1.2.0 - release

KLGateway, published by KL. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7dk/kl-gateway/ and changes regularly. See the Directory of published versions

Resource Profile: KLGatewayCarePlannedIntervention - Detailed Descriptions

Active as of 2024-10-31

Definitions for the klgateway-care-planned-intervention resource profile.

Guidance on how to interpret the contents of this table can be found here

0. CarePlan
2. CarePlan.extension
SlicingThis element introduces a set of slices on CarePlan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. CarePlan.extension:followUpEncounter
    Slice NamefollowUpEncounter
    Definition

    Encounter for following up on this intervention. Must be present if a follow-up date is known

    Short[DK] indsatsPlanlagtOpfølgning
    Control0..1
    TypeExtension(CareFollowUpEncounterExtension) (Extension Type: Reference(CareEncounter)bundled)
    Must Supporttrue
    6. CarePlan.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..0
    8. CarePlan.instantiatesCanonical
    Control0..0
    10. CarePlan.instantiatesUri
    Control0..0
    12. CarePlan.basedOn
    Control0..0
    14. CarePlan.replaces
    Control0..0
    16. CarePlan.partOf
    Control0..0
    18. CarePlan.status
    Definition

    Shall be either unknown, entered-in-error, or the status of the intervention at the time of reporting

    Short[DK] indsatsstatus
    20. CarePlan.intent
    Short[DK] indsatshensigt
    Pattern Valueplan
    22. CarePlan.category
    Control0..0
    24. CarePlan.title
    Control0..0
    26. CarePlan.description
    Control0..0
    28. CarePlan.subject
    Short[DK] indsatssubjekt
    TypeReference(CareCitizen)bundled
    30. CarePlan.encounter
    Control0..0
    32. CarePlan.period
    Control1..?
    34. CarePlan.period.start
    Short[DK] indsatsbevillingstid
    Control1..?
    36. CarePlan.period.end
    Short[DK] indsatsafslutningstid
    38. CarePlan.created
    Control0..0
    40. CarePlan.author
    Control0..0
    42. CarePlan.contributor
    Control0..0
    44. CarePlan.careTeam
    Control0..0
    46. CarePlan.addresses
    Control0..0
    48. CarePlan.supportingInfo
    Control0..0
    50. CarePlan.goal
    Control0..0
    52. CarePlan.activity
    Control1..1
    54. CarePlan.activity.outcomeCodeableConcept
    Control0..0
    56. CarePlan.activity.outcomeReference
    Short[DK] indsatsgennemførtAktivitet
    Control0..0
    58. CarePlan.activity.progress
    Control0..0
    60. CarePlan.activity.reference
    Control0..0
    62. CarePlan.activity.detail
    Control1..?
    64. CarePlan.activity.detail.extension
    SlicingThis element introduces a set of slices on CarePlan.activity.detail.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 66. CarePlan.activity.detail.extension:deliveryType
      Slice NamedeliveryType
      Short[DK] indsatsLeveringstype
      Control0..*
      TypeExtension(DeliveryType) (Extension Type: CodeableConcept)
      68. CarePlan.activity.detail.extension:deliveryType.value[x]
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      70. CarePlan.activity.detail.extension:deliveryType.value[x].coding
      BindingThe codes SHALL be taken from DeliveryTypes
      (required to http://fhir.kl.dk/gateway/ValueSet/DeliveryTypes)
      72. CarePlan.activity.detail.kind
      Control0..0
      74. CarePlan.activity.detail.instantiatesCanonical
      Control0..0
      76. CarePlan.activity.detail.instantiatesUri
      Control0..0
      78. CarePlan.activity.detail.code
      Control1..?
      80. CarePlan.activity.detail.code.coding
      Short[DK] indsatsskode
      Control1..?
      SlicingThis element introduces a set of slices on CarePlan.activity.detail.code.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • value @ system
      • 82. CarePlan.activity.detail.code.coding:level2
        Slice Namelevel2
        Control1..1
        BindingThe codes SHALL be taken from FSIIICareInterventions
        (required to http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions)
        84. CarePlan.activity.detail.code.coding:level2.system
        Control1..?
        Pattern Valueurn:oid:1.2.208.176.2.21
        86. CarePlan.activity.detail.code.coding:level3
        Slice Namelevel3
        Definition

        Shall contain locally defined code if it is a locally defined level 3 intervention

        Control0..1
        Must Supporttrue
        88. CarePlan.activity.detail.code.coding:level3.system
        Control1..?
        Pattern Valuehttp://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
        90. CarePlan.activity.detail.code.coding:level3.code
        Control1..?
        92. CarePlan.activity.detail.code.coding:level3.display
        Control1..?
        94. CarePlan.activity.detail.reasonCode
        Control0..0
        96. CarePlan.activity.detail.reasonReference
        Definition

        Reason for this intervention. Must contain all conditions known to be addressed by this intervention

        Short[DK] indsatsbegrundelse
        TypeReference(CareCondition)bundled
        Must Supporttrue
        98. CarePlan.activity.detail.goal
        Control0..0
        100. CarePlan.activity.detail.status
        Definition

        Shall be either unknown, entered-in-error, or the activity status of the intervention at the time of reporting

        Short[DK] indsatsAktivitetsstatus
        102. CarePlan.activity.detail.statusReason
        Control0..0
        104. CarePlan.activity.detail.doNotPerform
        Control0..0
        106. CarePlan.activity.detail.scheduled[x]
        Control0..0
        108. CarePlan.activity.detail.location
        Control0..0
        110. CarePlan.activity.detail.performer
        Control0..0
        112. CarePlan.activity.detail.product[x]
        Control0..0
        114. CarePlan.activity.detail.dailyAmount
        Control0..0
        116. CarePlan.activity.detail.quantity
        Control0..0
        118. CarePlan.activity.detail.description
        Short[DK] handlingsanvisning
        Control0..0
        120. CarePlan.note
        Control0..0

        Guidance on how to interpret the contents of this table can be found here

        0. CarePlan
        Definition

        Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.

