Scope and usage

The PlannedIntervention for §140 is used whenever a rehabilitation intervention is planned for a citizen in Danish municipalities.

CarePlan.activity.detail.code.coding holds the intervention code, which has to come from FSIII. Some interventions can be delivered in a group or individually. The code should be chosen accordingly.

It is important to distiguish 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 occured and the status is 'completed', then it is the actual end-date. Notice that end-date is not madatory to report. All dates may be repported with or without time of day.

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 occured.

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. The codes detailing 'Aktivt fravalg' are not mandatory to report.

The CarePlan.extension[basedOnServiceRequest] points to the ServiceRequest (GGOP) which was the starting point for the intervention. It may happen that an intervention has two ServiceRequests as a starting point. Imagine that a citizen has gotten a hip replacement, has been dicharges from the hospital and has started rehabilitation. Then the citizen falls and gets re-admitted to the hospital. At discharge, a new ServiceRequest is send, but because the damage was small, the municipality intervention preceeds as planned. In this case, change CarePlan.activity.reference from the later, to the newer ServiceRequest. If the patient is admitted for a longer time, so that the intervention changes i.e. the citizen starts over in group based training, cancel the ealier intervention, and start a new one pertaining to the new ServiceRequest. If two different ServiceRequests results in two different interventions (e.g. hip replacement rehabilitation and shoulder rehabilitation), all serviceRequests and interventions exists in parallel, but should reference each other correctly (e.g shoulder GGOP to shoulder training and hip GGOP to mobility training).

CarePlan.subject references the citizen. CarePlan.activity.detail.performer is the organisation that carries out the intervention (leverandør).

CarePlan.activity.detail.reasonReference holds the link between conditions and interventions. It is optional to report.

CarePlan.basedOn referes to the care-pathway or plan, that this intervention is part of. It is mandatory to report for plannend interventions with a treatment focus. See which intervention codes appply in the invariant klgateway-140-intervention-1. It is optional for Interventions of type 'Opfølgning'.

activity.detail.extension[deliveryType] is used to state, how interventions are delivered. Valid values are 'individual', 'group based', 'delivered using a robot' 'delivered using digital solution'. Note that more than one code may apply to one intervention e.g. training may be delivered partially by an app 'delivered using digital solution' and partially by one-to-one interaction 'individual'.

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	C	0..*	CarePlan	Healthcare plan for patient or group klgateway-140-intervention-1: has a reference to careplan if the intervention is a certain type of training klgateway-140-intervention-2: does not have a reference to careplan if the intervention is a certain type of intervention
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnServiceRequest		0..1	(Complex)	[DK] indsatsAnledning URL: http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
value[x]		1..1	Reference(KLGateway140ServiceRequest) {b}	Value of extension
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..1	Reference(KLGateway140care-plan) {b}	[DK] indsatsDelAfPlan
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(KLGateway140Citizen) {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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
deliveryType		1..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: DeliveryTypes (required)
kind		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
code		1..1	CodeableConcept	Detail type of activity
Slices for coding		0..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2		0..1	Coding	Code defined by a terminology system Binding: KLTræningIndsatserFSIII (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	S	0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://gateway.kl.dk/1.0/CodeSystem/LocallyDefinedInterventions
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonCode		0..0
reasonReference	S	0..*	Reference(KLGateway140Condition) {b}	[DK] indsatsbegrundelse
goal		0..0
status		1..1	code	[DK] indsatsAktivitetsstatus
statusReason		0..0
doNotPerform		0..0
scheduled[x]		0..0
location		0..0
performer		0..1	Reference(KLGateway140Organization) {b}	[DK] indsatsleverandør
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.extension:deliveryType.value[x].coding	required	DeliveryTypes140 http://fhir.kl.dk/rehab/ValueSet/DeliveryTypes140 from this IG
CarePlan.activity.detail.code.coding:level2	required	KLTrainingInterventionsFSIII http://fhir.kl.dk/term/ValueSet/KLTrainingInterventionsFSIII

Constraints

Id	Grade	Path(s)	Details	Requirements
klgateway-140-intervention-1	error	CarePlan	has a reference to careplan if the intervention is a certain type of training : activity.detail.code.coding.code = '7f825e3e-1a5c-4249-bf41-9f7171fb6b8a' or activity.detail.code.coding.code = '2abe20c7-c0b4-41c1-b397-52acf36499ef' or activity.detail.code.coding.code = '58293f63-00d7-4730-8dbc-c784d40f9e23' or activity.detail.code.coding.code = '2c661159-1bb3-4af2-bdf1-f3a9927a99e2' or activity.detail.code.coding.code = '8d714c98-f23a-4722-8a2f-85c162fe4840' or activity.detail.code.coding.code = '66fb32c9-ecc3-484b-be49-f20094be237c' or activity.detail.code.coding.code = 'f8ac963c-6ec5-4ec5-bd90-a22fea4e2d16' implies basedOn.exists()
klgateway-140-intervention-2	error	CarePlan	does not have a reference to careplan if the intervention is a certain type of intervention : activity.detail.code.coding.code = '1130ad70-6553-490d-87f8-5e8941687a0c' or activity.detail.code.coding.code = 'ba3e17bd-d4aa-4848-acad-25adc8285c19' implies basedOn.empty()

