart.who.int/base-clinical/StructureDefinition/sg-encounter)
• WHO SMART Guidelines CareTeam (http://smart.who.int/base-clinical/StructureDefinition/sg-careteam)
• WHO SMART Guidelines Condition (http://smart.who.int/base-clinical/StructureDefinition/sg-condition)
• WHO SMART Guidelines AllergyIntolerance (http://smart.who.int/base-clinical/StructureDefinition/sg-allergyintolerance)
• WHO SMART Guidelines EpisodeOfCare (http://smart.who.int/base-clinical/StructureDefinition/sg-episodeofcare)
• WHO SMART Guidelines Immunization (http://smart.who.int/base-clinical/StructureDefinition/sg-immunization)
• WHO SMART Guidelines Immunization Not Done (http://smart.who.int/base-clinical/StructureDefinition/sg-immunizationnotdone)
• WHO SMART Guidelines Observation (http://smart.who.int/base-clinical/StructureDefinition/sg-observation)
• WHO SMART Guidelines Observation Not Done (http://smart.who.int/base-clinical/StructureDefinition/sg-observationnotdone)
• WHO SMART Guidelines Procedure (http://smart.who.int/base-clinical/StructureDefinition/sg-procedure)
• WHO SMART Guidelines Procedure Not Done (http://smart.who.int/base-clinical/StructureDefinition/sg-procedurenotdone)
• WHO SMART Guidelines Medication Not Requested (http://smart.who.int/base-clinical/StructureDefinition/sg-medicationnotrequested)
• WHO SMART Guidelines MedicationRequest (http://smart.who.int/base-clinical/StructureDefinition/sg-medicationrequest)
• WHO SMART Guidelines Service Not Requested (http://smart.who.int/base-clinical/StructureDefinition/sg-servicenotrequested)
• WHO SMART Guidelines ServiceRequest (http://smart.who.int/base-clinical/StructureDefinition/sg-servicerequest)

Differential View

This structure is derived from CPGCarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan	S	0..*	CPGCarePlan	Healthcare plan for patient or group
identifier	S	1..*	Identifier	External Ids for this plan
use	S	1..1	code	usual | official | temp | secondary | old (If known)
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | order | option
category	S	1..*	CodeableConcept	Type of plan
title	S	1..1	string	Human-friendly name for the care plan
description	S	0..1	string	Summary of nature of plan
subject	S	1..1	Reference(WHO SMART Guidelines Patient)	Who the care plan is for
encounter	S	0..1	Reference(WHO SMART Guidelines Encounter)	Encounter created as part of
period	S	0..1	Period	Time period plan covers
careTeam	S	1..1	Reference(WHO SMART Guidelines CareTeam)	Who's involved in plan?
addresses	S	0..*	Reference(WHO SMART Guidelines Condition)	Health issues this plan addresses
activity	S	0..*	BackboneElement	Action to occur as part of plan
outcomeReference	S	0..*	Reference(WHO SMART Guidelines AllergyIntolerance | WHO SMART Guidelines Condition | WHO SMART Guidelines Encounter | WHO SMART Guidelines EpisodeOfCare | WHO SMART Guidelines Immunization | WHO SMART Guidelines Immunization Not Done | WHO SMART Guidelines Observation | WHO SMART Guidelines Observation Not Done | WHO SMART Guidelines Procedure | WHO SMART Guidelines Procedure Not Done)	Appointment, Encounter, Procedure, etc.
reference	S	0..1	Reference(WHO SMART Guidelines Medication Not Requested | WHO SMART Guidelines MedicationRequest | WHO SMART Guidelines Service Not Requested | WHO SMART Guidelines ServiceRequest)	Activity details defined in specific resource
detail		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CarePlan	S	0..*	CPGCarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
planFor	S	0..*	Reference(CPG Case)	CPG Plan For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-planFor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	External Ids for this plan
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
instantiatesCanonical	SΣ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
status	?!SΣ	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.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..*	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.
title	SΣ	1..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	Who the care plan is for
encounter	SΣ	0..1	Reference(WHO SMART Guidelines Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Time period plan covers
created	SΣ	0..1	dateTime	Date record was first recorded
careTeam	S	1..1	Reference(WHO SMART Guidelines CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(WHO SMART Guidelines Condition)	Health issues this plan addresses
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeReference	S	0..*	Reference(WHO SMART Guidelines AllergyIntolerance | WHO SMART Guidelines Condition | WHO SMART Guidelines Encounter | WHO SMART Guidelines EpisodeOfCare | WHO SMART Guidelines Immunization | WHO SMART Guidelines Immunization Not Done | WHO SMART Guidelines Observation | WHO SMART Guidelines Observation Not Done | WHO SMART Guidelines Procedure | WHO SMART Guidelines Procedure Not Done)	Appointment, Encounter, Procedure, etc.
reference	SC	0..1	Reference(WHO SMART Guidelines Medication Not Requested | WHO SMART Guidelines MedicationRequest | WHO SMART Guidelines Service Not Requested | WHO SMART Guidelines ServiceRequest)	Activity details defined in specific resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CarePlan	S	0..*	CPGCarePlan	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
planFor	S	0..*	Reference(CPG Case)	CPG Plan For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-planFor
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	External Ids for this plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	SΣ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	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.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..*	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.
title	SΣ	1..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	Who the care plan is for
encounter	SΣ	0..1	Reference(WHO SMART Guidelines Encounter)	Encounter created as part of
period	SΣ	0..1	Period	Time period plan covers
created	SΣ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam	S	1..1	Reference(WHO SMART Guidelines CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(WHO SMART Guidelines Condition)	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
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
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference	S	0..*	Reference(WHO SMART Guidelines AllergyIntolerance | WHO SMART Guidelines Condition | WHO SMART Guidelines Encounter | WHO SMART Guidelines EpisodeOfCare | WHO SMART Guidelines Immunization | WHO SMART Guidelines Immunization Not Done | WHO SMART Guidelines Observation | WHO SMART Guidelines Observation Not Done | WHO SMART Guidelines Procedure | WHO SMART Guidelines Procedure Not Done)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	SC	0..1	Reference(WHO SMART Guidelines Medication Not Requested | WHO SMART Guidelines MedicationRequest | WHO SMART Guidelines Service Not Requested | WHO SMART Guidelines ServiceRequest)	Activity details defined in specific resource
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CarePlan.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CarePlan.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes 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()