        ShortHealthcare plan for patient or group
        Control0..*
        Is Modifierfalse
        Summaryfalse
        Alternate NamesCare Team
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. CarePlan.implicitRules
        Definition

        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

        ShortA set of rules under which this content was created
        Comments

        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

        Control0..1
        Typeuri
        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        4. CarePlan.extension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortExtensionAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on CarePlan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 6. CarePlan.extension:followUpEncounter
          Slice NamefollowUpEncounter
          Definition

          Encounter for following up on this intervention. Must be present if a follow-up date is known

          Short[DK] indsatsPlanlagtOpfølgning
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeExtension(CareFollowUpEncounterExtension) (Extension Type: Reference(CareEncounter)bundled)
          Is Modifierfalse
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          8. CarePlan.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          10. CarePlan.identifier
          Definition

          Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

          ShortExternal Ids for this plan
          Comments

          This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0*
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. CarePlan.instantiatesCanonical
          Definition

          The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.

          ShortInstantiates FHIR protocol or definition
          Control0..0*
          Typecanonical(PlanDefinition, Questionnaire, Measure, ActivityDefinition, OperationDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. CarePlan.instantiatesUri
          Definition

          The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.

          ShortInstantiates external protocol or definition
          Comments

          This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

          Control0..0*
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. CarePlan.basedOn
          Definition

          A care plan that is fulfilled in whole or in part by this care plan.

          ShortFulfills CarePlan
          Control0..0*
          TypeReference(CarePlan)
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.

          Alternate Namesfulfills
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. CarePlan.replaces
          Definition

          Completed or terminated care plan whose function is taken by this new care plan.

          ShortCarePlan replaced by this CarePlan
          Comments

          The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.

          Control0..0*
          TypeReference(CarePlan)
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.

          Alternate Namessupersedes
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. CarePlan.partOf
          Definition

          A larger care plan of which this particular care plan is a component or step.

          ShortPart of referenced CarePlan
          Comments

          Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.

          Control0..0*
          TypeReference(CarePlan)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. CarePlan.status
          Definition

          Shall be either unknown, entered-in-error, or the status of the intervention at the time of reporting


          Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

          Short[DK] indsatsstatusdraft | active | on-hold | revoked | completed | entered-in-error | unknown
          Comments

          The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.

          This element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.

          Control1..1
          BindingThe codes SHALL be taken from RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1
          (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1)

          Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

          Typecode
          Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows clinicians to determine whether the plan is actionable or not.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. CarePlan.intent
          Definition

          Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.

          Short[DK] indsatshensigtproposal | plan | order | option
          Comments

          This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

          Control1..1
          BindingThe codes SHALL be taken from CarePlanIntenthttp://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
          (required to http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1)

          Codes indicating the degree of authority/intentionality associated with a care plan.

          Typecode
          Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.

          Pattern Valueplan
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. CarePlan.category
          Definition

          Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc.

          ShortType of plan
          Comments

          There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.

          Control0..0*
          BindingFor example codes, see CarePlanCategoryhttp://hl7.org/fhir/ValueSet/care-plan-category
          (example to http://hl7.org/fhir/ValueSet/care-plan-category)

          Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Used for filtering what plan(s) are retrieved and displayed to different types of users.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. CarePlan.title
          Definition

          Human-friendly name for the care plan.

          ShortHuman-friendly name for the care plan
          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. CarePlan.description
          Definition

          A description of the scope and nature of the plan.

          ShortSummary of nature of plan
          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Provides more detail than conveyed by category.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. CarePlan.subject
          Definition

          Identifies the patient or group whose intended care is described by the plan.

          Short[DK] indsatssubjektWho the care plan is for
          Control1..1
          TypeReference(CareCitizen, Patient, Group)bundled
          Is Modifierfalse
          Summarytrue
          Alternate Namespatient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          34. CarePlan.encounter
          Definition

          The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.

          ShortEncounter created as part of
          Comments

          This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.

          Control0..01
          TypeReference(Encounter)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. CarePlan.period
          Definition

          Indicates when the plan did (or is intended to) come into effect and end.

          ShortTime period plan covers
          Comments

          Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).

          Control10..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows tracking what plan(s) are in effect at a particular time.

          Alternate Namestiming
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. CarePlan.period.start
          Definition

          The start of the period. The boundary is inclusive.

          Short[DK] indsatsbevillingstidStarting time with inclusive boundary
          Comments

          If the low element is missing, the meaning is that the low boundary is not known.

          Control10..1
          This element is affected by the following invariants: per-1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. CarePlan.period.end
          Definition

          The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

          Short[DK] indsatsafslutningstidEnd time with inclusive boundary, if not ongoing
          Comments

          The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

          Control0..1
          This element is affected by the following invariants: per-1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. CarePlan.created
          Definition

          Represents when this particular CarePlan record was created in the system, which is often a system-generated date.

          ShortDate record was first recorded
          Control0..01
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesauthoredOn
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. CarePlan.author
          Definition

          When populated, the author is responsible for the care plan. The care plan is attributed to the author.

