ACT-NOW Implementation Guide
0.5.0 - ci-build New Zealand flag

ACT-NOW Implementation Guide, published by Te aho o te kahu - Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/davidhay25/actnow/ and changes regularly. See the Directory of published versions

Resource Profile: Cycle Careplan

Official URL: http://canshare.co.nz/fhir/StructureDefinition/an-careplan-cycle Version: 0.5.0
Draft as of 2026-06-12 Computable Name: CareplanCycle

A CarePlan that represents a single cycle of treatment. It will have a 'partOf' reference to the regiment carePlan.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan C 0..* CarePlan Healthcare plan for patient or group
Constraints: an-cycleCP-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycle-planned-length 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-planned-length
.... extension:cycle-number 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-number
.... extension:last-admin-date 0..1 dateTime Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 1..1 Reference(Regimen Careplan) Part of referenced CarePlan
... status ?!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.
... intent ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category Σ 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.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:code
..... coding:cyclecode SΣ 1..1 Coding Cycle level carePlan
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct/21000210109
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 261761000210103
... title Σ 1..1 string Human-friendly name for the care plan
... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... period Σ 1..1 Period Time period plan covers

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base example Care Plan Category 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
an-cycleCP-1 warning CarePlan If the CarePlan was cancelled, then there must be the cancellation reason extension present CarePlan.status = 'completed' implies extension('http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date').exists()
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan C 0..* CarePlan Healthcare plan for patient or group
Constraints: an-cycleCP-1
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycle-planned-length 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-planned-length
.... extension:cycle-number 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-number
.... extension:last-admin-date 0..1 dateTime Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date
... identifier 1..* Identifier External Ids for this plan
... partOf 1..1 Reference(Regimen Careplan) Part of referenced CarePlan
... category 1..* CodeableConcept Type of plan
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:code
..... coding:cyclecode S 1..1 Coding Cycle level carePlan
...... system 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct/21000210109
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: 261761000210103
... title 1..1 string Human-friendly name for the care plan
... period 1..1 Period Time period plan covers

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
an-cycleCP-1 warning CarePlan If the CarePlan was cancelled, then there must be the cancellation reason extension present CarePlan.status = 'completed' implies extension('http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date').exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan C 0..* CarePlan Healthcare plan for patient or group
Constraints: an-cycleCP-1
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycle-planned-length 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-planned-length
.... extension:cycle-number 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-number
.... extension:last-admin-date 0..1 dateTime Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier External Ids for this plan
... instantiatesCanonical Σ 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 1..1 Reference(Regimen Careplan) Part of referenced CarePlan
... status ?!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.
... intent ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category Σ 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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:code
..... coding:cyclecode SΣ 1..1 Coding Cycle level carePlan
...... 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://snomed.info/sct/21000210109
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 261761000210103
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... title Σ 1..1 string Human-friendly name for the care plan
... description Σ 0..1 string Summary of nature of plan
... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 1..1 Period Time period plan covers
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who is the designated responsible party
... contributor 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(Condition) Health issues this plan addresses
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 0..* 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
.... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
.... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
.... progress 0..* Annotation Comments about the activity status/progress
.... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail C 0..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
..... kind 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.
..... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
..... instantiatesUri 0..* uri Instantiates external protocol or definition
..... code 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.
..... reasonCode 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.
..... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
..... goal 0..* Reference(Goal) Goals this activity relates to
..... status ?! 1..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
..... statusReason 0..1 CodeableConcept Reason for current status
..... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
..... scheduled[x] 0..1 When activity is to occur
...... scheduledTiming Timing
...... scheduledPeriod Period
...... scheduledString string
..... location 0..1 Reference(Location) Where it should happen
..... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
..... product[x] 0..1 What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
...... productCodeableConcept CodeableConcept
...... productReference Reference(Medication | Substance)
..... dailyAmount 0..1 SimpleQuantity(4.0.1) How to consume/day?
..... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
..... description 0..1 string Extra info describing activity to perform
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.language Base preferred Common Languages 📍4.0.1 FHIR Std.
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.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.

