PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. 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/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Resource Profile: CarePlan: PCSP-generated plan

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/CarePlan-eu-pcsp Version: 1.0.0
Active as of 2025-10-16 Computable Name: CarePlanPcsp

This profile defines how to represent the Care Plan proposed by the PCSP platoform in HL7 FHIR. This profile can be used for both the version generated by the platoform and that curated and validated by Clinicians.

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 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 1..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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Status (draft when automatically generated)
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 Intent (proposal when automatically generated)
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... subject Σ 1..1 Reference(Patient: PCSP) Who the care plan is for
... created Σ 1..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who it is attributed to (a Device when automatically generated)
... contributor 0..* Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who provided the contents of the care plan.
... addresses Σ 0..* Reference(Condition: Primary Cancer) Health issues this plan addresses
... supportingInfo 0..* Reference(Observation: Risk Factor | Resource) Supporting infos, including risk factors
... activity C 1..* BackboneElement Action to occur as part of plan
Constraints: cpl-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... note 0..2 Annotation Comments about the plan
.... Slices for extension Content/Rules for all slices
..... extension:annotationType 0..1 (Complex) Annotation Type
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: Annotation type (preferred)
.... text Σ 1..1 markdown The annotation - text content (as markdown)

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.note.extension:annotationType.​value[x] Base preferred Annotation type 📦1.0.0 This IG

Constraints

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

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan CarePlan
... text 1..1 Narrative Text summary of the resource, for human interpretation
... identifier 0..* Identifier Business Identifier of this Care Plan
... status 1..1 code Status (draft when automatically generated)
... subject 1..1 Reference(Patient: PCSP) Who the care plan is for
... created 1..1 dateTime Date record was first recorded
... author 0..1 Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who it is attributed to (a Device when automatically generated)
... contributor 0..* Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who provided the contents of the care plan.
... addresses 0..* Reference(Condition: Primary Cancer) Health issues this plan addresses
... supportingInfo 0..* Reference(Observation: Risk Factor | Resource) Supporting infos, including risk factors
... activity 1..* BackboneElement Action to occur as part of plan
.... detail
..... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition) Instantiates FHIR protocol or definition
..... code 0..1 CodeableConcept Detail type of activity
Binding: Recommendations (extensible)
..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: Conditions at risk (extensible)
..... reasonReference 0..* Reference(Observation: Risk Factor) Why activity is needed
..... status 1..1 code Progress being made
..... scheduled[x] 0..1 Timing, Period, string Planned for
..... description 0..1 string Activity to perform
... note 0..2 Annotation Comments about the plan
.... Slices for extension Content/Rules for all slices
..... extension:annotationType 0..1 (Complex) Annotation Type
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type
...... value[x] 0..1 CodeableConcept Value of extension
Binding: Annotation type (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CarePlan.activity.detail.​code Base extensible Recommendations 📦1.0.0 This IG
CarePlan.activity.detail.​reasonCode Base extensible Conditions at risk 📦1.0.0 This IG
CarePlan.note.extension:annotationType.​value[x] Base preferred Annotation type 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier of this Care 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 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!Σ 1..1 code Status (draft when automatically generated)
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 Intent (proposal when automatically generated)
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category 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.
... title Σ 0..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: PCSP) Who the care plan is for
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Time period plan covers
... created Σ 1..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who it is attributed to (a Device when automatically generated)
... contributor 0..* Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who provided the contents of the care plan.
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(Condition: Primary Cancer) Health issues this plan addresses
... supportingInfo 0..* Reference(Observation: Risk Factor | Resource) Supporting infos, including risk factors
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 1..* BackboneElement Action to occur as part of plan
Constraints: cpl-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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) Instantiates FHIR protocol or definition
..... instantiatesUri 0..* uri Instantiates external protocol or definition
..... code 0..1 CodeableConcept Detail type of activity
Binding: Recommendations (extensible)
..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: Conditions at risk (extensible)
..... reasonReference 0..* Reference(Observation: Risk Factor) Why activity is needed
..... goal 0..* Reference(Goal) Goals this activity relates to
..... status ?! 1..1 code Progress being made
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 Planned for
...... 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 Activity to perform
... note 0..2 Annotation Comments about the plan
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:annotationType 0..1 (Complex) Annotation Type
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: Annotation type (preferred)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

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 extensible Recommendations 📦1.0.0 This IG
CarePlan.activity.detail.​reasonCode Base extensible Conditions at risk 📦1.0.0 This IG
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.
CarePlan.note.extension:annotationType.​value[x] Base preferred Annotation type 📦1.0.0 This IG