Name	Flags	Card.	Type	Description & Constraints
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group klgateway-140-intervention-1: has a reference to careplan if the intervention is a certain type of training klgateway-140-intervention-2: does not have a reference to careplan if the intervention is a certain type of intervention
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnServiceRequest		0..1	(Complex)	[DK] indsatsAnledning URL: http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension"
value[x]		1..1	Reference(KLGateway140ServiceRequest) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..1	Reference(KLGateway140care-plan) {b}	[DK] indsatsDelAfPlan
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(KLGateway140Citizen) {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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
deliveryType		1..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType"
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.
Slices for coding	Σ	0..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	0..1	Coding	Code defined by a terminology system Binding: KLTræningIndsatserFSIII (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://gateway.kl.dk/1.0/CodeSystem/LocallyDefinedInterventions
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
reasonReference	S	0..*	Reference(KLGateway140Condition) {b}	[DK] indsatsbegrundelse
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..1	Reference(KLGateway140Organization) {b}	[DK] indsatsleverandør
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:level2	required	KLTrainingInterventionsFSIII http://fhir.kl.dk/term/ValueSet/KLTrainingInterventionsFSIII
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()
klgateway-140-intervention-1	error	CarePlan	has a reference to careplan if the intervention is a certain type of training : activity.detail.code.coding.code = '7f825e3e-1a5c-4249-bf41-9f7171fb6b8a' or activity.detail.code.coding.code = '2abe20c7-c0b4-41c1-b397-52acf36499ef' or activity.detail.code.coding.code = '58293f63-00d7-4730-8dbc-c784d40f9e23' or activity.detail.code.coding.code = '2c661159-1bb3-4af2-bdf1-f3a9927a99e2' or activity.detail.code.coding.code = '8d714c98-f23a-4722-8a2f-85c162fe4840' or activity.detail.code.coding.code = '66fb32c9-ecc3-484b-be49-f20094be237c' or activity.detail.code.coding.code = 'f8ac963c-6ec5-4ec5-bd90-a22fea4e2d16' implies basedOn.exists()
klgateway-140-intervention-2	error	CarePlan	does not have a reference to careplan if the intervention is a certain type of intervention : activity.detail.code.coding.code = '1130ad70-6553-490d-87f8-5e8941687a0c' or activity.detail.code.coding.code = 'ba3e17bd-d4aa-4848-acad-25adc8285c19' implies basedOn.empty()

Name	Flags	Card.	Type	Description & Constraints
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group klgateway-140-intervention-1: has a reference to careplan if the intervention is a certain type of training klgateway-140-intervention-2: does not have a reference to careplan if the intervention is a certain type of intervention
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
basedOnServiceRequest		0..1	(Complex)	[DK] indsatsAnledning URL: http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension"
value[x]		1..1	Reference(KLGateway140ServiceRequest) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..1	Reference(KLGateway140care-plan) {b}	[DK] indsatsDelAfPlan
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(KLGateway140Citizen) {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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
deliveryType		1..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType"
value[x]		0..1	CodeableConcept	Value of extension
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	Code defined by a terminology system Binding: DeliveryTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
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
Slices for coding	Σ	0..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	0..1	Coding	Code defined by a terminology system Binding: KLTræningIndsatserFSIII (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	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
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
coding:level3	SΣ	0..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	1..1	uri	Identity of the terminology system Required Pattern: http://gateway.kl.dk/1.0/CodeSystem/LocallyDefinedInterventions
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(KLGateway140Condition) {b}	[DK] indsatsbegrundelse
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..1	Reference(KLGateway140Organization) {b}	[DK] indsatsleverandør
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.extension:deliveryType.value[x].coding	required	DeliveryTypes140 http://fhir.kl.dk/rehab/ValueSet/DeliveryTypes140 from this IG
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.code.coding:level2	required	KLTrainingInterventionsFSIII http://fhir.kl.dk/term/ValueSet/KLTrainingInterventionsFSIII
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()
klgateway-140-intervention-1	error	CarePlan	has a reference to careplan if the intervention is a certain type of training : activity.detail.code.coding.code = '7f825e3e-1a5c-4249-bf41-9f7171fb6b8a' or activity.detail.code.coding.code = '2abe20c7-c0b4-41c1-b397-52acf36499ef' or activity.detail.code.coding.code = '58293f63-00d7-4730-8dbc-c784d40f9e23' or activity.detail.code.coding.code = '2c661159-1bb3-4af2-bdf1-f3a9927a99e2' or activity.detail.code.coding.code = '8d714c98-f23a-4722-8a2f-85c162fe4840' or activity.detail.code.coding.code = '66fb32c9-ecc3-484b-be49-f20094be237c' or activity.detail.code.coding.code = 'f8ac963c-6ec5-4ec5-bd90-a22fea4e2d16' implies basedOn.exists()
klgateway-140-intervention-2	error	CarePlan	does not have a reference to careplan if the intervention is a certain type of intervention : activity.detail.code.coding.code = '1130ad70-6553-490d-87f8-5e8941687a0c' or activity.detail.code.coding.code = 'ba3e17bd-d4aa-4848-acad-25adc8285c19' implies basedOn.empty()

