**Example Usage Scenarios:**

The following are example usage scenarios for this profile:

-   Query for a care plan belonging to a Patient
-   [Record or update] an existing care plan

### Mandatory and Must Support Data Elements

The following data elements must always be present ([Mandatory] definition) or must be supported if the data is present in the sending system ([Must Support] definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The [Formal Views] below provides the formal summary, definitions, and terminology requirements.

**Each CarePlan Must Have:**

1. a status
<!-- 1. a category -->
1. an intent
2. a patient

**Each CarePlan Must Support:**

1. a narrative summary of the patient assessment and plan of treatment<sup>1</sup>
2. a category

{% include additional-requirements-intro.md type="CarePlan" plural="false" %}

1. a contributor<sup>2</sup>
2. references to health issues this plan addresses<sup>1</sup>

<sup>1,2</sup> see guidance below

### Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

* <sup>1</sup>The original US Core CarePlan Profile was designed to support the "Assessment and Plan" in a narrative Progress Note. Its future direction is to move from text-based content to discrete references to conditions/needs (`CarePlan.addresses`), goals (`CarePlan.goal`), and strategies (`CarePlan.activities`).

* Additional considerations for systems aligning with [HL7 Consolidated (C-CDA)](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements:
    - US Core Goal **SHOULD** be present in `CarePlan.goal`<sup>[§][CONF-0310]</sup>
    - US Core Condition **SHOULD** be present in `CarePlan.addresses`<sup>[§][CONF-0311]</sup>
    - Assessment and Plan **MAY** be included as narrative in `CarePlan.text`<sup>[§][CONF-0312]</sup>
* As an alternative to the US Core CarePlan, Assessment and Plan of Treatment may be included in various types of [Clinical Notes], such as Progress Notes, History & Physical (H&P), Discharge Summaries, etc.
{% include provenance-author-bullet-generator.md footnote-symbol='<sup>2</sup>' %}

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