This structure is derived from CPGCarePlan

Summary

Mandatory: 6 elements
Must-Support: 17 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• WHO SMART Guidelines Patient (http://smart.who.int/base-clinical/StructureDefinition/sg-patient)
• WHO SMART Guidelines Encounter (http://smart.who.int/base-clinical/StructureDefinition/sg-encounter)
• WHO SMART Guidelines CareTeam (http://smart.who.int/base-clinical/StructureDefinition/sg-careteam)
• WHO SMART Guidelines Condition (http://smart.who.int/base-clinical/StructureDefinition/sg-condition)
• WHO SMART Guidelines AllergyIntolerance (http://smart.who.int/base-clinical/StructureDefinition/sg-allergyintolerance)
• WHO SMART Guidelines EpisodeOfCare (http://smart.who.int/base-clinical/StructureDefinition/sg-episodeofcare)
• WHO SMART Guidelines Immunization (http://smart.who.int/base-clinical/StructureDefinition/sg-immunization)
• WHO SMART Guidelines Immunization Not Done (http://smart.who.int/base-clinical/StructureDefinition/sg-immunizationnotdone)
• WHO SMART Guidelines Observation (http://smart.who.int/base-clinical/StructureDefinition/sg-observation)
• WHO SMART Guidelines Observation Not Done (http://smart.who.int/base-clinical/StructureDefinition/sg-observationnotdone)
• WHO SMART Guidelines Procedure (http://smart.who.int/base-clinical/StructureDefinition/sg-procedure)
• WHO SMART Guidelines Procedure Not Done (http://smart.who.int/base-clinical/StructureDefinition/sg-procedurenotdone)
• WHO SMART Guidelines Medication Not Requested (http://smart.who.int/base-clinical/StructureDefinition/sg-medicationnotrequested)
• WHO SMART Guidelines MedicationRequest (http://smart.who.int/base-clinical/StructureDefinition/sg-medicationrequest)
• WHO SMART Guidelines Service Not Requested (http://smart.who.int/base-clinical/StructureDefinition/sg-servicenotrequested)
• WHO SMART Guidelines ServiceRequest (http://smart.who.int/base-clinical/StructureDefinition/sg-servicerequest)

Other representations of profile: CSV, Excel, Schematron