This page is part of the KLFFBMessaging (v1.0.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: OrderCarePlan

FFB care plan being ordered

Usage:

• Refer to this Resource Profile: Intervention and OrderMessageHeader

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from KLCommonCareSocialCarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	KLCommonCareSocialCarePlan	Healthcare plan for patient or group
subjectActingMunicipality	S	0..1	Coding	ActingMunicipality URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality Binding: MunicipalityCodes (required)
status	S	1..1	code	[DK] indsatsforløbstatus
intent	S	1..1	code	[DK] indsatsforløbhensigt
category	S	1..1	CodeableConcept	Type of plan
subject	S	1..1	Reference(Citizen)	[DK] indsatsforløbsubjekt
period	S	0..1	Period	Time period plan covers
created	S	1..1	dateTime	[DK] indsatsforløbOprettelsestid
author	S	1..1	Reference(ParticipatingOrganization)	[DK] indsatsforløbansvarlig
careTeam	S	0..*	Reference(ServicePerformer)	[DK] indsatsforløbsleverandør og indsatsforløbtilbud
addresses	S	1..*	Reference(TargetGroup)	[DK] indsatsforløbmålgruppe
supportingInfo	S	0..*	Reference(RelatedCarePlan)	Information considered as part of plan
goal	S	1..*	Reference(Goal)	Desired outcome of plan
goal:fpurpose		1..1	Reference(InterventionPurpose)	[DK] indsatsforløbFormål
goal:citizenObjective	S	0..*	Reference(CitizenObjective)	Desired outcome of plan
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	KLCommonCareSocialCarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
relevantHistory		0..*	Reference(Provenance)	[DK] indsatsforløbændringshistorie URL: http://hl7.org/fhir/StructureDefinition/request-relevantHistory
municipalityCaseNumber		0..1	(Complex)	[DK] anledningDokumenteretISag URL: http://fhir.kl.dk/core/StructureDefinition/MunicipalityCaseNumber
subjectActingMunicipality	S	0..1	Coding	ActingMunicipality URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality Binding: MunicipalityCodes (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	[DK] indsatsforløbstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	[DK] indsatsforløbhensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..1	CodeableConcept	Type of plan Binding: KLIndsatsforløbTypekoder (extensible)
description	SΣ	0..1	string	[DK] indsatsforløbBeskrivelse
subject	SΣ	1..1	Reference(Citizen)	[DK] indsatsforløbsubjekt
period	SΣ	0..1	Period	Time period plan covers
created	SΣ	1..1	dateTime	[DK] indsatsforløbOprettelsestid
author	SΣ	1..1	Reference(ParticipatingOrganization)	[DK] indsatsforløbansvarlig
careTeam	S	0..*	Reference(ServicePerformer)	[DK] indsatsforløbsleverandør og indsatsforløbtilbud
addresses	SΣ	1..*	Reference(TargetGroup)	[DK] indsatsforløbmålgruppe
conditionRank		0..1	positiveInt	[DK] indsatsforløbsmålgruppeRang URL: http://fhir.kl.dk/core/StructureDefinition/ConditionRank
supportingInfo	S	0..*	Reference(RelatedCarePlan)	Information considered as part of plan
Slices for goal	S	1..*	Reference(Goal)	Desired outcome of plan Slice: Unordered, Open by value:resolve().category
goal:fpurpose		1..1	Reference(InterventionPurpose)	[DK] indsatsforløbFormål
goal:ffbgoal		0..*	Reference(Goal - FFB Intervention)	[DK] indsatsforløbsmål
goal:citizenObjective	S	0..*	Reference(CitizenObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by value:detail.code
activity:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
activity:carePlanEvaluation	C	0..*	BackboneElement	Action to occur as part of plan
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
CarePlan.status	required	RequestStatus
CarePlan.intent	required	CarePlanIntent
CarePlan.category	extensible	KLCarePlanCategoryCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:carePlanEvaluation	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..*	KLCommonCareSocialCarePlan	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
relevantHistory		0..*	Reference(Provenance)	[DK] indsatsforløbændringshistorie URL: http://hl7.org/fhir/StructureDefinition/request-relevantHistory
municipalityCaseNumber		0..1	(Complex)	[DK] anledningDokumenteretISag URL: http://fhir.kl.dk/core/StructureDefinition/MunicipalityCaseNumber