          ShortWho is the designated responsible party
          Comments

          The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor.

          Control0..01
          TypeReference(Patient, Practitioner, PractitionerRole, Device, RelatedPerson, Organization, CareTeam)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. CarePlan.contributor
          Definition

          Identifies the individual(s) or organization who provided the contents of the care plan.

          ShortWho provided the content of the care plan
          Comments

          Collaborative care plans may have multiple contributors.

          Control0..0*
          TypeReference(Patient, Practitioner, PractitionerRole, Device, RelatedPerson, Organization, CareTeam)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. CarePlan.careTeam
          Definition

          Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.

          ShortWho's involved in plan?
          Control0..0*
          TypeReference(CareTeam)
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. CarePlan.addresses
          Definition

          Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.

          ShortHealth issues this plan addresses
          Comments

          When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.

          Control0..0*
          TypeReference(Condition)
          Is Modifierfalse
          Summarytrue
          Requirements

          Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like "at risk for hypertension" or "fall risk".) Also scopes plans - multiple plans may exist addressing different concerns.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. CarePlan.supportingInfo
          Definition

          Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc.

          ShortInformation considered as part of plan
          Comments

          Use "concern" to identify specific conditions addressed by the care plan.

          Control0..0*
          TypeReference(Resource)
          Is Modifierfalse
          Summaryfalse
          Requirements

          Identifies barriers and other considerations associated with the care plan.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. CarePlan.goal
          Definition

          Describes the intended objective(s) of carrying out the care plan.

          ShortDesired outcome of plan
          Comments

          Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.

          Control0..0*
          TypeReference(Goal)
          Is Modifierfalse
          Summaryfalse
          Requirements

          Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. CarePlan.activity
          Definition

          Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.

          ShortAction to occur as part of plan
          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Requirements

          Allows systems to prompt for performance of planned activities, and validate plans against best practice.

          Invariantscpl-3: Provide a reference or detail, not both (detail.empty() or reference.empty())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cpl-3: Provide a reference or detail, not both (detail.empty() or reference.empty())
          58. CarePlan.activity.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          60. CarePlan.activity.outcomeCodeableConcept
          Definition

          Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).

          ShortResults of the activity
          Comments

          Note that this should not duplicate the activity status (e.g. completed or in progress).

          Control0..0*
          BindingFor example codes, see CarePlanActivityOutcomehttp://hl7.org/fhir/ValueSet/care-plan-activity-outcome
          (example to http://hl7.org/fhir/ValueSet/care-plan-activity-outcome)

          Identifies the results of the activity.

          TypeCodeableConcept
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. CarePlan.activity.outcomeReference
          Definition

          Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).

          Short[DK] indsatsgennemførtAktivitetAppointment, Encounter, Procedure, etc.
          Comments

          The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.

          Control0..0*
          TypeReference(Resource)
          Is Modifierfalse
          Summaryfalse
          Requirements

          Links plan to resulting actions.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. CarePlan.activity.progress
          Definition

          Notes about the adherence/status/progress of the activity.

          ShortComments about the activity status/progress
          Comments

          This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.

          Control0..0*
          TypeAnnotation
          Is Modifierfalse
          Summaryfalse
          Requirements

          Can be used to capture information about adherence, progress, concerns, etc.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. CarePlan.activity.reference
          Definition

          The details of the proposed activity represented in a specific resource.

          ShortActivity details defined in specific resource
          Comments

          Standard extension exists (resource-pertainsToGoal) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.
          The goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan. Requests that are pointed to by a CarePlan using this element should not point to this CarePlan using the "basedOn" element. i.e. Requests that are part of a CarePlan are not "based on" the CarePlan.

          Control0..01
          This element is affected by the following invariants: cpl-3
          TypeReference(Appointment, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, Task, ServiceRequest, VisionPrescription, RequestGroup)
          Is Modifierfalse
          Summaryfalse
          Requirements

          Details in a form consistent with other applications and contexts of use.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. CarePlan.activity.detail
          Definition

          A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.

          ShortIn-line definition of activity
          Control10..1
          This element is affected by the following invariants: cpl-3
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Requirements

          Details in a simple form for generic care plan systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. CarePlan.activity.detail.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortExtensionAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on CarePlan.activity.detail.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 72. CarePlan.activity.detail.extension:deliveryType
            Slice NamedeliveryType
            Definition

            Extension for a code that specifies some context of how a treatment-activity is delivered to a patient

            Short[DK] indsatsLeveringstype
            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(DeliveryType) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            74. CarePlan.activity.detail.extension:deliveryType.extension
            Definition

            An Extension


            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortExtensionAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on CarePlan.activity.detail.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 76. CarePlan.activity.detail.extension:deliveryType.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Valuehttp://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
              78. CarePlan.activity.detail.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              80. CarePlan.activity.detail.kind
              Definition

              A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.

              ShortAppointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
              Control0..01
              BindingThe codes SHALL be taken from CarePlanActivityKindhttp://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1
              (required to http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1)

              Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

              May determine what types of extensions are permitted.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. CarePlan.activity.detail.instantiatesCanonical
              Definition

              The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.

              ShortInstantiates FHIR protocol or definition
              Control0..0*
              Typecanonical(PlanDefinition, ActivityDefinition, Questionnaire, Measure, OperationDefinition)
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

              Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. CarePlan.activity.detail.instantiatesUri
              Definition

              The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.

              ShortInstantiates external protocol or definition
              Comments

              This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

              Control0..0*
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

              Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. CarePlan.activity.detail.code
              Definition

              Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.

              ShortDetail type of activity
              Comments

              Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.

              Control10..1
              BindingFor example codes, see ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code
              (example to http://hl7.org/fhir/ValueSet/procedure-code)

              Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Requirements

              Allows matching performed to planned as well as validation against protocols.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. CarePlan.activity.detail.code.coding
              Definition

              A reference to a code defined by a terminology system.

              Short[DK] indsatsskodeCode defined by a terminology system
              Comments

              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

              Control10..*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on CarePlan.activity.detail.code.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • value @ system
              • 90. CarePlan.activity.detail.code.coding:level2
                Slice Namelevel2
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control10..1*
                BindingThe codes SHALL be taken from For codes, see FSIIICareInterventions
                (required to http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions)
                TypeCoding
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                92. CarePlan.activity.detail.code.coding:level2.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Pattern Valueurn:oid:1.2.208.176.2.21
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                94. CarePlan.activity.detail.code.coding:level3
                Slice Namelevel3
                Definition

                Shall contain locally defined code if it is a locally defined level 3 intervention


                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control0..1*
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                96. CarePlan.activity.detail.code.coding:level3.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Pattern Valuehttp://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                98. CarePlan.activity.detail.code.coding:level3.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. CarePlan.activity.detail.code.coding:level3.display
                Definition

                A representation of the meaning of the code in the system, following the rules of the system.

                ShortRepresentation defined by the system
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. CarePlan.activity.detail.reasonCode
                Definition

                Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.

                ShortWhy activity should be done or why activity was prohibited
                Comments

                This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.

                Control0..0*
                BindingFor example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings
                (example to http://hl7.org/fhir/ValueSet/clinical-findings)

                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.

                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                104. CarePlan.activity.detail.reasonReference
                Definition

                Reason for this intervention. Must contain all conditions known to be addressed by this intervention


                Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.

                Short[DK] indsatsbegrundelseWhy activity is needed
                Comments

                Conditions can be identified at the activity level that are not identified as reasons for the overall plan.

                Control0..*
                TypeReference(CareCondition, Condition, Observation, DiagnosticReport, DocumentReference)bundled
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                106. CarePlan.activity.detail.goal
                Definition

                Internal reference that identifies the goals that this activity is intended to contribute towards meeting.

                ShortGoals this activity relates to
                Control0..0*
                TypeReference(Goal)
                Is Modifierfalse
                Summaryfalse
                Requirements

                So that participants know the link explicitly.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                108. CarePlan.activity.detail.status
                Definition

                Shall be either unknown, entered-in-error, or the activity status of the intervention at the time of reporting


                Identifies what progress is being made for the specific activity.

                Short[DK] indsatsAktivitetsstatusnot-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
                Comments

                Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.
                The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.

                Control1..1
                BindingThe codes SHALL be taken from CarePlanActivityStatushttp://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1)

                Codes that reflect the current state of a care plan activity within its overall life cycle.

                Typecode
                Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Requirements

                Indicates progress against the plan, whether the activity is still relevant for the plan.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                110. CarePlan.activity.detail.statusReason
                Definition

                Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.

                ShortReason for current status
                Comments

                Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.

                Control0..01
                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                112. CarePlan.activity.detail.doNotPerform
                Definition

                If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.

                ShortIf true, activity is prohibiting action
                Comments

                This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.

                Control0..01
                Typeboolean
                Is Modifiertrue because If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Requirements

                Captures intention to not do something that may have been previously typical.

                Meaning if MissingIf missing indicates that the described activity is one that should be engaged in when following the plan.
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                114. CarePlan.activity.detail.scheduled[x]
                Definition

                The period, timing or frequency upon which the described activity is to occur.

                ShortWhen activity is to occur
                Control0..01
                TypeChoice of: Timing, Period, string
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Requirements

                Allows prompting for activities and detection of missed planned activities.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                116. CarePlan.activity.detail.location
                Definition

                Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.

                ShortWhere it should happen
                Comments

                May reference a specific clinical location or may identify a type of location.

                Control0..01
                TypeReference(Location)
                Is Modifierfalse
                Summaryfalse
                Requirements

                Helps in planning of activity.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                118. CarePlan.activity.detail.performer
                Definition

                Identifies who's expected to be involved in the activity.

                ShortWho will be responsible?
                Comments

                A performer MAY also be a participant in the care plan.

                Control0..0*
                TypeReference(Practitioner, PractitionerRole, Organization, RelatedPerson, Patient, CareTeam, HealthcareService, Device)
                Is Modifierfalse
                Summaryfalse
                Requirements

                Helps in planning of activity.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                120. CarePlan.activity.detail.product[x]
                Definition

                Identifies the food, drug or other product to be consumed or supplied in the activity.

                ShortWhat is to be administered/supplied
                Control0..01
                BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
                (example to http://hl7.org/fhir/ValueSet/medication-codes)

                A product supplied or administered as part of a care plan activity.

                TypeChoice of: CodeableConcept, Reference(Medication, Substance)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                122. CarePlan.activity.detail.dailyAmount
                Definition

                Identifies the quantity expected to be consumed in a given day.

                ShortHow to consume/day?
                Control0..01
                TypeQuantity(SimpleQuantity)
                Is Modifierfalse
                Summaryfalse
                Requirements

                Allows rough dose checking.

                Alternate Namesdaily dose
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                124. CarePlan.activity.detail.quantity
                Definition

                Identifies the quantity expected to be supplied, administered or consumed by the subject.

