0.1.0 - ci-build

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

Resource Profile: Oncology Care Plan Kenya

Official URL: http://example.org/StructureDefinition/oncology-kenya-careplan Version: 0.1.0
Draft as of 2026-06-23 Computable Name: OncologyKenyaCarePlan

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:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base extensible http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​code Base required http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CarePlan.category Base extensible http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​code Base required http://id.who.int/icd10 Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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(4.0.1) How to consume/day?
..... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
..... description 0..1 string Extra info describing activity to perform
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.language Base preferred Common Languages 📍4.0.1 FHIR Std.
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base extensible http://id.who.int/icd10 Not State Unknown
CarePlan.activity.outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​code Base required http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

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

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:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base extensible http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​code Base required http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from CarePlan

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CarePlan.category Base extensible http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​code Base required http://id.who.int/icd10 Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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(4.0.1) How to consume/day?
..... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
..... description 0..1 string Extra info describing activity to perform
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.language Base preferred Common Languages 📍4.0.1 FHIR Std.
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base extensible http://id.who.int/icd10 Not State Unknown
CarePlan.activity.outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​code Base required http://id.who.int/icd10 Not State Unknown
CarePlan.activity.detail.​reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

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

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:

 

Other representations of profile: CSV, Excel, Schematron