FHIR Implementation Guide for the Norwegian Municipal Sector
0.2.0 - ci-build
NO
FHIR Implementation Guide for the Norwegian Municipal Sector - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://kommune.conteir.no/StructureDefinition/kommune-careplan | Version: 0.2.0 | |||
| Draft as of 2026-06-19 | Computable Name: KommuneCarePlan | |||
Municipal plan profile for follow-up, goals, interventions and planned activity in health and care services. The profile is used when a system needs to share a plan that shows what the municipality follows up, which goals or interventions are relevant, and which activities are planned or completed. The plan can point to requests, planned appointments, completed contacts, observations, supporting documents, goals and responsible team.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
Σ | 0..* | Identifier | Optional business identifier for the plan |
![]() ![]() |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
![]() ![]() |
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan |
![]() ![]() |
Σ | 0..* | CodeableConcept | Plan type - optional classification Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. |
![]() ![]() |
Σ | 1..1 | Reference(Patient) | Patient - SHOULD reference no-basis-Patient |
![]() ![]() |
Σ | 0..1 | Reference(no-kommune-Encounter) | Encounter where the plan was created or updated |
![]() ![]() |
Σ | 1..1 | Period | Time period plan covers |
![]() ![]() ![]() |
ΣC | 1..1 | dateTime | Starting time with inclusive boundary |
![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Plan author or responsible party - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization |
![]() ![]() |
0..* | Reference(DocumentReference | Condition | Observation | QuestionnaireResponse | Goal) | Information considered as part of plan | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std. |
| CarePlan.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CarePlan
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]() |
0..* | Identifier | Optional business identifier for the plan | |
![]() ![]() |
1..1 | code | proposal | plan | order | option Fixed Value: plan | |
![]() ![]() |
0..* | CodeableConcept | Plan type - optional classification | |
![]() ![]() |
1..1 | Reference(Patient) | Patient - SHOULD reference no-basis-Patient | |
![]() ![]() |
0..1 | Reference(no-kommune-Encounter) | Encounter where the plan was created or updated | |
![]() ![]() |
1..1 | Period | Time period plan covers | |
![]() ![]() ![]() |
1..1 | dateTime | Starting time with inclusive boundary | |
![]() ![]() |
1..1 | Reference(Practitioner | PractitionerRole | Organization) | Plan author or responsible party - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization | |
![]() ![]() |
0..* | Reference(DocumentReference | Condition | Observation | QuestionnaireResponse | Goal) | Information considered as part of plan | |
![]() ![]() |
||||
![]() ![]() ![]() |
0..* | Reference(no-kommune-Encounter | Observation | Procedure | DocumentReference) | Outcome of planned activity - SHOULD use no-basis-DocumentReference or no-basis-Procedure where relevant | |
![]() ![]() ![]() |
0..1 | Reference(no-kommune-ServiceRequest | Task | Appointment) | Activity details defined in specific resource | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | CarePlan | Healthcare plan for patient or group | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | Optional business identifier for the plan | ||||
![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
![]() ![]() |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ||||
![]() ![]() |
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Plan type - optional classification Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | ||||
![]() ![]() |
Σ | 0..1 | string | Human-friendly name for the care plan | ||||
![]() ![]() |
Σ | 0..1 | string | Summary of nature of plan | ||||
![]() ![]() |
Σ | 1..1 | Reference(Patient) | Patient - SHOULD reference no-basis-Patient | ||||
![]() ![]() |
Σ | 0..1 | Reference(no-kommune-Encounter) | Encounter where the plan was created or updated | ||||
![]() ![]() |
Σ | 1..1 | Period | Time period plan covers | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
ΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() |
Σ | 0..1 | dateTime | Date record was first recorded | ||||
![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Plan author or responsible party - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization | ||||
![]() ![]() |
0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||
![]() ![]() |
0..* | Reference(CareTeam) | Who's involved in plan? | |||||
![]() ![]() |
Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
![]() ![]() |
0..* | Reference(DocumentReference | Condition | Observation | QuestionnaireResponse | Goal) | Information considered as part of plan | |||||
![]() ![]() |
0..* | Reference(Goal) | Desired outcome of plan | |||||
![]() ![]() |
C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
![]() ![]() ![]() |
0..* | Reference(no-kommune-Encounter | Observation | Procedure | DocumentReference) | Outcome of planned activity - SHOULD use no-basis-DocumentReference or no-basis-Procedure where relevant | |||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the activity status/progress | |||||
![]() ![]() ![]() |
C | 0..1 | Reference(no-kommune-ServiceRequest | Task | Appointment) | Activity details defined in specific resource | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | In-line definition of activity | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | |||||
![]() ![]() ![]() ![]() |
0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
![]() ![]() ![]() ![]() |
0..* | uri | Instantiates external protocol or definition | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | |||||
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Goal) | Goals this activity relates to | |||||
![]() ![]() ![]() ![]() |
?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reason for current status | |||||
![]() ![]() ![]() ![]() |
?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
![]() ![]() ![]() ![]() |
0..1 | When activity is to occur | ||||||
![]() ![]() ![]() ![]() ![]() |
Timing | |||||||
![]() ![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Location) | Where it should happen | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||
![]() ![]() ![]() ![]() |
0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() |
Reference(Medication | Substance) | |||||||
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | How to consume/day? | |||||
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | How much to administer/supply/consume | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Extra info describing activity to perform | |||||
![]() ![]() |
0..* | Annotation | Comments about the plan | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| CarePlan.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std. |
| CarePlan.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.product[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both |
detail.empty() or reference.empty()
|
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CarePlan
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
Σ | 0..* | Identifier | Optional business identifier for the plan |
![]() ![]() |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. |
![]() ![]() |
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan |
![]() ![]() |
Σ | 0..* | CodeableConcept | Plan type - optional classification Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. |
![]() ![]() |
Σ | 1..1 | Reference(Patient) | Patient - SHOULD reference no-basis-Patient |
![]() ![]() |
Σ | 0..1 | Reference(no-kommune-Encounter) | Encounter where the plan was created or updated |
