Scope and usage

A CarePlan is created as soon as a citizen participates in an LTT (Lettilgængeligt tilbud) at the municipality. It models the treatment pathway the citizen follows within the LTT and groups together all related contacts belonging to the same treatment process.

CarePlan.status and CarePlan.intent are mandatory in the FHIR CarePlan resource. CarePlan.intent is always 'plan' in this implementation guide. CarePlan status should at least distiguish between 'active', 'completed' and 'entered-in-error'. The status 'active' means that the care plan is currently being acted upon and should be used until the service is completed and the status of the care plan changes to 'completed'. If the care plan has been created by mistake and should never have existed, then the status 'entered-in-error' must be used.

CarePlan.activity.detail.status is also mandatory, and it is recommended to use the status codes 'in-progress', 'completed' and 'entered-in-error'. The status should align with the CarePlan.status.

CarePlan.subject references the citizen, which is always the child or youth.

CarePlan.period.start is the tima at which the service for that specific citizen was first started (forløbstart).

CarePlan.activity.detail.reasonCode describes the child or youth's issue and the focus area of treatment.

Conversions between Danish information model and FHIR profile

Nedenstående tabel definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter, der skal bruges til specifikation af indholdet.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
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] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
activity	C	1..1	BackboneElement	Action to occur as part of plan Constraints: cpl-3
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	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	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.activity.detail.​code	Base	required	Lettilgængeligt Tilbud - Forløbskoder	📦1.0.1	This IG
CarePlan.activity.detail.​reasonCode	Base	required	Lettilgængeligt Tilbud - Tema	📦1.0.1	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.

Constraints

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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time.	status = 'completed' implies period.end.exists()

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
basedOn		0..0		Fulfills CarePlan
replaces		0..0		CarePlan replaced by this CarePlan
partOf		0..0		Part of referenced CarePlan
status		1..1	code	[DK] forløbsstatus
intent		1..1	code	[DK] forløbshensigt Required Pattern: plan
category		0..0		Type of plan
title		0..0		Human-friendly name for the care plan
description		0..0		Summary of nature of plan
subject		1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
encounter		0..0		Encounter created as part of
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] forløbstart
end		0..1	dateTime	[DK] forløbslut
created		0..0		Date record was first recorded
author		0..0		Who is the designated responsible party
contributor		0..0		Who provided the content of the care plan
careTeam		0..0		Who's involved in plan?
addresses		0..0		Health issues this plan addresses
supportingInfo		0..0		Information considered as part of plan
goal		0..0		Desired outcome of plan
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0		Results of the activity
outcomeReference		0..0		Appointment, Encounter, Procedure, etc.
progress		0..0		Comments about the activity status/progress
reference		0..0		Activity details defined in specific resource
detail		1..1	BackboneElement	In-line definition of activity
kind		0..0		Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding		1..1	Coding	Code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version		0..0		Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display		0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
reasonReference		0..0		Why activity is needed
goal		0..0		Goals this activity relates to
status		1..1	code	[DK] forløbsAktivitetsstatus
statusReason		0..0		Reason for current status
doNotPerform		0..0		If true, activity is prohibiting action
scheduled[x]		0..0		When activity is to occur
location		0..0		Where it should happen
performer		0..0		Who will be responsible?
product[x]		0..0		What is to be administered/supplied
dailyAmount		0..0		How to consume/day?
quantity		0..0		How much to administer/supply/consume
description		0..0		Extra info describing activity to perform
note		0..0		Comments about the plan
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
CarePlan.activity.detail.​code	Base	required	Lettilgængeligt Tilbud - Forløbskoder	📦1.0.1	This IG
CarePlan.activity.detail.​reasonCode	Base	required	Lettilgængeligt Tilbud - Tema	📦1.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time.	status = 'completed' implies period.end.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
status	?!Σ	1..1	code	[DK] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
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] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
activity	C	1..1	BackboneElement	Action to occur as part of plan Constraints: cpl-3
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	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (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
coding	Σ	1..1	Coding	Code defined by a terminology system
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/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	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.activity.detail.​code	Base	required	Lettilgængeligt Tilbud - Forløbskoder	📦1.0.1	This IG
CarePlan.activity.detail.​reasonCode	Base	required	Lettilgængeligt Tilbud - Tema	📦1.0.1	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.

Constraints

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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time.	status = 'completed' implies period.end.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
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] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
period	Σ	1..1	Period	Time period plan covers
start	ΣC	1..1	dateTime	[DK] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
activity	C	1..1	BackboneElement	Action to occur as part of plan Constraints: cpl-3
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	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	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.activity.detail.​code	Base	required	Lettilgængeligt Tilbud - Forløbskoder	📦1.0.1	This IG
CarePlan.activity.detail.​reasonCode	Base	required	Lettilgængeligt Tilbud - Tema	📦1.0.1	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.

