PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## Resource Profile: ADI Preference Care Plan

Defining URL: | http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan
Version: | 0.1.0
Name: | PADIPreferenceCarePlan
Title: | ADI Preference Care Plan
Status: | Active as of 12/6/21 8:50 PM
Definition: | The Preference Care Plan is a means for an individual to express their goals and preferences under certain circumstances that may be pertinent when planning his or her care.
Publisher: | HL7 Patient Empowerment Working Group
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan

The ADI Preference care plan represents the patient’s goals for treatment based on circumstances or situations that provide context for the goals documented. A patient could document their goal of care in a situation such as a terminal condition that will result in their death in a relatively short period of time as being to extend their life for as long as possible, or allow their natural death to occur, or allow limited treatments to occur for a certain period of time before they are stopped. In a different situation, such as permanent and severe brain damage from which they are not expected to recover, that their goal of care options may be the same but their documented selection is different. Various forms and jurisdictions include circumstances or situations that are relatively consistent but still vary somewhat, so this Resource allows the basic structure of a context or circumstance or situation to be defined, against which the identification of a goal is documented, and against which in some existing forms further identification of the patient’s preference for interventions is captured. To enable the patient’s own preferred plan of care to merge with the care team’s clinical plan of care results in a jointly-authored and patient-centered plan of care that is informed by the person receiving care and the care team responsible for delivering that care.

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from CarePlan

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal)
- ADI Care Experience Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-goal-order-by-descending-priority-extension

Slices

This structure defines the following Slices:

- The element CarePlan.category is sliced based on the value of pattern:$this

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-goal-order-by-descending-priority-extension |  | 0..1 | CodeableConcept | Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-goal-order-by-descending-priority-extension Binding: hl7VS-yes-no-Indicator (extensible)
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active
intent |  | 1..1 | code | proposal | plan | order | option Required Pattern: proposal
Slices for category |  | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this
category:advance_care_planning | S | 1..1 | CodeableConcept | Type of plan Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 736366004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care plan
subject | S | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for
addresses | S | 1..* | Reference(Condition) | Health issues this plan addresses
goal | S | 1..* | Reference(Personal Intervention Preference | ADI Personal Goal | ADI Care Experience Preference) | Patient's preferences and goals for the scope of this care plan.
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-goal-order-by-descending-priority-extension |  | 0..1 | CodeableConcept | Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-goal-order-by-descending-priority-extension Binding: hl7VS-yes-no-Indicator (extensible)
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 | ?!Σ | 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. Required Pattern: active
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: proposal
Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:advance_care_planning | S Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 736366004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care plan
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..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 |  | 0..* | Reference(CareTeam) | Who's involved in plan?
addresses | S Σ | 1..* | Reference(Condition) | Health issues this plan addresses
supportingInfo |  | 0..* | Reference(Resource) | Information considered as part of plan
goal | S | 1..* | Reference(Personal Intervention Preference | ADI Personal Goal | ADI Care Experience Preference) | Patient's preferences and goals for the scope of this care plan.
activity | I | 0..* | 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
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 | I | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource
detail | I | 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 |  | 0..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.
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 | ?! | 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 |
scheduledString |  |  | string |
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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
category:advance_care_planning | Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 736366004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care plan
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for
addresses | Σ | 1..* | Reference(Condition) | Health issues this plan addresses
goal |  | 1..* | Reference(Personal Intervention Preference | ADI Personal Goal | ADI Care Experience Preference) | Patient's preferences and goals for the scope of this care plan.
Documentation for this format

This structure is derived from CarePlan

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- Personal Intervention Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalInterventionPreference)
- ADI Personal Goal (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PersonalGoal)
- ADI Care Experience Preference (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-CareExperiencePreference)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-goal-order-by-descending-priority-extension

Slices

This structure defines the following Slices:

- The element CarePlan.category is sliced based on the value of pattern:$this

Differential View

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-goal-order-by-descending-priority-extension |  | 0..1 | CodeableConcept | Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-goal-order-by-descending-priority-extension Binding: hl7VS-yes-no-Indicator (extensible)
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active
intent |  | 1..1 | code | proposal | plan | order | option Required Pattern: proposal
Slices for category |  | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this
category:advance_care_planning | S | 1..1 | CodeableConcept | Type of plan Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 736366004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care plan
subject | S | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for
addresses | S | 1..* | Reference(Condition) | Health issues this plan addresses
goal | S | 1..* | Reference(Personal Intervention Preference | ADI Personal Goal | ADI Care Experience Preference) | Patient's preferences and goals for the scope of this care plan.
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
padi-goal-order-by-descending-priority-extension |  | 0..1 | CodeableConcept | Goal Order by Descending Priority URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-goal-order-by-descending-priority-extension Binding: hl7VS-yes-no-Indicator (extensible)
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 | ?!Σ | 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. Required Pattern: active
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan. Required Pattern: proposal
Slices for category | Σ | 1..* | CodeableConcept | Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:advance_care_planning | S Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 736366004
display |  | 1..1 | string | Representation defined by the system Fixed Value: Advance care plan
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the care plan is for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..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 |  | 0..* | Reference(CareTeam) | Who's involved in plan?
addresses | S Σ | 1..* | Reference(Condition) | Health issues this plan addresses
supportingInfo |  | 0..* | Reference(Resource) | Information considered as part of plan
goal | S | 1..* | Reference(Personal Intervention Preference | ADI Personal Goal | ADI Care Experience Preference) | Patient's preferences and goals for the scope of this care plan.
activity | I | 0..* | 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
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 | I | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource
detail | I | 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 |  | 0..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.
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 | ?! | 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 |
scheduledString |  |  | string |
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

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
CarePlan.language | preferred | CommonLanguages Max Binding: AllLanguages
CarePlan.status | required | Pattern: active
CarePlan.intent | required | Pattern: proposal
CarePlan.category | example | CarePlanCategory
CarePlan.category:advance_care_planning | example | Pattern: SNOMED CT code 736366004("Advance care plan")
CarePlan.activity.outcomeCodeableConcept | example | CarePlanActivityOutcome
CarePlan.activity.detail.kind | required | CarePlanActivityKind
CarePlan.activity.detail.code | example | ProcedureCodes(SNOMEDCT)
CarePlan.activity.detail.reasonCode | example | SNOMEDCTClinicalFindings
CarePlan.activity.detail.status | required | CarePlanActivityStatus
CarePlan.activity.detail.product[x] | example | SNOMEDCTMedicationCodes

#### Constraints

Id | Path | Details | Requirements
cpl-3 | CarePlan.activity | Provide a reference or detail, not both : detail.empty() or reference.empty() |