oncologyfhirigkenya - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Oncology Care Plan Kenya

A structured CarePlan profile for oncology management in Kenya. Aligns with the Kenya National Cancer Control Strategy (2023–2027), Cancer Policy (2020–2030), KEMRI and County Cancer Registries. Supports multidisciplinary cancer care coordination, treatment protocols, and reporting using ICD-10 exclusively.

Usages:

• Examples for this Profile: CarePlan/example-oncology-careplan

Formal Views of Profile Content

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

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

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:county		0..1	CodeableConcept	County Where Care Plan is Managed URL: http://example.org/StructureDefinition/careplan-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required)
extension:referralSource		0..1	CodeableConcept	Referral Source for Oncology Care Plan URL: http://example.org/StructureDefinition/careplan-referral-source Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-sources (extensible)
extension:reportToRegistry		0..1	boolean	Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/careplan-registry-flag
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | order | option
category	S	0..*	CodeableConcept	Type of plan Binding: http://id.who.int/icd10 (extensible)
title	S	0..1	string	Human-friendly name for the care plan
description	S	0..1	string	Summary of nature of plan
subject	S	1..1	Reference(Patient | Group)	Who the care plan is for
period	S	1..1	Period	Time period plan covers
careTeam	S	0..*	Reference(CareTeam)	Who's involved in plan?
addresses	S	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo	S	0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	S	0..*	BackboneElement	Action to occur as part of plan
detail	S	0..1	BackboneElement	In-line definition of activity
code	S	1..1	CodeableConcept	Detail type of activity Binding: http://id.who.int/icd10 (required)
status	S	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.category	extensible	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.code	required	http://id.who.int/icd10 http://id.who.int/icd10

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
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
extension:county		0..1	CodeableConcept	County Where Care Plan is Managed URL: http://example.org/StructureDefinition/careplan-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required)
extension:referralSource		0..1	CodeableConcept	Referral Source for Oncology Care Plan URL: http://example.org/StructureDefinition/careplan-referral-source Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-sources (extensible)
extension:reportToRegistry		0..1	boolean	Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/careplan-registry-flag
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	0..*	CodeableConcept	Type of plan Binding: http://id.who.int/icd10 (extensible)
title	SΣ	0..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(Patient | Group)	Who the care plan is for
period	SΣ	1..1	Period	Time period plan covers
careTeam	S	0..*	Reference(CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo	S	0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	SC	0..1	BackboneElement	In-line definition of activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Detail type of activity Binding: http://id.who.int/icd10 (required)
status	?!S	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.category	extensible	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.code	required	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:county		0..1	CodeableConcept	County Where Care Plan is Managed URL: http://example.org/StructureDefinition/careplan-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required)
extension:referralSource		0..1	CodeableConcept	Referral Source for Oncology Care Plan URL: http://example.org/StructureDefinition/careplan-referral-source Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-sources (extensible)
extension:reportToRegistry		0..1	boolean	Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/careplan-registry-flag
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	0..*	CodeableConcept	Type of plan Binding: http://id.who.int/icd10 (extensible)
title	SΣ	0..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(Patient | Group)	Who the care plan is for
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	1..1	Period	Time period plan covers
created	Σ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam	S	0..*	Reference(CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo	S	0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	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
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	SC	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code	S	1..1	CodeableConcept	Detail type of activity Binding: http://id.who.int/icd10 (required)
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!S	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity	How to consume/day?
quantity		0..1	SimpleQuantity	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.category	extensible	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome From the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	required	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard

Constraints

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

This structure is derived from CarePlan

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 15 elements

Extensions

This structure refers to these extensions:

• http://example.org/StructureDefinition/careplan-context-county
• http://example.org/StructureDefinition/careplan-referral-source
• http://example.org/StructureDefinition/careplan-registry-flag