                ShortHow much to administer/supply/consume
                Control0..01
                TypeQuantity(SimpleQuantity)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                126. CarePlan.activity.detail.description
                Definition

                This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.

                Short[DK] handlingsanvisningExtra info describing activity to perform
                Control0..01
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                128. CarePlan.note
                Definition

                General notes about the care plan not covered elsewhere.

                ShortComments about the plan
                Control0..0*
                TypeAnnotation
                Is Modifierfalse
                Summaryfalse
                Requirements

                Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                Guidance on how to interpret the contents of this table can be found here

                0. CarePlan
                Definition

                Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.

                ShortHealthcare plan for patient or group
                Control0..*
                Is Modifierfalse
                Summaryfalse
                Alternate NamesCare Team
                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                dom-6: A resource should have narrative for robust management (text.`div`.exists())
                2. CarePlan.id
                Definition

                The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                ShortLogical id of this artifact
                Comments

                The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                Control0..1
                Typeid
                Is Modifierfalse
                Summarytrue
                4. CarePlan.meta
                Definition

                The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                ShortMetadata about the resource
                Control0..1
                TypeMeta
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                6. CarePlan.implicitRules
                Definition

                A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                ShortA set of rules under which this content was created
                Comments

                Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                Control0..1
                Typeuri
                Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                8. CarePlan.language
                Definition

                The base language in which the resource is written.

                ShortLanguage of the resource content
                Comments

                Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                Control0..1
                BindingThe codes SHOULD be taken from CommonLanguages
                (preferred to http://hl7.org/fhir/ValueSet/languages)

                A human language.

                Additional BindingsPurpose
                AllLanguagesMax Binding
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                10. CarePlan.text
                Definition

                A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                ShortText summary of the resource, for human interpretation
                Comments

                Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                Control0..1
                TypeNarrative
                Is Modifierfalse
                Summaryfalse
                Alternate Namesnarrative, html, xhtml, display
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                12. CarePlan.contained
                Definition

                These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                ShortContained, inline Resources
                Comments

                This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                Control0..*
                TypeResource
                Is Modifierfalse
                Summaryfalse
                Alternate Namesinline resources, anonymous resources, contained resources
                14. CarePlan.extension
                Definition

                An Extension

                ShortExtension
                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on CarePlan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 16. CarePlan.extension:followUpEncounter
                  Slice NamefollowUpEncounter
                  Definition

                  Encounter for following up on this intervention. Must be present if a follow-up date is known

                  Short[DK] indsatsPlanlagtOpfølgning
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(CareFollowUpEncounterExtension) (Extension Type: Reference(CareEncounter)bundled)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  18. CarePlan.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                  Summaryfalse
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  20. CarePlan.identifier
                  Definition

                  Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

                  ShortExternal Ids for this plan
                  Comments

                  This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..0
                  TypeIdentifier
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  22. CarePlan.instantiatesCanonical
                  Definition

                  The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.

                  ShortInstantiates FHIR protocol or definition
                  Control0..0
                  Typecanonical(PlanDefinition, Questionnaire, Measure, ActivityDefinition, OperationDefinition)
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  24. CarePlan.instantiatesUri
                  Definition

                  The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.

                  ShortInstantiates external protocol or definition
                  Comments

                  This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

                  Control0..0
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  26. CarePlan.basedOn
                  Definition

                  A care plan that is fulfilled in whole or in part by this care plan.

                  ShortFulfills CarePlan
                  Control0..0
                  TypeReference(CarePlan)
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.

                  Alternate Namesfulfills
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  28. CarePlan.replaces
                  Definition

                  Completed or terminated care plan whose function is taken by this new care plan.

                  ShortCarePlan replaced by this CarePlan
                  Comments

                  The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.

                  Control0..0
                  TypeReference(CarePlan)
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.

                  Alternate Namessupersedes
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  30. CarePlan.partOf
                  Definition

                  A larger care plan of which this particular care plan is a component or step.

                  ShortPart of referenced CarePlan
                  Comments

                  Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.

                  Control0..0
                  TypeReference(CarePlan)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  32. CarePlan.status
                  Definition

                  Shall be either unknown, entered-in-error, or the status of the intervention at the time of reporting

                  Short[DK] indsatsstatus
                  Comments

                  The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.

                  This element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.

                  Control1..1
                  BindingThe codes SHALL be taken from RequestStatus
                  (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1)

                  Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

                  Typecode
                  Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Allows clinicians to determine whether the plan is actionable or not.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  34. CarePlan.intent
                  Definition

                  Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.

                  Short[DK] indsatshensigt
                  Comments

                  This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

                  Control1..1
                  BindingThe codes SHALL be taken from CarePlanIntent
                  (required to http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1)

                  Codes indicating the degree of authority/intentionality associated with a care plan.

                  Typecode
                  Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.

                  Pattern Valueplan
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  36. CarePlan.category
                  Definition

                  Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc.

                  ShortType of plan
                  Comments

                  There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.

                  Control0..0
                  BindingFor example codes, see CarePlanCategory
                  (example to http://hl7.org/fhir/ValueSet/care-plan-category)

                  Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Used for filtering what plan(s) are retrieved and displayed to different types of users.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  38. CarePlan.title
                  Definition

                  Human-friendly name for the care plan.

                  ShortHuman-friendly name for the care plan
                  Control0..0
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  40. CarePlan.description
                  Definition

                  A description of the scope and nature of the plan.

                  ShortSummary of nature of plan
                  Control0..0
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Provides more detail than conveyed by category.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  42. CarePlan.subject
                  Definition

                  Identifies the patient or group whose intended care is described by the plan.

