KLChildren implementation guide, an implementation of FBU
2.1.0 - Release

This page is part of the KLChildren (v2.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: KLGatewayChildrenIntervention

Official URL: http://fhir.kl.dk/children/StructureDefinition/klgateway-children-intervention Version: 2.1.0
Active as of 2024-10-31 Computable Name: KLGatewayChildrenIntervention

Profile representing interventions in the children database

Scope and usage

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

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

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

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

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

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

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

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

Conversions between Danish information model and FHIR-profile

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

FKI-attribut Definition FHIR
indsatsskode Udtrykker hvilken klasse indsatsen tilhører. CarePlan.activity.detail.code.coding
indsatsbevillingstid Tidspunktet for hvornår indsatsen er bevilget CarePlan.period.start
indsatsafslutningstid Tidspunktet for hvornår indsatsen er afsluttet, eller planlægges afsluttet CarePlan.period.end
indsatsstatus Indikerer om indsatsplanen er klar til at blive handlet på, om dokumentationen repræsentere en fremtidig intention eller er historisk. CarePlan.status
indsatshensigt Indikerer niveauet af autorisation og hvor langt i planlægningen indsatsen er CarePlan.intent
indsatsAktivitetsstatus Indikerer om indsatsen er igangsat, eller om den ikke er startet, er aflyst, eller er færdiggjort CarePlan.activity.detail.status
indsatssubjekt Den borger som den planlagte indsats retter sig mod CarePlan.subject
indsatsBegrundelse Kode for den eller de tilstande, der ligge til grund for denne behovsindsats CarePlan.activity.detail.reasonCode.coding

Usage:

Formal Views of Profile Content

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

This structure is derived from CarePlan

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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.activity.detail.code.codingrequiredKLHealthNurseInterventions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions
from this IG
CarePlan.activity.detail.reasonCode.codingrequiredKLHealthNurseConditions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code [DK] indsatsstatus
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] indsatssubjekt
... period Σ 1..1 Period Time period plan covers
.... start ΣC 1..1 dateTime [DK] indsatsbevillingstid
.... end ΣC 0..1 dateTime [DK] indsatsafslutningstid
... activity C 1..1 BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail C 1..1 BackboneElement In-line definition of activity
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

...... coding Σ 1..1 Coding [DK] indsatsskode
Binding: Sundhedsplejeindsatser (required)
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
..... status ?! 1..1 code [DK] indsatsAktivitetsstatus
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredPattern: plan
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
CarePlan.activity.detail.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
CarePlan.activity.detail.code.codingrequiredKLHealthNurseInterventions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions
from this IG
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code [DK] indsatsstatus
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

... intent ?!Σ 1..1 code [DK] indsatshensigt
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.


Required Pattern: plan
... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] indsatssubjekt
... period Σ 1..1 Period Time period plan covers
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime [DK] indsatsbevillingstid
.... end ΣC 0..1 dateTime [DK] indsatsafslutningstid
... activity C 1..1 BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail C 1..1 BackboneElement In-line definition of activity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding [DK] indsatsskode
Binding: Sundhedsplejeindsatser (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding [DK] indsatsbegrundelse
Binding: Sundhedsplejetilstande (required)
...... text Σ 0..1 string Plain text representation of the concept
..... status ?! 1..1 code [DK] indsatsAktivitetsstatus
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

..... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredPattern: plan
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
CarePlan.activity.detail.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
CarePlan.activity.detail.code.codingrequiredKLHealthNurseInterventions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions
from this IG
CarePlan.activity.detail.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
CarePlan.activity.detail.reasonCode.codingrequiredKLHealthNurseConditions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions
from this IG
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CarePlan

Summary

Mandatory: 6 elements
Prohibited: 36 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from CarePlan

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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.activity.detail.code.codingrequiredKLHealthNurseInterventions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions
from this IG
CarePlan.activity.detail.reasonCode.codingrequiredKLHealthNurseConditions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code [DK] indsatsstatus
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] indsatssubjekt
... period Σ 1..1 Period Time period plan covers
.... start ΣC 1..1 dateTime [DK] indsatsbevillingstid
.... end ΣC 0..1 dateTime [DK] indsatsafslutningstid
... activity C 1..1 BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail C 1..1 BackboneElement In-line definition of activity
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

...... coding Σ 1..1 Coding [DK] indsatsskode
Binding: Sundhedsplejeindsatser (required)
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
..... status ?! 1..1 code [DK] indsatsAktivitetsstatus
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredPattern: plan
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
CarePlan.activity.detail.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
CarePlan.activity.detail.code.codingrequiredKLHealthNurseInterventions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions
from this IG
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* CarePlan Healthcare plan for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code [DK] indsatsstatus
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

... intent ?!Σ 1..1 code [DK] indsatshensigt
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.


Required Pattern: plan
... subject Σ 1..1 Reference(KLGatewayChildrenCitizen) {b} [DK] indsatssubjekt
... period Σ 1..1 Period Time period plan covers
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime [DK] indsatsbevillingstid
.... end ΣC 0..1 dateTime [DK] indsatsafslutningstid
... activity C 1..1 BackboneElement Action to occur as part of plan
cpl-3: Provide a reference or detail, not both
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail C 1..1 BackboneElement In-line definition of activity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding [DK] indsatsskode
Binding: Sundhedsplejeindsatser (required)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://fhir.kl.dk/term/CodeSystem/FBOE
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding [DK] indsatsbegrundelse
Binding: Sundhedsplejetilstande (required)
...... text Σ 0..1 string Plain text representation of the concept
..... status ?! 1..1 code [DK] indsatsAktivitetsstatus
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

..... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CarePlan.intentrequiredPattern: plan
http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1
from the FHIR Standard
CarePlan.activity.detail.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
CarePlan.activity.detail.code.codingrequiredKLHealthNurseInterventions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseInterventions
from this IG
CarePlan.activity.detail.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
CarePlan.activity.detail.reasonCode.codingrequiredKLHealthNurseConditions
http://fhir.kl.dk/children/ValueSet/KLHealthNurseConditions
from this IG
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CarePlan

Summary

Mandatory: 6 elements
Prohibited: 36 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron