Profile Comparison between http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan vs http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan

Left:Multiple Chronic Care Condition Care Plan (http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan)
Right:Multiple Chronic Care Condition Care Plan (http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0-ballot' vs '1.0.0-ballot2'
InformationStructureDefinition.nameValues for name differ: 'MCCCarePLan' vs 'MCCCarePlan'
WarningCarePlan.textElements differ in short: 'Text summary of the resource, for human interpretation' vs '(USCDI) Text summary of the resource, for human interpretation'
InformationCarePlan.textElement minimum cardinalities differ: '1' vs '0'
WarningCarePlan.text.statusElements differ in short: 'generated | extensions | additional | empty' vs '(USCDI) generated | extensions | additional | empty'
WarningCarePlan.text.divElements differ in short: 'Limited xhtml content' vs '(USCDI) Limited xhtml content'
WarningCarePlan.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningCarePlan.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
WarningCarePlan.statusElements differ in short: 'draft | active | on-hold | revoked | completed | entered-in-error | unknown' vs '(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown'
WarningCarePlan.intentElements differ in short: 'proposal | plan | order | option' vs '(USCDI) proposal | plan | order | option'
WarningCarePlan.subjectElements differ in short: 'Who the care plan is for' vs '(USCDI) Who the care plan is for'
WarningCarePlan.authorElements differ in short: 'Who is the designated responsible party. CUSTODIAN OR CARE PLAN OWNER' vs 'Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5.'
WarningCarePlan.authorElements differ in definition: ' Who is the designated responsible party. (CarePlan.author to be renamed to CarePlan.custodian in R5)' vs 'Use of CarePlan.author is discouraged. It is removed from the R5 CarePlan Resource and replaced with CarePlan.custodian and should not be used to indicate the responsible party. CarePlan custodian extension should be used to identify a responsible party in the MCC CarePlan Profile'
WarningCarePlan.authorElements differ in definition for mustSupport: 'true' vs 'false'
WarningCarePlan.contributorElements differ in definition: 'Identifies the individual(s) or organization who provided the contents of the care plan.' vs 'CarePlan.contributor SHALL be used to represent contributors to the care plan instead of author in the MCC CarePlan. Contributors can range from devices (e.g. a home BP monitor) to an individual, team or organization'
WarningCarePlan.activity.outcomeReferenceElements differ in definition: 'This element details the outcome or action resulting from the activity. The reference to an 'event' resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred. Please see the libraries of available value sets (insert link(s)?) pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference, 3. Rename: activity.detail to plannedActivityDetail.' vs 'This element details the outcome or action resulting from the activity. The reference to an 'event' resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred over outcomeCodeableConcept. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference of activity.outcomeReference for details.'
WarningCarePlan.activity.referenceElements differ in short: 'This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activityReference' vs 'This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference'
WarningCarePlan.activity.referenceElements differ in definition: 'This CarePlan element holds the details of the proposed activity represented in a specific resource. Planned activities represent ordered or planned activities that are part of the Care Plan. Please see the libraries of available value sets (insert link(s)?) pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activityReference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for whn serviceRequest is used within a FHIR Care Plan There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference, 3. Rename: activity.detail to plannedActivityDetail.' vs 'This CarePlan element holds the details of the proposed activity represented in a specific resource. Planned activities represent ordered or planned activities that are part of the Care Plan. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for when serviceRequest is used within a FHIR Care Plan There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference for activity.reference to provide details.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan
      .copyright
        .date2022-04-13
          .descriptionThis profile constrains the FHIR Care Plan Resource to represent the requirements of a care plan for patients with multiple chronic conditions.
            .experimental
              .fhirVersion4.0.1
                .jurisdiction
                  ..jurisdiction[0]urn:iso:std:iso:3166#US
                    .kindresource
                      .nameMCCCarePLanMCCCarePlan
                      • Values Differ
                      .publisherHL7 International - Patient Care WG
                        .purpose
                          .statusactive
                            .titleMultiple Chronic Care Condition Care Plan
                              .typeCarePlan
                                .urlhttp://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan
                                  .version1.0.0-ballot1.0.0-ballot2
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                  .. CarePlan 0..*USCoreCarePlanProfileHealthcare plan for patient or group
                                  0..*USCoreCarePlanProfileHealthcare plan for patient or group
                                    ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                          ... language 0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                          0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                            ... text S1..1NarrativeText summary of the resource, for human interpretationS0..1Narrative(USCDI) Text summary of the resource, for human interpretation
                                            • Elements differ in short: 'Text summary of the resource, for human interpretation' vs '(USCDI) Text summary of the resource, for human interpretation'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                              0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                                .... status S1..1codegenerated | extensions | additional | empty
                                                Binding: ?? (required): Constrained value set of narrative statuses.