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group klgateway-140-intervention-1: has a reference to careplan if the intervention is a certain type of training klgateway-140-intervention-2: does not have a reference to careplan if the intervention is a certain type of intervention
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnServiceRequest		0..1	(Complex)	[DK] indsatsAnledning URL: http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
value[x]		1..1	Reference(KLGateway140ServiceRequest) {b}	Value of extension
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..1	Reference(KLGateway140care-plan) {b}	[DK] indsatsDelAfPlan
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(KLGateway140Citizen) {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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
deliveryType		1..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: DeliveryTypes (required)
kind		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
code		1..1	CodeableConcept	Detail type of activity
Slices for coding		0..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2		0..1	Coding	Code defined by a terminology system Binding: KLTræningIndsatserFSIII (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	S	0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://gateway.kl.dk/1.0/CodeSystem/LocallyDefinedInterventions
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonCode		0..0
reasonReference	S	0..*	Reference(KLGateway140Condition) {b}	[DK] indsatsbegrundelse
goal		0..0
status		1..1	code	[DK] indsatsAktivitetsstatus
statusReason		0..0
doNotPerform		0..0
scheduled[x]		0..0
location		0..0
performer		0..1	Reference(KLGateway140Organization) {b}	[DK] indsatsleverandør
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.extension:deliveryType.value[x].coding	required	DeliveryTypes140 http://fhir.kl.dk/rehab/ValueSet/DeliveryTypes140 from this IG
CarePlan.activity.detail.code.coding:level2	required	KLTrainingInterventionsFSIII http://fhir.kl.dk/term/ValueSet/KLTrainingInterventionsFSIII