![]() ![]() |
Σ | 1..1 | Period | Time period plan covers |
![]() ![]() ![]() |
ΣC | 1..1 | dateTime | Starting time with inclusive boundary |
![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Plan author or responsible party - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization |
![]() ![]() |
0..* | Reference(DocumentReference | Condition | Observation | QuestionnaireResponse | Goal) | Information considered as part of plan | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std. |
| CarePlan.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from CarePlan
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | CarePlan | Healthcare plan for patient or group | |
![]() ![]() |
0..* | Identifier | Optional business identifier for the plan | |
![]() ![]() |
1..1 | code | proposal | plan | order | option Fixed Value: plan | |
![]() ![]() |
0..* | CodeableConcept | Plan type - optional classification | |
![]() ![]() |
1..1 | Reference(Patient) | Patient - SHOULD reference no-basis-Patient | |
![]() ![]() |
0..1 | Reference(no-kommune-Encounter) | Encounter where the plan was created or updated | |
![]() ![]() |
1..1 | Period | Time period plan covers | |
![]() ![]() ![]() |
1..1 | dateTime | Starting time with inclusive boundary | |
![]() ![]() |
1..1 | Reference(Practitioner | PractitionerRole | Organization) | Plan author or responsible party - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization | |
![]() ![]() |
0..* | Reference(DocumentReference | Condition | Observation | QuestionnaireResponse | Goal) | Information considered as part of plan | |
![]() ![]() |
||||
![]() ![]() ![]() |
0..* | Reference(no-kommune-Encounter | Observation | Procedure | DocumentReference) | Outcome of planned activity - SHOULD use no-basis-DocumentReference or no-basis-Procedure where relevant | |
![]() ![]() ![]() |
0..1 | Reference(no-kommune-ServiceRequest | Task | Appointment) | Activity details defined in specific resource | |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | CarePlan | Healthcare plan for patient or group | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | Optional business identifier for the plan | ||||
![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan) | Fulfills CarePlan | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan) | Part of referenced CarePlan | ||||
![]() ![]() |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. | ||||
![]() ![]() |
?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Fixed Value: plan | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Plan type - optional classification Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. | ||||
![]() ![]() |
Σ | 0..1 | string | Human-friendly name for the care plan | ||||
![]() ![]() |
Σ | 0..1 | string | Summary of nature of plan | ||||
![]() ![]() |
Σ | 1..1 | Reference(Patient) | Patient - SHOULD reference no-basis-Patient | ||||
![]() ![]() |
Σ | 0..1 | Reference(no-kommune-Encounter) | Encounter where the plan was created or updated | ||||
![]() ![]() |
Σ | 1..1 | Period | Time period plan covers | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
ΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() |
Σ | 0..1 | dateTime | Date record was first recorded | ||||
![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Plan author or responsible party - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization | ||||
![]() ![]() |
0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan | |||||
![]() ![]() |
0..* | Reference(CareTeam) | Who's involved in plan? | |||||
![]() ![]() |
Σ | 0..* | Reference(Condition) | Health issues this plan addresses | ||||
![]() ![]() |
0..* | Reference(DocumentReference | Condition | Observation | QuestionnaireResponse | Goal) | Information considered as part of plan | |||||
![]() ![]() |
0..* | Reference(Goal) | Desired outcome of plan | |||||
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C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity. | |||||
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0..* | Reference(no-kommune-Encounter | Observation | Procedure | DocumentReference) | Outcome of planned activity - SHOULD use no-basis-DocumentReference or no-basis-Procedure where relevant | |||||
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0..* | Annotation | Comments about the activity status/progress | |||||
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C | 0..1 | Reference(no-kommune-ServiceRequest | Task | Appointment) | Activity details defined in specific resource | ||||
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C | 0..1 | BackboneElement | In-line definition of activity | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity. | |||||
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0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
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0..* | uri | Instantiates external protocol or definition | |||||
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0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | |||||
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0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc. | |||||
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0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed | |||||
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0..* | Reference(Goal) | Goals this activity relates to | |||||
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?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle. | ||||
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0..1 | CodeableConcept | Reason for current status | |||||
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?! | 0..1 | boolean | If true, activity is prohibiting action | ||||
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0..1 | When activity is to occur | ||||||
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Timing | |||||||
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Period | |||||||
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string | |||||||
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0..1 | Reference(Location) | Where it should happen | |||||
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0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? | |||||
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0..1 | What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity. | ||||||
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CodeableConcept | |||||||
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Reference(Medication | Substance) | |||||||
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0..1 | SimpleQuantity(4.0.1) | How to consume/day? | |||||
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0..1 | SimpleQuantity(4.0.1) | How much to administer/supply/consume | |||||
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0..1 | string | Extra info describing activity to perform | |||||
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0..* | Annotation | Comments about the plan | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| CarePlan.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| CarePlan.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.intent | Base | required | Care Plan Intent | 📍4.0.1 | FHIR Std. |
| CarePlan.category | Base | example | Care Plan Category | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.activity.detail.product[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both |
detail.empty() or reference.empty()
|
| dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CarePlan | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CarePlan | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CarePlan
Other representations of profile: CSV, Excel, Schematron