                                                S1..1code(USCDI) generated | extensions | additional | empty
                                                Binding: ?? (required): Constrained value set of narrative statuses.

                                                • Elements differ in short: 'generated | extensions | additional | empty' vs '(USCDI) generated | extensions | additional | empty'
                                                .... div SC1..1xhtmlLimited xhtml contentSC1..1xhtml(USCDI) Limited xhtml content
                                                • Elements differ in short: 'Limited xhtml content' vs '(USCDI) Limited xhtml content'
                                                ... contained 0..*ResourceContained, inline Resources
                                                0..*ResourceContained, inline Resources
                                                  ... extension 0..*ExtensionAdditional content defined by implementations
                                                  0..*ExtensionExtension
                                                  Slice: Unordered, Open by value:url
                                                  • Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
                                                  • Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
                                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                  ?!0..*ExtensionExtensions that cannot be ignored
                                                    ... identifier Σ0..*IdentifierExternal Ids for this plan
                                                    Σ0..*IdentifierExternal Ids for this plan
                                                      ... instantiatesCanonical Σ0..*canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)Instantiates FHIR protocol or definition
                                                      Σ0..*canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)Instantiates FHIR protocol or definition
                                                        ... instantiatesUri Σ0..*uriInstantiates external protocol or definition
                                                        Σ0..*uriInstantiates external protocol or definition
                                                          ... basedOn Σ0..*Reference(CarePlan)Fulfills CarePlan
                                                          Σ0..*Reference(CarePlan)Fulfills CarePlan
                                                            ... replaces Σ0..*Reference(CarePlan)CarePlan replaced by this CarePlan
                                                            Σ0..*Reference(CarePlan)CarePlan replaced by this CarePlan
                                                              ... partOf Σ0..*Reference(CarePlan)Part of referenced CarePlan
                                                              Σ0..*Reference(CarePlan)Part of referenced CarePlan
                                                                ... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                                Binding: ?? (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

                                                                ?!SΣ1..1code(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                                Binding: ?? (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.

                                                                • Elements differ in short: 'draft | active | on-hold | revoked | completed | entered-in-error | unknown' vs '(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown'
                                                                ... intent ?!SΣ1..1codeproposal | plan | order | option
                                                                Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan

                                                                ?!SΣ1..1code(USCDI) proposal | plan | order | option
                                                                Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a care plan

                                                                • Elements differ in short: 'proposal | plan | order | option' vs '(USCDI) proposal | plan | order | option'
                                                                ... Slices for category SΣ1..*CodeableConceptCare Plan category code describes the type of care plan. Please see CarePlan.category detail for guidance.
                                                                Slice: Unordered, Open by pattern:$this
                                                                Binding: ?? (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.


                                                                SΣ1..*CodeableConceptCare Plan category code describes the type of care plan. Please see CarePlan.category detail for guidance.
                                                                Slice: Unordered, Open by pattern:$this
                                                                Binding: ?? (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.