                  Short[DK] indsatssubjekt
                  Control1..1
                  TypeReference(CareCitizen)bundled
                  Is Modifierfalse
                  Summarytrue
                  Alternate Namespatient
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  44. CarePlan.encounter
                  Definition

                  The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.

                  ShortEncounter created as part of
                  Comments

                  This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.

                  Control0..0
                  TypeReference(Encounter)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  46. CarePlan.period
                  Definition

                  Indicates when the plan did (or is intended to) come into effect and end.

                  ShortTime period plan covers
                  Comments

                  Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).

                  Control1..1
                  TypePeriod
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows tracking what plan(s) are in effect at a particular time.

                  Alternate Namestiming
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  48. CarePlan.period.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  50. CarePlan.period.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on CarePlan.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 52. CarePlan.period.start
                    Definition

                    The start of the period. The boundary is inclusive.

                    Short[DK] indsatsbevillingstid
                    Comments

                    If the low element is missing, the meaning is that the low boundary is not known.

                    Control1..1
                    This element is affected by the following invariants: per-1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    54. CarePlan.period.end
                    Definition

                    The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                    Short[DK] indsatsafslutningstid
                    Comments

                    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                    Control0..1
                    This element is affected by the following invariants: per-1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    56. CarePlan.created
                    Definition

                    Represents when this particular CarePlan record was created in the system, which is often a system-generated date.

                    ShortDate record was first recorded
                    Control0..0
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Alternate NamesauthoredOn
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. CarePlan.author
                    Definition

                    When populated, the author is responsible for the care plan. The care plan is attributed to the author.

                    ShortWho is the designated responsible party
                    Comments

                    The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor.

                    Control0..0
                    TypeReference(Patient, Practitioner, PractitionerRole, Device, RelatedPerson, Organization, CareTeam)
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. CarePlan.contributor
                    Definition

                    Identifies the individual(s) or organization who provided the contents of the care plan.

                    ShortWho provided the content of the care plan
                    Comments

                    Collaborative care plans may have multiple contributors.

                    Control0..0
                    TypeReference(Patient, Practitioner, PractitionerRole, Device, RelatedPerson, Organization, CareTeam)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    62. CarePlan.careTeam
                    Definition

                    Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.

                    ShortWho's involved in plan?
                    Control0..0
                    TypeReference(CareTeam)
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. CarePlan.addresses
                    Definition

                    Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.

                    ShortHealth issues this plan addresses
                    Comments

                    When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.

                    Control0..0
                    TypeReference(Condition)
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like "at risk for hypertension" or "fall risk".) Also scopes plans - multiple plans may exist addressing different concerns.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. CarePlan.supportingInfo
                    Definition

                    Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc.

                    ShortInformation considered as part of plan
                    Comments

                    Use "concern" to identify specific conditions addressed by the care plan.

                    Control0..0
                    TypeReference(Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Identifies barriers and other considerations associated with the care plan.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. CarePlan.goal
                    Definition

                    Describes the intended objective(s) of carrying out the care plan.

                    ShortDesired outcome of plan
                    Comments

                    Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.

                    Control0..0
                    TypeReference(Goal)
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. CarePlan.activity
                    Definition

                    Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.

                    ShortAction to occur as part of plan
                    Control1..1
                    TypeBackboneElement
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Allows systems to prompt for performance of planned activities, and validate plans against best practice.

                    Invariantscpl-3: Provide a reference or detail, not both (detail.empty() or reference.empty())
                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. CarePlan.activity.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    74. CarePlan.activity.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    76. CarePlan.activity.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    78. CarePlan.activity.outcomeCodeableConcept
                    Definition

                    Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).

                    ShortResults of the activity
                    Comments

                    Note that this should not duplicate the activity status (e.g. completed or in progress).

                    Control0..0
                    BindingFor example codes, see CarePlanActivityOutcome
                    (example to http://hl7.org/fhir/ValueSet/care-plan-activity-outcome)

                    Identifies the results of the activity.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    80. CarePlan.activity.outcomeReference
                    Definition

                    Details of the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).

                    Short[DK] indsatsgennemførtAktivitet
                    Comments

                    The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.

                    Control0..0
                    TypeReference(Resource)
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Links plan to resulting actions.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    82. CarePlan.activity.progress
                    Definition

                    Notes about the adherence/status/progress of the activity.

                    ShortComments about the activity status/progress
                    Comments

                    This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.

                    Control0..0
                    TypeAnnotation
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Can be used to capture information about adherence, progress, concerns, etc.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    84. CarePlan.activity.reference
                    Definition

                    The details of the proposed activity represented in a specific resource.

                    ShortActivity details defined in specific resource
                    Comments

                    Standard extension exists (resource-pertainsToGoal) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.
                    The goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan. Requests that are pointed to by a CarePlan using this element should not point to this CarePlan using the "basedOn" element. i.e. Requests that are part of a CarePlan are not "based on" the CarePlan.

                    Control0..0
                    This element is affected by the following invariants: cpl-3
                    TypeReference(Appointment, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, Task, ServiceRequest, VisionPrescription, RequestGroup)
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Details in a form consistent with other applications and contexts of use.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    86. CarePlan.activity.detail
                    Definition

                    A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.

