PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 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

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

Resource Profile: CarePlan: PCSP-generated plan

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.

Usage:

• Use this Resource Profile: Bundle: Survivor Passport
• Refer to this Resource Profile: Composition: Survivor Passport
• Examples for this Resource Profile: CarePlan/CarePlanExample-1

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 CarePlan

Name	Flags	Card.	Type	Description & Constraints
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)
intent		1..1	code	Intent (proposal 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
Slices for scheduled[x]		0..1	Timing, Period, string	When activity is to occur Slice: Unordered, Open by type:$this
scheduled[x]:scheduledString		0..1	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
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)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.code	extensible	Recommendation (a valid code from PCSP Recommendations) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-recommendation-eu-pcsp from this IG
CarePlan.activity.detail.reasonCode	extensible	RiskCondition (a valid code from PCSP Conditions at risk) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-riskcondition-eu-pcsp from this IG
CarePlan.note.extension:annotationType.value[x]	preferred	AnnotationTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/annotation-type-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		1..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Business Identifier of this Care Plan ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient: PCSP)	Who the care plan is for ele-1: All FHIR elements must have a @value or children
created	Σ	1..1	dateTime	Date record was first recorded ele-1: All FHIR elements must have a @value or children
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam)	Who it is attributed to (a Device when automatically generated) ele-1: All FHIR elements must have a @value or children
contributor		0..*	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam)	Who provided the contents of the care plan. ele-1: All FHIR elements must have a @value or children
addresses	Σ	0..*	Reference(Condition: Primary Cancer)	Health issues this plan addresses ele-1: All FHIR elements must have a @value or children
supportingInfo		0..*	Reference(Observation: Risk Factor | Resource)	Supporting infos, including risk factors ele-1: All FHIR elements must have a @value or children
activity	C	1..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
note		0..2	Annotation	Comments about the plan ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
annotationType		0..1	(Complex)	Annotation Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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) ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
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.note.extension:annotationType.value[x]	preferred	AnnotationTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/annotation-type-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose AllLanguages Max Binding
text		1..1	Narrative	Text summary of the resource, for human interpretation
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 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		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
Slices for scheduled[x]		0..1		When activity is to occur Slice: Unordered, Open by type:$this
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
scheduled[x]:scheduledString		0..1	string	Planned for
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	How to consume/day?
quantity		0..1	SimpleQuantity	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
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	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	extensible	Recommendation (a valid code from PCSP Recommendations) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-recommendation-eu-pcsp from this IG
CarePlan.activity.detail.reasonCode	extensible	RiskCondition (a valid code from PCSP Conditions at risk) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-riskcondition-eu-pcsp from this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
CarePlan.note.extension:annotationType.value[x]	preferred	AnnotationTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/annotation-type-vs from this IG

This structure is derived from CarePlan

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Observation: Risk Factor (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-riskfactor-eu-pcsp)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.activity.detail.scheduled[x]

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints
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)
intent		1..1	code	Intent (proposal 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
Slices for scheduled[x]		0..1	Timing, Period, string	When activity is to occur Slice: Unordered, Open by type:$this
scheduled[x]:scheduledString		0..1	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
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)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.code	extensible	Recommendation (a valid code from PCSP Recommendations) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-recommendation-eu-pcsp from this IG
CarePlan.activity.detail.reasonCode	extensible	RiskCondition (a valid code from PCSP Conditions at risk) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-riskcondition-eu-pcsp from this IG
CarePlan.note.extension:annotationType.value[x]	preferred	AnnotationTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/annotation-type-vs from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		1..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Business Identifier of this Care Plan ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient: PCSP)	Who the care plan is for ele-1: All FHIR elements must have a @value or children
created	Σ	1..1	dateTime	Date record was first recorded ele-1: All FHIR elements must have a @value or children
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam)	Who it is attributed to (a Device when automatically generated) ele-1: All FHIR elements must have a @value or children
contributor		0..*	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam)	Who provided the contents of the care plan. ele-1: All FHIR elements must have a @value or children
addresses	Σ	0..*	Reference(Condition: Primary Cancer)	Health issues this plan addresses ele-1: All FHIR elements must have a @value or children
supportingInfo		0..*	Reference(Observation: Risk Factor | Resource)	Supporting infos, including risk factors ele-1: All FHIR elements must have a @value or children
activity	C	1..*	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
note		0..2	Annotation	Comments about the plan ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
annotationType		0..1	(Complex)	Annotation Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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) ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
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.note.extension:annotationType.value[x]	preferred	AnnotationTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/annotation-type-vs from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose AllLanguages Max Binding
text		1..1	Narrative	Text summary of the resource, for human interpretation
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 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		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
Slices for scheduled[x]		0..1		When activity is to occur Slice: Unordered, Open by type:$this
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
scheduled[x]:scheduledString		0..1	string	Planned for
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	How to consume/day?
quantity		0..1	SimpleQuantity	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
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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	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	extensible	Recommendation (a valid code from PCSP Recommendations) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-recommendation-eu-pcsp from this IG
CarePlan.activity.detail.reasonCode	extensible	RiskCondition (a valid code from PCSP Conditions at risk) http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-riskcondition-eu-pcsp from this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
CarePlan.note.extension:annotationType.value[x]	preferred	AnnotationTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/annotation-type-vs from this IG

This structure is derived from CarePlan

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Observation: Risk Factor (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-riskfactor-eu-pcsp)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/annotation-type

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.activity.detail.scheduled[x]

Other representations of profile: CSV, Excel, Schematron