Constraints

Id	Grade	Path(s)	Details	Requirements
klgateway-140-intervention-1	error	CarePlan	has a reference to careplan if the intervention is a certain type of training : activity.detail.code.coding.code = '7f825e3e-1a5c-4249-bf41-9f7171fb6b8a' or activity.detail.code.coding.code = '2abe20c7-c0b4-41c1-b397-52acf36499ef' or activity.detail.code.coding.code = '58293f63-00d7-4730-8dbc-c784d40f9e23' or activity.detail.code.coding.code = '2c661159-1bb3-4af2-bdf1-f3a9927a99e2' or activity.detail.code.coding.code = '8d714c98-f23a-4722-8a2f-85c162fe4840' or activity.detail.code.coding.code = '66fb32c9-ecc3-484b-be49-f20094be237c' or activity.detail.code.coding.code = 'f8ac963c-6ec5-4ec5-bd90-a22fea4e2d16' implies basedOn.exists()
klgateway-140-intervention-2	error	CarePlan	does not have a reference to careplan if the intervention is a certain type of intervention : activity.detail.code.coding.code = '1130ad70-6553-490d-87f8-5e8941687a0c' or activity.detail.code.coding.code = 'ba3e17bd-d4aa-4848-acad-25adc8285c19' implies basedOn.empty()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group klgateway-140-intervention-1: has a reference to careplan if the intervention is a certain type of training klgateway-140-intervention-2: does not have a reference to careplan if the intervention is a certain type of intervention
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
basedOnServiceRequest		0..1	(Complex)	[DK] indsatsAnledning URL: http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension"
value[x]		1..1	Reference(KLGateway140ServiceRequest) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..1	Reference(KLGateway140care-plan) {b}	[DK] indsatsDelAfPlan
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(KLGateway140Citizen) {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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
deliveryType		1..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType"
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.
Slices for coding	Σ	0..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	0..1	Coding	Code defined by a terminology system Binding: KLTræningIndsatserFSIII (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://gateway.kl.dk/1.0/CodeSystem/LocallyDefinedInterventions
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
reasonReference	S	0..*	Reference(KLGateway140Condition) {b}	[DK] indsatsbegrundelse
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..1	Reference(KLGateway140Organization) {b}	[DK] indsatsleverandør
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:level2	required	KLTrainingInterventionsFSIII http://fhir.kl.dk/term/ValueSet/KLTrainingInterventionsFSIII
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()
klgateway-140-intervention-1	error	CarePlan	has a reference to careplan if the intervention is a certain type of training : activity.detail.code.coding.code = '7f825e3e-1a5c-4249-bf41-9f7171fb6b8a' or activity.detail.code.coding.code = '2abe20c7-c0b4-41c1-b397-52acf36499ef' or activity.detail.code.coding.code = '58293f63-00d7-4730-8dbc-c784d40f9e23' or activity.detail.code.coding.code = '2c661159-1bb3-4af2-bdf1-f3a9927a99e2' or activity.detail.code.coding.code = '8d714c98-f23a-4722-8a2f-85c162fe4840' or activity.detail.code.coding.code = '66fb32c9-ecc3-484b-be49-f20094be237c' or activity.detail.code.coding.code = 'f8ac963c-6ec5-4ec5-bd90-a22fea4e2d16' implies basedOn.exists()
klgateway-140-intervention-2	error	CarePlan	does not have a reference to careplan if the intervention is a certain type of intervention : activity.detail.code.coding.code = '1130ad70-6553-490d-87f8-5e8941687a0c' or activity.detail.code.coding.code = 'ba3e17bd-d4aa-4848-acad-25adc8285c19' implies basedOn.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CarePlan	C	0..*	CarePlan	Healthcare plan for patient or group klgateway-140-intervention-1: has a reference to careplan if the intervention is a certain type of training klgateway-140-intervention-2: does not have a reference to careplan if the intervention is a certain type of intervention
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
basedOnServiceRequest		0..1	(Complex)	[DK] indsatsAnledning URL: http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension"
value[x]		1..1	Reference(KLGateway140ServiceRequest) {b}	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..1	Reference(KLGateway140care-plan) {b}	[DK] indsatsDelAfPlan
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(KLGateway140Citizen) {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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
deliveryType		1..*	(Complex)	[DK] indsatsLeveringstype URL: http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType"
value[x]		0..1	CodeableConcept	Value of extension
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	Code defined by a terminology system Binding: DeliveryTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
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
Slices for coding	Σ	0..*	Coding	[DK] indsatsskode Slice: Unordered, Closed by value:system
coding:level2	Σ	0..1	Coding	Code defined by a terminology system Binding: KLTræningIndsatserFSIII (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	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
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
coding:level3	SΣ	0..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	1..1	uri	Identity of the terminology system Required Pattern: http://gateway.kl.dk/1.0/CodeSystem/LocallyDefinedInterventions
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(KLGateway140Condition) {b}	[DK] indsatsbegrundelse
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..1	Reference(KLGateway140Organization) {b}	[DK] indsatsleverandør
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.extension:deliveryType.value[x].coding	required	DeliveryTypes140 http://fhir.kl.dk/rehab/ValueSet/DeliveryTypes140 from this IG
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.code.coding:level2	required	KLTrainingInterventionsFSIII http://fhir.kl.dk/term/ValueSet/KLTrainingInterventionsFSIII
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()
klgateway-140-intervention-1	error	CarePlan	has a reference to careplan if the intervention is a certain type of training : activity.detail.code.coding.code = '7f825e3e-1a5c-4249-bf41-9f7171fb6b8a' or activity.detail.code.coding.code = '2abe20c7-c0b4-41c1-b397-52acf36499ef' or activity.detail.code.coding.code = '58293f63-00d7-4730-8dbc-c784d40f9e23' or activity.detail.code.coding.code = '2c661159-1bb3-4af2-bdf1-f3a9927a99e2' or activity.detail.code.coding.code = '8d714c98-f23a-4722-8a2f-85c162fe4840' or activity.detail.code.coding.code = '66fb32c9-ecc3-484b-be49-f20094be237c' or activity.detail.code.coding.code = 'f8ac963c-6ec5-4ec5-bd90-a22fea4e2d16' implies basedOn.exists()
klgateway-140-intervention-2	error	CarePlan	does not have a reference to careplan if the intervention is a certain type of intervention : activity.detail.code.coding.code = '1130ad70-6553-490d-87f8-5e8941687a0c' or activity.detail.code.coding.code = 'ba3e17bd-d4aa-4848-acad-25adc8285c19' implies basedOn.empty()

This structure is derived from CarePlan

Summary

Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 34 elements

Structures

This structure refers to these other structures:

• KLGateway140ServiceRequest (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-servicerequest)
• KLGateway140care-plan (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-care-plan)
• KLGateway140Citizen (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-citizen)
• KLGateway140Encounter (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-encounter)
• KLGateway140Condition (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-condition)
• KLGateway140Organization (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-organization)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/rehab/StructureDefinition/BasedOnServiceRequestExtension
• http://fhir.kl.dk/rehab/StructureDefinition/DeliveryType

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CarePlan.activity.detail.code.coding (Closed)