Differential View

This structure is derived from CarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:county		0..1	CodeableConcept	County Where Care Plan is Managed URL: http://example.org/StructureDefinition/careplan-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required)
extension:referralSource		0..1	CodeableConcept	Referral Source for Oncology Care Plan URL: http://example.org/StructureDefinition/careplan-referral-source Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-sources (extensible)
extension:reportToRegistry		0..1	boolean	Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/careplan-registry-flag
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | order | option
category	S	0..*	CodeableConcept	Type of plan Binding: http://id.who.int/icd10 (extensible)
title	S	0..1	string	Human-friendly name for the care plan
description	S	0..1	string	Summary of nature of plan
subject	S	1..1	Reference(Patient | Group)	Who the care plan is for
period	S	1..1	Period	Time period plan covers
careTeam	S	0..*	Reference(CareTeam)	Who's involved in plan?
addresses	S	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo	S	0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	S	0..*	BackboneElement	Action to occur as part of plan
detail	S	0..1	BackboneElement	In-line definition of activity
code	S	1..1	CodeableConcept	Detail type of activity Binding: http://id.who.int/icd10 (required)
status	S	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CarePlan.category	extensible	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.code	required	http://id.who.int/icd10 http://id.who.int/icd10

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
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
extension:county		0..1	CodeableConcept	County Where Care Plan is Managed URL: http://example.org/StructureDefinition/careplan-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required)
extension:referralSource		0..1	CodeableConcept	Referral Source for Oncology Care Plan URL: http://example.org/StructureDefinition/careplan-referral-source Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-sources (extensible)
extension:reportToRegistry		0..1	boolean	Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/careplan-registry-flag
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	0..*	CodeableConcept	Type of plan Binding: http://id.who.int/icd10 (extensible)
title	SΣ	0..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(Patient | Group)	Who the care plan is for
period	SΣ	1..1	Period	Time period plan covers
careTeam	S	0..*	Reference(CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo	S	0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	SC	0..1	BackboneElement	In-line definition of activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Detail type of activity Binding: http://id.who.int/icd10 (required)
status	?!S	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.category	extensible	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.code	required	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	CarePlan	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:county		0..1	CodeableConcept	County Where Care Plan is Managed URL: http://example.org/StructureDefinition/careplan-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required)
extension:referralSource		0..1	CodeableConcept	Referral Source for Oncology Care Plan URL: http://example.org/StructureDefinition/careplan-referral-source Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-sources (extensible)
extension:reportToRegistry		0..1	boolean	Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/careplan-registry-flag
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this plan
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan)	Fulfills CarePlan
replaces	Σ	0..*	Reference(CarePlan)	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(CarePlan)	Part of referenced CarePlan
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category	SΣ	0..*	CodeableConcept	Type of plan Binding: http://id.who.int/icd10 (extensible)
title	SΣ	0..1	string	Human-friendly name for the care plan
description	SΣ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(Patient | Group)	Who the care plan is for
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	SΣ	1..1	Period	Time period plan covers
created	Σ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)	Who provided the content of the care plan
careTeam	S	0..*	Reference(CareTeam)	Who's involved in plan?
addresses	SΣ	0..*	Reference(Condition)	Health issues this plan addresses
supportingInfo	S	0..*	Reference(Resource)	Information considered as part of plan
goal	S	0..*	Reference(Goal)	Desired outcome of plan
activity	SC	0..*	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
outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
progress		0..*	Annotation	Comments about the activity status/progress
reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	SC	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code	S	1..1	CodeableConcept	Detail type of activity Binding: http://id.who.int/icd10 (required)
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!S	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
location		0..1	Reference(Location)	Where it should happen
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)	Who will be responsible?
product[x]		0..1		What is to be administered/supplied Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept			CodeableConcept
productReference			Reference(Medication | Substance)
dailyAmount		0..1	SimpleQuantity	How to consume/day?
quantity		0..1	SimpleQuantity	How much to administer/supply/consume
description		0..1	string	Extra info describing activity to perform
note		0..*	Annotation	Comments about the plan
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CarePlan.intent	required	CarePlanIntent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 From the FHIR Standard
CarePlan.category	extensible	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome From the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 From the FHIR Standard
CarePlan.activity.detail.code	required	http://id.who.int/icd10 http://id.who.int/icd10
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 From the FHIR Standard
CarePlan.activity.detail.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard

Constraints

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

This structure is derived from CarePlan

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 15 elements

Extensions

This structure refers to these extensions:

• http://example.org/StructureDefinition/careplan-context-county
• http://example.org/StructureDefinition/careplan-referral-source
• http://example.org/StructureDefinition/careplan-registry-flag

Other representations of profile: CSV, Excel, Schematron