                                                                  ... title Σ0..1stringHuman-friendly name for the care planΣ0..1stringHuman-friendly name for the care plan
                                                                    ... description Σ0..1stringSummary of nature of planΣ0..1stringSummary of nature of plan
                                                                      ... subject SΣ1..1Reference(US Core Patient Profile)Who the care plan is forSΣ1..1Reference(US Core Patient Profile)(USCDI) Who the care plan is for
                                                                      • Elements differ in short: 'Who the care plan is for' vs '(USCDI) Who the care plan is for'
                                                                      ... encounter Σ0..1Reference(Encounter)Encounter created as part ofΣ0..1Reference(Encounter)Encounter created as part of
                                                                        ... period Σ0..1PeriodTime period plan coversΣ0..1PeriodTime period plan covers
                                                                          ... created Σ0..1dateTimeDate record was first recordedΣ0..1dateTimeDate record was first recorded
                                                                            ... author SΣ0..1Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core Organization Profile | RelatedPerson | Device | Multiple Chronic Condition Care Plan Care Team)Who is the designated responsible party. CUSTODIAN OR CARE PLAN OWNERΣ0..1Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5.
                                                                            • Elements differ in short: 'Who is the designated responsible party. CUSTODIAN OR CARE PLAN OWNER' vs 'Use the CarePlan custodian extension instead. Use of CarePlan.author is discouraged, it is removed in R5.'
                                                                            • Elements differ in definition: ' Who is the designated responsible party. (CarePlan.author to be renamed to CarePlan.custodian in R5)' vs 'Use of CarePlan.author is discouraged. It is removed from the R5 CarePlan Resource and replaced with CarePlan.custodian and should not be used to indicate the responsible party. CarePlan custodian extension should be used to identify a responsible party in the MCC CarePlan Profile'
                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                            ... contributor S0..*Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core Organization Profile | RelatedPerson | Device | Multiple Chronic Condition Care Plan Care Team)Who provided the content of the care plan
                                                                            S0..*Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core Organization Profile | RelatedPerson | Device | Multiple Chronic Condition Care Plan Care Team)Who provided the content of the care plan
                                                                            • Elements differ in definition: 'Identifies the individual(s) or organization who provided the contents of the care plan.' vs 'CarePlan.contributor SHALL be used to represent contributors to the care plan instead of author in the MCC CarePlan. Contributors can range from devices (e.g. a home BP monitor) to an individual, team or organization'
                                                                            ... careTeam S0..*Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team | Multiple Chronic Condition Care Plan Care Team | US Core CareTeam Profile)Who's involved in plan?
                                                                            S0..*Reference(Multiple Chronic Condition Care Plan Care Team | US Core CareTeam Profile)Who's involved in plan?
                                                                              ... addresses Σ0..*Reference(Condition)Health issues this plan addresses
                                                                              Σ0..*Reference(Condition)Health issues this plan addresses
                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                    .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URLΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                      .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                      Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                        .... identifier Σ0..1IdentifierLogical reference, when literal reference is not knownΣ0..1IdentifierLogical reference, when literal reference is not known
                                                                                          .... display Σ0..1stringText alternative for the resourceΣ0..1stringText alternative for the resource
                                                                                            ... supportingInfo S0..*Reference(US Core Blood Pressure Profile | US Core BMI Profile | US Core Body Weight Profile | Multiple Chronic Condition Care Plan Chronic Disease Conditions | Multiple Chronic Condition Care Plan Laboratory Result Observation | Multiple Chronic Condition Care Plan Diagnostic Report and Note | Multiple Chronic Condition Care Plan Procedure | US Core Immunization Profile | Multiple Chronic Condition Care Plan Family History | Document Reference to Patient's Personal Advance Care Plan (Advance Directive) | SDC Questionnaire Response | Multiple Chronic Condition Care Plan Symptom Observation | Multiple Chronic Condition Care Plan Service Request | Multiple Chronic Condition Care Plan Observation SDOH Assessment | Multiple Chronic Condition Care Plan Immunization | Multiple Chronic Condition Care Plan Nutrition Order | Multiple Chronic Condition Care Plan Clinical Impression | Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation | Multiple Chronic Condition Care Plan Questionnaire Response | Multiple Chronic Condition Care Plan Caregiver Considerations Observation | Multiple Chronic Condition Care Plan Clinical Test Observation | Multiple Chronic Condition Care Plan Caregiver on Care Team)Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.supportingInfo
                                                                                            S0..*Reference(US Core Blood Pressure Profile | US Core BMI Profile | US Core Body Weight Profile | Multiple Chronic Condition Care Plan Chronic Disease Conditions | Multiple Chronic Condition Care Plan Laboratory Result Observation | Multiple Chronic Condition Care Plan Diagnostic Report and Note | Multiple Chronic Condition Care Plan Procedure | US Core Immunization Profile | Multiple Chronic Condition Care Plan Family History | Document Reference to Patient's Personal Advance Care Plan (Advance Directive) | SDC Questionnaire Response | Multiple Chronic Condition Care Plan Symptom Observation | Multiple Chronic Condition Care Plan Service Request | Multiple Chronic Condition Care Plan Observation SDOH Assessment | Multiple Chronic Condition Care Plan Immunization | Multiple Chronic Condition Care Plan Nutrition Order | Multiple Chronic Condition Care Plan Clinical Impression | Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation | Multiple Chronic Condition Care Plan Questionnaire Response | Multiple Chronic Condition Care Plan Caregiver Considerations Observation | Multiple Chronic Condition Care Plan Clinical Test Observation | US Core RelatedPerson Profile | US Core Observation Occupation Profile)Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.supportingInfo
                                                                                              ... goal 0..*Reference(Multiple Chronic Condition Care Plan Goal)This Goal represents one or more overarching goal applicable to the entire care plan
                                                                                              0..*Reference(Multiple Chronic Condition Care Plan Goal)This Goal represents one or more overarching goal applicable to the entire care plan
                                                                                                ... activity SC0..*BackboneElementAction to occur as part of plan. This is the backbone element of the care plan that is the root of care coordination activities. While there can be many activities in a care plan, each activity has only one planned.activityRefence
                                                                                                SC0..*BackboneElementAction to occur as part of plan. This is the backbone element of the care plan that is the root of care coordination activities. While there can be many activities in a care plan, each activity has only one planned.activityRefence
                                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                        .... outcomeCodeableConcept 0..*CodeableConceptResults of the activity
                                                                                                        Binding: ?? (example): Identifies the results of the activity.