subjectActingMunicipality	S	0..1	Coding	ActingMunicipality URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality Binding: MunicipalityCodes (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	1..1	code	[DK] indsatsforløbstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	[DK] indsatsforløbhensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..1	CodeableConcept	Type of plan Binding: KLIndsatsforløbTypekoder (extensible)
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] indsatsforløbKategori
text	Σ	0..1	string	Plain text representation of the concept
title	Σ	0..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	[DK] indsatsforløbBeskrivelse
subject	SΣ	1..1	Reference(Citizen)	[DK] indsatsforløbsubjekt
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	0..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	0..1	dateTime	[DK] indsatsforløbBevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsforløbAfslutningstid
created	SΣ	1..1	dateTime	[DK] indsatsforløbOprettelsestid
author	SΣ	1..1	Reference(ParticipatingOrganization)	[DK] indsatsforløbansvarlig
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam	S	0..*	Reference(ServicePerformer)	[DK] indsatsforløbsleverandør og indsatsforløbtilbud
addresses	SΣ	1..*	Reference(TargetGroup)	[DK] indsatsforløbmålgruppe
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
conditionRank		0..1	positiveInt	[DK] indsatsforløbsmålgruppeRang URL: http://fhir.kl.dk/core/StructureDefinition/ConditionRank
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo	S	0..*	Reference(RelatedCarePlan)	Information considered as part of plan
Slices for goal	S	1..*	Reference(Goal)	Desired outcome of plan Slice: Unordered, Open by value:resolve().category
goal:fpurpose		1..1	Reference(InterventionPurpose)	[DK] indsatsforløbFormål
goal:ffbgoal		0..*	Reference(Goal - FFB Intervention)	[DK] indsatsforløbsmål
goal:citizenObjective	S	0..*	Reference(CitizenObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by value:detail.code
activity:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	[DK] vurderinger
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code		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.
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] vurderinger
text	Σ	0..1	string	Plain text representation of the concept
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.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	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.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity	How to consume/day?
quantity		0..1	SimpleQuantity	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
activity:carePlanEvaluation	C	0..*	BackboneElement	Action to occur as part of plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Evaluation)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 95ec4535-8fe8-4296-867c-35de421794cf
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	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.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity	How to consume/day?
quantity		0..1	SimpleQuantity	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
CarePlan.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus
CarePlan.intent	required	CarePlanIntent
CarePlan.category	extensible	KLCarePlanCategoryCodes
CarePlan.addresses.type	extensible	ResourceType
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome
CarePlan.activity.detail.kind	required	CarePlanActivityKind
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT)
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings
CarePlan.activity.detail.status	required	CarePlanActivityStatus
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes
CarePlan.activity:carePlanEvaluation.outcomeCodeableConcept	example	CarePlanActivityOutcome
CarePlan.activity:carePlanEvaluation.detail.kind	required	CarePlanActivityKind
CarePlan.activity:carePlanEvaluation.detail.code	example	Pattern: 95ec4535-8fe8-4296-867c-35de421794cf
CarePlan.activity:carePlanEvaluation.detail.reasonCode	example	SNOMEDCTClinicalFindings
CarePlan.activity:carePlanEvaluation.detail.status	required	CarePlanActivityStatus
CarePlan.activity:carePlanEvaluation.detail.product[x]	example	SNOMEDCTMedicationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:carePlanEvaluation	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 KLCommonCareSocialCarePlan

