Scope and usage

The KLGatewayChildrenIntervention for the FBU standard is used whenever a need-based intervention is planned for a child or parent in Danish municipalities.

CarePlan.activity.detail.code.coding holds the intervention code, which has to come from the official list of interventions.

It is important to distinguish correctly between the dates and times stated in the model. CarePlan.period.start is when the PlannedIntervention was authorized (bevillingstid). The planned end-date is CarePlan.period.end, unless the date has already occurred and the status is ‘completed’, then it is the actual end-date. It is not necessary to report a planned end-date, if it is unknown. All dates may be reported with or without time of day.

Notice that some interventions have a timeframe, in which several encounters are delivered. Others are planned and delivered without that eliciting extra encounters for the child or parents (or at least without specific documentation of it). The last mentioned may be reported with the same CarePlan.period.start and CarePlan.period.end, or with only a start-date, and there is no requirement to report associated encounters. This holds true for the interventions related to parent-education (forældreuddannelse), parent-group (forældregruppe) and collaboration/referrals (samarbejdsindsatser inkl. henvisninger).

CarePlan.status and CarePlan.intent are mandatory in the FHIR CarePlan resource. CarePlan.intent is always ‘plan’ in this implementation guide. CarePlan status should be either ‘unknown’, ‘entered-in-error’, or the status of the intervention at the time of reporting. Note that the meaning of ‘active’ is “ready to be acted upon”, so it does not signify that the first activity has occurred.

CarePlan.activity.detail.status is also mandatory, and all the statuses in the FHIR ValueSet may be used, however ‘unknown’ is permitted from the time where the intervention occurs in the record until its completion. It is recommended not to use ‘entered-in-error’ - if the CarePlan is entered-in-error use CarePlan.status.

CarePlan.subject references the citizen, that receives the interventions. Note that some interventions should be linked to the child, and others to the parents.

CarePlan.activity.detail.reasonCode.coding may hold one or more condition-codes. Though not mandatory to use, conditions provide a structured way of linking what challenges a family have, with the intervention provided.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificere hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan			CarePlan
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..0
partOf		0..0
status		1..1	code	[DK] indsatsstatus
intent		1..1	code	[DK] indsatshensigt Required Pattern: plan
category		0..0
title		0..0
description		0..0
subject		1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] indsatssubjekt
encounter		0..0
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] indsatsbevillingstid
end		0..1	dateTime	[DK] indsatsafslutningstid
created		0..0
author		0..0
contributor		0..0
careTeam		0..0
addresses		0..0
supportingInfo		0..0
goal		0..0
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0
outcomeReference		0..0
progress		0..0
reference		0..0
detail		1..1	BackboneElement	In-line definition of activity
kind		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
code		1..1	CodeableConcept	Detail type of activity
coding		1..1	Coding	[DK] indsatsskode Binding: Sundhedsplejeindsatser (required)
system		0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
text		0..0
reasonCode
coding		0..*	Coding	[DK] indsatsbegrundelse Binding: Sundhedsplejetilstande (required)
reasonReference		0..0
goal		0..0
status		1..1	code	[DK] indsatsAktivitetsstatus
statusReason		0..0
doNotPerform		0..0
scheduled[x]		0..0
location		0..0
product[x]		0..0
dailyAmount		0..0
quantity		0..0
description		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.code.coding	required	KLHealthNurseInterventions http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions from this IG
CarePlan.activity.detail.reasonCode.coding	required	KLHealthNurseConditions http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions from this IG

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	C	1..1	BackboneElement	In-line definition of activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..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.
coding	Σ	1..1	Coding	[DK] indsatsskode Binding: Sundhedsplejeindsatser (required)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.code.coding	required	KLHealthNurseInterventions http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions from this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	C	1..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] indsatsskode Binding: Sundhedsplejeindsatser (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] indsatsbegrundelse Binding: Sundhedsplejetilstande (required)
text	Σ	0..1	string	Plain text representation of the concept
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.code.coding	required	KLHealthNurseInterventions http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions from this IG
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
CarePlan.activity.detail.reasonCode.coding	required	KLHealthNurseConditions http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions from this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard

Constraints

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

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan			CarePlan
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..0
partOf		0..0
status		1..1	code	[DK] indsatsstatus
intent		1..1	code	[DK] indsatshensigt Required Pattern: plan
category		0..0
title		0..0
description		0..0
subject		1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] indsatssubjekt
encounter		0..0
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] indsatsbevillingstid
end		0..1	dateTime	[DK] indsatsafslutningstid
created		0..0
author		0..0
contributor		0..0
careTeam		0..0
addresses		0..0
supportingInfo		0..0
goal		0..0
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0
outcomeReference		0..0
progress		0..0
reference		0..0
detail		1..1	BackboneElement	In-line definition of activity
kind		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
code		1..1	CodeableConcept	Detail type of activity
coding		1..1	Coding	[DK] indsatsskode Binding: Sundhedsplejeindsatser (required)
system		0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
text		0..0
reasonCode
coding		0..*	Coding	[DK] indsatsbegrundelse Binding: Sundhedsplejetilstande (required)
reasonReference		0..0
goal		0..0
status		1..1	code	[DK] indsatsAktivitetsstatus
statusReason		0..0
doNotPerform		0..0
scheduled[x]		0..0
location		0..0
product[x]		0..0
dailyAmount		0..0
quantity		0..0
description		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.activity.detail.code.coding	required	KLHealthNurseInterventions http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions from this IG
CarePlan.activity.detail.reasonCode.coding	required	KLHealthNurseConditions http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	C	1..1	BackboneElement	In-line definition of activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..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.
coding	Σ	1..1	Coding	[DK] indsatsskode Binding: Sundhedsplejeindsatser (required)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.code.coding	required	KLHealthNurseInterventions http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions from this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] indsatsstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!Σ	1..1	code	[DK] indsatshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayChildrenCitizen) {b}	[DK] indsatssubjekt
period	Σ	1..1	Period	Time period plan covers
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	[DK] indsatsbevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsafslutningstid
activity	C	1..1	BackboneElement	Action to occur as part of plan cpl-3: Provide a reference or detail, not both
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	C	1..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] indsatsskode Binding: Sundhedsplejeindsatser (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] indsatsbegrundelse Binding: Sundhedsplejetilstande (required)
text	Σ	0..1	string	Plain text representation of the concept
status	?!	1..1	code	[DK] indsatsAktivitetsstatus Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CarePlan.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.code.coding	required	KLHealthNurseInterventions http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions from this IG
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
CarePlan.activity.detail.reasonCode.coding	required	KLHealthNurseConditions http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions from this IG
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard

Constraints

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

This structure is derived from CarePlan

Summary

Mandatory: 6 elements
Prohibited: 36 elements

Structures

This structure refers to these other structures:

• KLGatewayChildrenCitizen (http://fhir.kl.dk/children/StructureDefinition/klgateway-children-citizen)