                                                                                                        0..*CodeableConceptResults of the activity
                                                                                                        Binding: ?? (example): Identifies the results of the activity.


                                                                                                          .... outcomeReference S0..*Reference(Multiple Chronic Condition Care Plan Procedure | Multiple Chronic Condition Care Plan Laboratory Result Observation | US Core Immunization Profile | Multiple Chronic Condition Care Plan Diagnostic Report and Note | US Core Immunization Profile | Multiple Chronic Condition Care Plan Medication Request | Multiple Chronic Condition Care Plan Chronic Disease Conditions | US Core Body Weight Profile | US Core Blood Pressure Profile | Multiple Chronic Condition Care Plan Goal | US Core BMI Profile | Multiple Chronic Condition Care Plan Symptom Observation)This CarePlan element represents a PERFORMED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference
                                                                                                          S0..*Reference(Multiple Chronic Condition Care Plan Procedure | Multiple Chronic Condition Care Plan Laboratory Result Observation | US Core Immunization Profile | Multiple Chronic Condition Care Plan Diagnostic Report and Note | US Core Immunization Profile | Multiple Chronic Condition Care Plan Medication Request | Multiple Chronic Condition Care Plan Chronic Disease Conditions | US Core Body Weight Profile | US Core Blood Pressure Profile | Multiple Chronic Condition Care Plan Goal | US Core BMI Profile | Multiple Chronic Condition Care Plan Symptom Observation)This CarePlan element represents a PERFORMED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference
                                                                                                          • Elements differ in definition: 'This element details the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred. Please see the libraries of available value sets (insert link(s)?) pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference, 3. Rename: activity.detail to plannedActivityDetail.' vs 'This element details the outcome or action resulting from the activity. The reference to an "event" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using the CarePlan.activity.reference (a reference to a “request” resource). In the MCC Care Plan, CarePlan.activity.OutcomeReference (Must Support) is preferred over outcomeCodeableConcept. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.outcomeReference. Please also see the Care Plan Profile Relationship diagram for additional guidance <link?>. There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference of activity.outcomeReference for details.'
                                                                                                          .... progress 0..*AnnotationComments about the activity status/progress
                                                                                                          0..*AnnotationComments about the activity status/progress
                                                                                                            .... reference SC0..1Reference(NutritionOrder | Multiple Chronic Condition Care Plan Medication Request | CommunicationRequest | DeviceRequest | Task | ServiceRequest | VisionPrescription | RequestGroup | Appointment)This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activityReferenceSC0..1Reference(NutritionOrder | Multiple Chronic Condition Care Plan Medication Request | CommunicationRequest | DeviceRequest | Task | ServiceRequest | VisionPrescription | RequestGroup | Appointment)This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference
                                                                                                            • Elements differ in short: 'This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activityReference' vs 'This CarePlan element represents a PLANNED ACTIVITY. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference'
                                                                                                            • Elements differ in definition: 'This CarePlan element holds the details of the proposed activity represented in a specific resource. Planned activities represent ordered or planned activities that are part of the Care Plan. Please see the libraries of available value sets (insert link(s)?) pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activityReference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for whn serviceRequest is used within a FHIR Care Plan There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference, 3. Rename: activity.detail to plannedActivityDetail.' vs 'This CarePlan element holds the details of the proposed activity represented in a specific resource. Planned activities represent ordered or planned activities that are part of the Care Plan. Please see the libraries of available value sets pertinent for use with the appropriate Multiple Chronic Condition Care Plan Profile for use within the referenced profiles at CarePlan.activity.reference. The referred to profiles are suggested for use within the MCC Care Plan, but additional ServiceRequest may be used. When US Core R5 is published. US Core Service Request will be used and may be profiled to add additional requirements for when serviceRequest is used within a FHIR Care Plan There is an existing Ticket FHIR- 26064 (https://jira.hl7.org/browse/FHIR-26064) with respect to clarifying the description and names for activity within Care Plan applied in R5: 1. Rename: activity.outcome to performedActivity, 2. Rename: activity.reference to plannedActivityReference. The R5 CarePlan does not have activity.detail, accordingly the MCC CarePlan prefers the use of the targeted reference for activity.reference to provide details.'
                                                                                                            .... detail C0..0C0..0
                                                                                                              ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                  ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                    ..... kind 0..1codeAppointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
                                                                                                                    Binding: ?? (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.