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Citizen (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-citizen)
• ParticipatingOrganization (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-participatingOrganization)
• ServicePerformer (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-servicePerformer)
• TargetGroup (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-targetGroup)
• RelatedCarePlan (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-relatedCarePlan)
• InterventionPurpose (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-interventionPurpose)
• CitizenObjective (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-citizenObjective)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality

Differential View

This structure is derived from KLCommonCareSocialCarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	KLCommonCareSocialCarePlan	Healthcare plan for patient or group
subjectActingMunicipality	S	0..1	Coding	ActingMunicipality URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality Binding: MunicipalityCodes (required)
status	S	1..1	code	[DK] indsatsforløbstatus
intent	S	1..1	code	[DK] indsatsforløbhensigt
category	S	1..1	CodeableConcept	Type of plan
subject	S	1..1	Reference(Citizen)	[DK] indsatsforløbsubjekt
period	S	0..1	Period	Time period plan covers
created	S	1..1	dateTime	[DK] indsatsforløbOprettelsestid
author	S	1..1	Reference(ParticipatingOrganization)	[DK] indsatsforløbansvarlig
careTeam	S	0..*	Reference(ServicePerformer)	[DK] indsatsforløbsleverandør og indsatsforløbtilbud
addresses	S	1..*	Reference(TargetGroup)	[DK] indsatsforløbmålgruppe
supportingInfo	S	0..*	Reference(RelatedCarePlan)	Information considered as part of plan
goal	S	1..*	Reference(Goal)	Desired outcome of plan
goal:fpurpose		1..1	Reference(InterventionPurpose)	[DK] indsatsforløbFormål
goal:citizenObjective	S	0..*	Reference(CitizenObjective)	Desired outcome of plan
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	KLCommonCareSocialCarePlan	Healthcare plan for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
relevantHistory		0..*	Reference(Provenance)	[DK] indsatsforløbændringshistorie URL: http://hl7.org/fhir/StructureDefinition/request-relevantHistory
municipalityCaseNumber		0..1	(Complex)	[DK] anledningDokumenteretISag URL: http://fhir.kl.dk/core/StructureDefinition/MunicipalityCaseNumber
subjectActingMunicipality	S	0..1	Coding	ActingMunicipality URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality Binding: MunicipalityCodes (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	[DK] indsatsforløbstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	[DK] indsatsforløbhensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..1	CodeableConcept	Type of plan Binding: KLIndsatsforløbTypekoder (extensible)
description	SΣ	0..1	string	[DK] indsatsforløbBeskrivelse
subject	SΣ	1..1	Reference(Citizen)	[DK] indsatsforløbsubjekt
period	SΣ	0..1	Period	Time period plan covers
created	SΣ	1..1	dateTime	[DK] indsatsforløbOprettelsestid
author	SΣ	1..1	Reference(ParticipatingOrganization)	[DK] indsatsforløbansvarlig
careTeam	S	0..*	Reference(ServicePerformer)	[DK] indsatsforløbsleverandør og indsatsforløbtilbud
addresses	SΣ	1..*	Reference(TargetGroup)	[DK] indsatsforløbmålgruppe
conditionRank		0..1	positiveInt	[DK] indsatsforløbsmålgruppeRang URL: http://fhir.kl.dk/core/StructureDefinition/ConditionRank
supportingInfo	S	0..*	Reference(RelatedCarePlan)	Information considered as part of plan
Slices for goal	S	1..*	Reference(Goal)	Desired outcome of plan Slice: Unordered, Open by value:resolve().category
goal:fpurpose		1..1	Reference(InterventionPurpose)	[DK] indsatsforløbFormål
goal:ffbgoal		0..*	Reference(Goal - FFB Intervention)	[DK] indsatsforløbsmål
goal:citizenObjective	S	0..*	Reference(CitizenObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by value:detail.code
activity:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
activity:carePlanEvaluation	C	0..*	BackboneElement	Action to occur as part of plan
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
CarePlan.status	required	RequestStatus
CarePlan.intent	required	CarePlanIntent
CarePlan.category	extensible	KLCarePlanCategoryCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:carePlanEvaluation	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..*	KLCommonCareSocialCarePlan	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
relevantHistory		0..*	Reference(Provenance)	[DK] indsatsforløbændringshistorie URL: http://hl7.org/fhir/StructureDefinition/request-relevantHistory
municipalityCaseNumber		0..1	(Complex)	[DK] anledningDokumenteretISag URL: http://fhir.kl.dk/core/StructureDefinition/MunicipalityCaseNumber
subjectActingMunicipality	S	0..1	Coding	ActingMunicipality URL: http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality Binding: MunicipalityCodes (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	1..1	code	[DK] indsatsforløbstatus Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	[DK] indsatsforløbhensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	1..1	CodeableConcept	Type of plan Binding: KLIndsatsforløbTypekoder (extensible)