Constraints

Id Grade Path(s) Description Expression
an-cycleCP-1 warning CarePlan If the CarePlan was cancelled, then there must be the cancellation reason extension present CarePlan.status = 'completed' implies extension('http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date').exists()
cpl-3 error CarePlan.activity Provide a reference or detail, not both detail.empty() or reference.empty()
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CarePlan If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from CarePlan

Summary

Mandatory: 10 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of CarePlan.category.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan C 0..* CarePlan Healthcare plan for patient or group
Constraints: an-cycleCP-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycle-planned-length 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-planned-length
.... extension:cycle-number 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-number
.... extension:last-admin-date 0..1 dateTime Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 1..1 Reference(Regimen Careplan) Part of referenced CarePlan
... status ?!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.
... intent ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category Σ 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.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:code
..... coding:cyclecode SΣ 1..1 Coding Cycle level carePlan
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct/21000210109
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 261761000210103
... title Σ 1..1 string Human-friendly name for the care plan
... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... period Σ 1..1 Period Time period plan covers

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base example Care Plan Category 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
an-cycleCP-1 warning CarePlan If the CarePlan was cancelled, then there must be the cancellation reason extension present CarePlan.status = 'completed' implies extension('http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date').exists()
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan C 0..* CarePlan Healthcare plan for patient or group
Constraints: an-cycleCP-1
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycle-planned-length 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-planned-length
.... extension:cycle-number 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-number
.... extension:last-admin-date 0..1 dateTime Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date
... identifier 1..* Identifier External Ids for this plan
... partOf 1..1 Reference(Regimen Careplan) Part of referenced CarePlan
... category 1..* CodeableConcept Type of plan
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:code
..... coding:cyclecode S 1..1 Coding Cycle level carePlan
...... system 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct/21000210109
...... code 1..1 code Symbol in syntax defined by the system
Required Pattern: 261761000210103
... title 1..1 string Human-friendly name for the care plan
... period 1..1 Period Time period plan covers

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
an-cycleCP-1 warning CarePlan If the CarePlan was cancelled, then there must be the cancellation reason extension present CarePlan.status = 'completed' implies extension('http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan C 0..* CarePlan Healthcare plan for patient or group
Constraints: an-cycleCP-1
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycle-planned-length 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-planned-length
.... extension:cycle-number 1..1 integer Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-number
.... extension:last-admin-date 0..1 dateTime Extension
URL: http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier External Ids for this plan
... instantiatesCanonical Σ 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 1..1 Reference(Regimen Careplan) Part of referenced CarePlan
... status ?!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.
... intent ?!Σ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category Σ 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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:code
..... coding:cyclecode SΣ 1..1 Coding Cycle level carePlan
...... 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://snomed.info/sct/21000210109
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: 261761000210103
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... title Σ 1..1 string Human-friendly name for the care plan
... description Σ 0..1 string Summary of nature of plan
... subject Σ 1..1 Reference(Patient | Group) Who the care plan is for
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 1..1 Period Time period plan covers
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who is the designated responsible party
... contributor 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(Condition) Health issues this plan addresses
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 0..* 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
.... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
.... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
.... progress 0..* Annotation Comments about the activity status/progress
.... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail C 0..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
..... kind 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.
..... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
..... instantiatesUri 0..* uri Instantiates external protocol or definition
..... code 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.
..... reasonCode 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.
..... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
..... goal 0..* Reference(Goal) Goals this activity relates to
..... status ?! 1..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
..... statusReason 0..1 CodeableConcept Reason for current status
..... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
..... scheduled[x] 0..1 When activity is to occur
...... scheduledTiming Timing
...... scheduledPeriod Period
...... scheduledString string
..... location 0..1 Reference(Location) Where it should happen
..... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
..... product[x] 0..1 What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
...... productCodeableConcept CodeableConcept
...... productReference Reference(Medication | Substance)
..... dailyAmount 0..1 SimpleQuantity(4.0.1) How to consume/day?
..... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
..... description 0..1 string Extra info describing activity to perform
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.language Base preferred Common Languages 📍4.0.1 FHIR Std.
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.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.

Constraints

Id Grade Path(s) Description Expression
an-cycleCP-1 warning CarePlan If the CarePlan was cancelled, then there must be the cancellation reason extension present CarePlan.status = 'completed' implies extension('http://canshare.co.nz/fhir/StructureDefinition/an-last-admin-date').exists()
cpl-3 error CarePlan.activity Provide a reference or detail, not both detail.empty() or reference.empty()
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CarePlan If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from CarePlan

Summary

Mandatory: 10 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of CarePlan.category.coding

 

Other representations of profile: CSV, Excel, Schematron