                    ShortIn-line definition of activity
                    Control1..1
                    This element is affected by the following invariants: cpl-3
                    TypeBackboneElement
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Details in a simple form for generic care plan systems.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    88. CarePlan.activity.detail.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    90. CarePlan.activity.detail.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on CarePlan.activity.detail.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 92. CarePlan.activity.detail.extension:deliveryType
                      Slice NamedeliveryType
                      Definition

                      Extension for a code that specifies some context of how a treatment-activity is delivered to a patient

                      Short[DK] indsatsLeveringstype
                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension(DeliveryType) (Extension Type: CodeableConcept)
                      Is Modifierfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      94. CarePlan.activity.detail.extension:deliveryType.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      96. CarePlan.activity.detail.extension:deliveryType.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..0
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on CarePlan.activity.detail.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 98. CarePlan.activity.detail.extension:deliveryType.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuehttp://fhir.kl.dk/gateway/StructureDefinition/DeliveryType
                        100. CarePlan.activity.detail.extension:deliveryType.value[x]
                        Definition

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortValue of extension
                        Control0..1
                        TypeCodeableConcept
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        102. CarePlan.activity.detail.extension:deliveryType.value[x].id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        104. CarePlan.activity.detail.extension:deliveryType.value[x].extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on CarePlan.activity.detail.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 106. CarePlan.activity.detail.extension:deliveryType.value[x].coding
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCode defined by a terminology system
                          Comments

                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                          Control0..*
                          BindingThe codes SHALL be taken from DeliveryTypes
                          (required to http://fhir.kl.dk/gateway/ValueSet/DeliveryTypes)
                          TypeCoding
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          108. CarePlan.activity.detail.extension:deliveryType.value[x].text
                          Definition

                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                          ShortPlain text representation of the concept
                          Comments

                          Very often the text is the same as a displayName of one of the codings.

                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          110. CarePlan.activity.detail.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          112. CarePlan.activity.detail.kind
                          Definition

                          A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.

                          ShortAppointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
                          Control0..0
                          BindingThe codes SHALL be taken from CarePlanActivityKind
                          (required to http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1)

                          Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Requirements

                          May determine what types of extensions are permitted.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          114. CarePlan.activity.detail.instantiatesCanonical
                          Definition

                          The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.

                          ShortInstantiates FHIR protocol or definition
                          Control0..0
                          Typecanonical(PlanDefinition, ActivityDefinition, Questionnaire, Measure, OperationDefinition)
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Requirements

                          Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. CarePlan.activity.detail.instantiatesUri
                          Definition

                          The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.

                          ShortInstantiates external protocol or definition
                          Comments

                          This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

                          Control0..0
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Requirements

                          Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          118. CarePlan.activity.detail.code
                          Definition

                          Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.

                          ShortDetail type of activity
                          Comments

                          Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.

                          Control1..1
                          BindingFor example codes, see ProcedureCodes(SNOMEDCT)
                          (example to http://hl7.org/fhir/ValueSet/procedure-code)

                          Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summaryfalse
                          Requirements

                          Allows matching performed to planned as well as validation against protocols.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          120. CarePlan.activity.detail.code.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          122. CarePlan.activity.detail.code.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on CarePlan.activity.detail.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 124. CarePlan.activity.detail.code.coding
                            Definition

                            A reference to a code defined by a terminology system.

                            Short[DK] indsatsskode
                            Comments

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Control1..*
                            TypeCoding
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on CarePlan.activity.detail.code.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • value @ system
                            • 126. CarePlan.activity.detail.code.coding:level2
                              Slice Namelevel2
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortCode defined by a terminology system
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control1..1
                              BindingThe codes SHALL be taken from FSIIICareInterventions
                              (required to http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions)
                              TypeCoding
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Allows for alternative encodings within a code system, and translations to other code systems.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              128. CarePlan.activity.detail.code.coding:level2.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              130. CarePlan.activity.detail.code.coding:level2.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on CarePlan.activity.detail.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 132. CarePlan.activity.detail.code.coding:level2.system
                                Definition

                                The identification of the code system that defines the meaning of the symbol in the code.

                                ShortIdentity of the terminology system
                                Comments

                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                Control1..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be unambiguous about the source of the definition of the symbol.

                                Pattern Valueurn:oid:1.2.208.176.2.21
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                134. CarePlan.activity.detail.code.coding:level2.version
                                Definition

                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                ShortVersion of the system - if relevant
                                Comments

                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                136. CarePlan.activity.detail.code.coding:level2.code
                                Definition

                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                ShortSymbol in syntax defined by the system
                                Control0..1
                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to refer to a particular code in the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                138. CarePlan.activity.detail.code.coding:level2.display
                                Definition

                                A representation of the meaning of the code in the system, following the rules of the system.

                                ShortRepresentation defined by the system
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                140. CarePlan.activity.detail.code.coding:level2.userSelected
                                Definition

                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                ShortIf this coding was chosen directly by the user
                                Comments

                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                Control0..1
                                Typeboolean
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                142. CarePlan.activity.detail.code.coding:level3
                                Slice Namelevel3
                                Definition

                                Shall contain locally defined code if it is a locally defined level 3 intervention

                                ShortCode defined by a terminology system
                                Comments

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Control0..1
                                TypeCoding
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                144. CarePlan.activity.detail.code.coding:level3.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                146. CarePlan.activity.detail.code.coding:level3.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on CarePlan.activity.detail.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 148. CarePlan.activity.detail.code.coding:level3.system
                                  Definition

                                  The identification of the code system that defines the meaning of the symbol in the code.

                                  ShortIdentity of the terminology system
                                  Comments

                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be unambiguous about the source of the definition of the symbol.