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] indsatsforløbKategori
text	Σ	0..1	string	Plain text representation of the concept
title	Σ	0..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	[DK] indsatsforløbBeskrivelse
subject	SΣ	1..1	Reference(Citizen)	[DK] indsatsforløbsubjekt
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	0..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	0..1	dateTime	[DK] indsatsforløbBevillingstid
end	ΣC	0..1	dateTime	[DK] indsatsforløbAfslutningstid
created	SΣ	1..1	dateTime	[DK] indsatsforløbOprettelsestid
author	SΣ	1..1	Reference(ParticipatingOrganization)	[DK] indsatsforløbansvarlig
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam	S	0..*	Reference(ServicePerformer)	[DK] indsatsforløbsleverandør og indsatsforløbtilbud
addresses	SΣ	1..*	Reference(TargetGroup)	[DK] indsatsforløbmålgruppe
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
conditionRank		0..1	positiveInt	[DK] indsatsforløbsmålgruppeRang URL: http://fhir.kl.dk/core/StructureDefinition/ConditionRank
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo	S	0..*	Reference(RelatedCarePlan)	Information considered as part of plan
Slices for goal	S	1..*	Reference(Goal)	Desired outcome of plan Slice: Unordered, Open by value:resolve().category
goal:fpurpose		1..1	Reference(InterventionPurpose)	[DK] indsatsforløbFormål
goal:ffbgoal		0..*	Reference(Goal - FFB Intervention)	[DK] indsatsforløbsmål
goal:citizenObjective	S	0..*	Reference(CitizenObjective)	Desired outcome of plan
Slices for activity	C	0..*	BackboneElement	Action to occur as part of plan Slice: Unordered, Open by value:detail.code
activity:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	[DK] vurderinger
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code		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.
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] vurderinger
text	Σ	0..1	string	Plain text representation of the concept
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.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	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.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity	How to consume/day?
quantity		0..1	SimpleQuantity	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
activity:carePlanEvaluation	C	0..*	BackboneElement	Action to occur as part of plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Evaluation)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 95ec4535-8fe8-4296-867c-35de421794cf
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	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.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity	How to consume/day?
quantity		0..1	SimpleQuantity	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
CarePlan.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus
CarePlan.intent	required	CarePlanIntent
CarePlan.category	extensible	KLCarePlanCategoryCodes
CarePlan.addresses.type	extensible	ResourceType
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome
CarePlan.activity.detail.kind	required	CarePlanActivityKind
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT)
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings
CarePlan.activity.detail.status	required	CarePlanActivityStatus
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes
CarePlan.activity:carePlanEvaluation.outcomeCodeableConcept	example	CarePlanActivityOutcome
CarePlan.activity:carePlanEvaluation.detail.kind	required	CarePlanActivityKind
CarePlan.activity:carePlanEvaluation.detail.code	example	Pattern: 95ec4535-8fe8-4296-867c-35de421794cf
CarePlan.activity:carePlanEvaluation.detail.reasonCode	example	SNOMEDCTClinicalFindings
CarePlan.activity:carePlanEvaluation.detail.status	required	CarePlanActivityStatus
CarePlan.activity:carePlanEvaluation.detail.product[x]	example	SNOMEDCTMedicationCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
cpl-3	error	CarePlan.activity, CarePlan.activity:carePlanEvaluation	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 KLCommonCareSocialCarePlan

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Citizen (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-citizen)
• ParticipatingOrganization (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-participatingOrganization)
• ServicePerformer (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-servicePerformer)
• TargetGroup (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-targetGroup)
• RelatedCarePlan (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-relatedCarePlan)
• InterventionPurpose (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-interventionPurpose)
• CitizenObjective (http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-citizenObjective)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/ffbmessaging/StructureDefinition/kl-messaging-ffb-actingMunicipality

Other representations of profile: CSV, Excel, Schematron