Constraints

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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time.	status = 'completed' implies period.end.exists()

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
basedOn		0..0		Fulfills CarePlan
replaces		0..0		CarePlan replaced by this CarePlan
partOf		0..0		Part of referenced CarePlan
status		1..1	code	[DK] forløbsstatus
intent		1..1	code	[DK] forløbshensigt Required Pattern: plan
category		0..0		Type of plan
title		0..0		Human-friendly name for the care plan
description		0..0		Summary of nature of plan
subject		1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
encounter		0..0		Encounter created as part of
period		1..1	Period	Time period plan covers
start		1..1	dateTime	[DK] forløbstart
end		0..1	dateTime	[DK] forløbslut
created		0..0		Date record was first recorded
author		0..0		Who is the designated responsible party
contributor		0..0		Who provided the content of the care plan
careTeam		0..0		Who's involved in plan?
addresses		0..0		Health issues this plan addresses
supportingInfo		0..0		Information considered as part of plan
goal		0..0		Desired outcome of plan
activity		1..1	BackboneElement	Action to occur as part of plan
outcomeCodeableConcept		0..0		Results of the activity
outcomeReference		0..0		Appointment, Encounter, Procedure, etc.
progress		0..0		Comments about the activity status/progress
reference		0..0		Activity details defined in specific resource
detail		1..1	BackboneElement	In-line definition of activity
kind		0..0		Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
code		1..1	CodeableConcept	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (required)
coding		1..1	Coding	Code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/term/CodeSystem/CareSocialCodes
version		0..0		Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display		0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (required)
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
reasonReference		0..0		Why activity is needed
goal		0..0		Goals this activity relates to
status		1..1	code	[DK] forløbsAktivitetsstatus
statusReason		0..0		Reason for current status
doNotPerform		0..0		If true, activity is prohibiting action
scheduled[x]		0..0		When activity is to occur
location		0..0		Where it should happen
performer		0..0		Who will be responsible?
product[x]		0..0		What is to be administered/supplied
dailyAmount		0..0		How to consume/day?
quantity		0..0		How much to administer/supply/consume
description		0..0		Extra info describing activity to perform
note		0..0		Comments about the plan
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
CarePlan.activity.detail.​code	Base	required	Lettilgængeligt Tilbud - Forløbskoder	📦1.0.1	This IG
CarePlan.activity.detail.​reasonCode	Base	required	Lettilgængeligt Tilbud - Tema	📦1.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time.	status = 'completed' implies period.end.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group Constraints: klgateway-ltt-careplan-endtime
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
status	?!Σ	1..1	code	[DK] forløbsstatus 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] forløbshensigt Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: plan
subject	Σ	1..1	Reference(KLGatewayLTTCitizen)	[DK] forløbssubjekt
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] forløbstart
end	ΣC	0..1	dateTime	[DK] forløbslut
activity	C	1..1	BackboneElement	Action to occur as part of plan Constraints: cpl-3
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	[DK] forløbskode Binding: Lettilgængeligt Tilbud - Forløbskoder (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
coding	Σ	1..1	Coding	Code defined by a terminology system
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/CareSocialCodes
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 01302bcb-c7f3-42c4-8ded-68e33da064eb
display	Σ	0..1	string	Representation defined by the system Required Pattern: Lettilgængelige tilbud til børn og unge i psykisk mistrivsel
reasonCode		0..*	CodeableConcept	[DK] forløbstema Binding: Lettilgængeligt Tilbud - Tema (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
coding	Σ	1..1	Coding	Code defined by a terminology system
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
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
status	?!	1..1	code	[DK] forløbsAktivitetsstatus 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	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.activity.detail.​code	Base	required	Lettilgængeligt Tilbud - Forløbskoder	📦1.0.1	This IG
CarePlan.activity.detail.​reasonCode	Base	required	Lettilgængeligt Tilbud - Tema	📦1.0.1	This IG
CarePlan.activity.detail.​status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.

Constraints

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()
klgateway-ltt-careplan-endtime	error	CarePlan	If the care plan has status = 'completed', then there must be an end time.	status = 'completed' implies period.end.exists()

This structure is derived from CarePlan

Summary

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 41 elements

Structures

This structure refers to these other structures:

• KLGatewayLTTCitizen (http://fhir.kl.dk/ltt/StructureDefinition/klgateway-ltt-citizen)