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 1..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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Status (draft when automatically generated)
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 Intent (proposal when automatically generated)
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... subject Σ 1..1 Reference(Patient: PCSP) Who the care plan is for
... created Σ 1..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who it is attributed to (a Device when automatically generated)
... contributor 0..* Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who provided the contents of the care plan.
... addresses Σ 0..* Reference(Condition: Primary Cancer) Health issues this plan addresses
... supportingInfo 0..* Reference(Observation: Risk Factor | Resource) Supporting infos, including risk factors
... activity C 1..* BackboneElement Action to occur as part of plan
Constraints: cpl-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... note 0..2 Annotation Comments about the plan
.... Slices for extension Content/Rules for all slices
..... extension:annotationType 0..1 (Complex) Annotation Type
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: Annotation type (preferred)
.... text Σ 1..1 markdown The annotation - text content (as markdown)

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.note.extension:annotationType.​value[x] Base preferred Annotation type 📦1.0.0 This IG

Constraints

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

Differential View

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan CarePlan
... text 1..1 Narrative Text summary of the resource, for human interpretation
... identifier 0..* Identifier Business Identifier of this Care Plan
... status 1..1 code Status (draft when automatically generated)
... subject 1..1 Reference(Patient: PCSP) Who the care plan is for
... created 1..1 dateTime Date record was first recorded
... author 0..1 Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who it is attributed to (a Device when automatically generated)
... contributor 0..* Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who provided the contents of the care plan.
... addresses 0..* Reference(Condition: Primary Cancer) Health issues this plan addresses
... supportingInfo 0..* Reference(Observation: Risk Factor | Resource) Supporting infos, including risk factors
... activity 1..* BackboneElement Action to occur as part of plan
.... detail
..... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition) Instantiates FHIR protocol or definition
..... code 0..1 CodeableConcept Detail type of activity
Binding: Recommendations (extensible)
..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: Conditions at risk (extensible)
..... reasonReference 0..* Reference(Observation: Risk Factor) Why activity is needed
..... status 1..1 code Progress being made
..... scheduled[x] 0..1 Timing, Period, string Planned for
..... description 0..1 string Activity to perform
... note 0..2 Annotation Comments about the plan
.... Slices for extension Content/Rules for all slices
..... extension:annotationType 0..1 (Complex) Annotation Type
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type
...... value[x] 0..1 CodeableConcept Value of extension
Binding: Annotation type (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CarePlan.activity.detail.​code Base extensible Recommendations 📦1.0.0 This IG
CarePlan.activity.detail.​reasonCode Base extensible Conditions at risk 📦1.0.0 This IG
CarePlan.note.extension:annotationType.​value[x] Base preferred Annotation type 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier of this Care 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 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!Σ 1..1 code Status (draft when automatically generated)
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 Intent (proposal when automatically generated)
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
... category 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.
... title Σ 0..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: PCSP) Who the care plan is for
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Time period plan covers
... created Σ 1..1 dateTime Date record was first recorded
... author Σ 0..1 Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who it is attributed to (a Device when automatically generated)
... contributor 0..* Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam) Who provided the contents of the care plan.
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(Condition: Primary Cancer) Health issues this plan addresses
... supportingInfo 0..* Reference(Observation: Risk Factor | Resource) Supporting infos, including risk factors
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 1..* BackboneElement Action to occur as part of plan
Constraints: cpl-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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) Instantiates FHIR protocol or definition
..... instantiatesUri 0..* uri Instantiates external protocol or definition
..... code 0..1 CodeableConcept Detail type of activity
Binding: Recommendations (extensible)
..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: Conditions at risk (extensible)
..... reasonReference 0..* Reference(Observation: Risk Factor) Why activity is needed
..... goal 0..* Reference(Goal) Goals this activity relates to
..... status ?! 1..1 code Progress being made
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 Planned for
...... 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 Activity to perform
... note 0..2 Annotation Comments about the plan
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:annotationType 0..1 (Complex) Annotation Type
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: Annotation type (preferred)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

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 extensible Recommendations 📦1.0.0 This IG
CarePlan.activity.detail.​reasonCode Base extensible Conditions at risk 📦1.0.0 This IG
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.
CarePlan.note.extension:annotationType.​value[x] Base preferred Annotation type 📦1.0.0 This IG

Constraints

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

 

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