                                  Pattern Valuehttp://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  150. CarePlan.activity.detail.code.coding:level3.version
                                  Definition

                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                  ShortVersion of the system - if relevant
                                  Comments

                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  152. CarePlan.activity.detail.code.coding:level3.code
                                  Definition

                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                  ShortSymbol in syntax defined by the system
                                  Control1..1
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to refer to a particular code in the system.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  154. CarePlan.activity.detail.code.coding:level3.display
                                  Definition

                                  A representation of the meaning of the code in the system, following the rules of the system.

                                  ShortRepresentation defined by the system
                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  156. CarePlan.activity.detail.code.coding:level3.userSelected
                                  Definition

                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                  ShortIf this coding was chosen directly by the user
                                  Comments

                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                  Control0..1
                                  Typeboolean
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  158. CarePlan.activity.detail.code.text
                                  Definition

                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                  ShortPlain text representation of the concept
                                  Comments

                                  Very often the text is the same as a displayName of one of the codings.

                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  160. CarePlan.activity.detail.reasonCode
                                  Definition

                                  Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.

                                  ShortWhy activity should be done or why activity was prohibited
                                  Comments

                                  This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.

                                  Control0..0
                                  BindingFor example codes, see SNOMEDCTClinicalFindings
                                  (example to http://hl7.org/fhir/ValueSet/clinical-findings)

                                  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.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  162. CarePlan.activity.detail.reasonReference
                                  Definition

                                  Reason for this intervention. Must contain all conditions known to be addressed by this intervention

                                  Short[DK] indsatsbegrundelse
                                  Comments

                                  Conditions can be identified at the activity level that are not identified as reasons for the overall plan.

                                  Control0..*
                                  TypeReference(CareCondition)bundled
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  164. CarePlan.activity.detail.goal
                                  Definition

                                  Internal reference that identifies the goals that this activity is intended to contribute towards meeting.

                                  ShortGoals this activity relates to
                                  Control0..0
                                  TypeReference(Goal)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  So that participants know the link explicitly.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  166. CarePlan.activity.detail.status
                                  Definition

                                  Shall be either unknown, entered-in-error, or the activity status of the intervention at the time of reporting

                                  Short[DK] indsatsAktivitetsstatus
                                  Comments

                                  Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.
                                  The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.

                                  Control1..1
                                  BindingThe codes SHALL be taken from CarePlanActivityStatus
                                  (required to http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1)

                                  Codes that reflect the current state of a care plan activity within its overall life cycle.

                                  Typecode
                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Indicates progress against the plan, whether the activity is still relevant for the plan.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  168. CarePlan.activity.detail.statusReason
                                  Definition

                                  Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.

                                  ShortReason for current status
                                  Comments

                                  Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.

                                  Control0..0
                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  170. CarePlan.activity.detail.doNotPerform
                                  Definition

                                  If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.

                                  ShortIf true, activity is prohibiting action
                                  Comments

                                  This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.

                                  Control0..0
                                  Typeboolean
                                  Is Modifiertrue because If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Captures intention to not do something that may have been previously typical.

                                  Meaning if MissingIf missing indicates that the described activity is one that should be engaged in when following the plan.
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  172. CarePlan.activity.detail.scheduled[x]
                                  Definition

                                  The period, timing or frequency upon which the described activity is to occur.

                                  ShortWhen activity is to occur
                                  Control0..0
                                  TypeChoice of: Timing, Period, string
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Allows prompting for activities and detection of missed planned activities.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  174. CarePlan.activity.detail.location
                                  Definition

                                  Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.

                                  ShortWhere it should happen
                                  Comments

                                  May reference a specific clinical location or may identify a type of location.

                                  Control0..0
                                  TypeReference(Location)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Helps in planning of activity.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  176. CarePlan.activity.detail.performer
                                  Definition

                                  Identifies who's expected to be involved in the activity.

                                  ShortWho will be responsible?
                                  Comments

                                  A performer MAY also be a participant in the care plan.

                                  Control0..0
                                  TypeReference(Practitioner, PractitionerRole, Organization, RelatedPerson, Patient, CareTeam, HealthcareService, Device)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Helps in planning of activity.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  178. CarePlan.activity.detail.product[x]
                                  Definition

                                  Identifies the food, drug or other product to be consumed or supplied in the activity.

                                  ShortWhat is to be administered/supplied
                                  Control0..0
                                  BindingFor example codes, see SNOMEDCTMedicationCodes
                                  (example to http://hl7.org/fhir/ValueSet/medication-codes)

                                  A product supplied or administered as part of a care plan activity.

                                  TypeChoice of: CodeableConcept, Reference(Medication, Substance)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  180. CarePlan.activity.detail.dailyAmount
                                  Definition

                                  Identifies the quantity expected to be consumed in a given day.

                                  ShortHow to consume/day?
                                  Control0..0
                                  TypeQuantity(SimpleQuantity)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Allows rough dose checking.

                                  Alternate Namesdaily dose
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  182. CarePlan.activity.detail.quantity
                                  Definition

                                  Identifies the quantity expected to be supplied, administered or consumed by the subject.

                                  ShortHow much to administer/supply/consume
                                  Control0..0
                                  TypeQuantity(SimpleQuantity)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  184. CarePlan.activity.detail.description
                                  Definition

                                  This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.

                                  Short[DK] handlingsanvisning
                                  Control0..0
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  186. CarePlan.note
                                  Definition

                                  General notes about the care plan not covered elsewhere.

                                  ShortComments about the plan
                                  Control0..0
                                  TypeAnnotation
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))