                                                                                                                    0..1codeAppointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
                                                                                                                    Binding: ?? (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
                                                                                                                      0..*canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)Instantiates FHIR protocol or definition
                                                                                                                        ..... instantiatesUri 0..*uriInstantiates external protocol or definition
                                                                                                                        0..*uriInstantiates external protocol or definition
                                                                                                                          ..... code 0..1CodeableConceptDetail type of activity
                                                                                                                          Binding: ?? (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

                                                                                                                          0..1CodeableConceptDetail type of activity
                                                                                                                          Binding: ?? (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

                                                                                                                            ..... reasonCode 0..*CodeableConceptWhy activity should be done or why activity was prohibited
                                                                                                                            Binding: ?? (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.


                                                                                                                            0..*CodeableConceptWhy activity should be done or why activity was prohibited
                                                                                                                            Binding: ?? (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
                                                                                                                              0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Why activity is needed
                                                                                                                                ..... goal 0..*Reference(Goal)Goals this activity relates to
                                                                                                                                0..*Reference(Goal)Goals this activity relates to
                                                                                                                                  ..... status ?!1..1codenot-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
                                                                                                                                  Binding: ?? (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

                                                                                                                                  ?!1..1codenot-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
                                                                                                                                  Binding: ?? (required): Codes that reflect the current state of a care plan activity within its overall life cycle.

                                                                                                                                    ..... statusReason 0..1CodeableConceptReason for current status0..1CodeableConceptReason for current status
                                                                                                                                      ..... doNotPerform ?!0..1booleanIf true, activity is prohibiting action?!0..1booleanIf true, activity is prohibiting action
                                                                                                                                        ..... scheduled[x] 0..1Timing, Period, stringWhen activity is to occur0..1Timing, Period, stringWhen activity is to occur
                                                                                                                                          ..... location 0..1Reference(Location)Where it should happen0..1Reference(Location)Where it should happen
                                                                                                                                            ..... performer 0..*Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)Who will be responsible?
                                                                                                                                            0..*Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)Who will be responsible?
                                                                                                                                              ..... product[x] 0..1CodeableConcept, Reference(Medication | Substance)What is to be administered/supplied
                                                                                                                                              Binding: ?? (example): A product supplied or administered as part of a care plan activity.

                                                                                                                                              0..1CodeableConcept, Reference(Medication | Substance)What is to be administered/supplied
                                                                                                                                              Binding: ?? (example): A product supplied or administered as part of a care plan activity.

                                                                                                                                                ..... dailyAmount 0..1??How to consume/day?0..1??How to consume/day?
                                                                                                                                                  ..... quantity 0..1??How much to administer/supply/consume0..1??How much to administer/supply/consume
                                                                                                                                                    ..... description 0..1stringExtra info describing activity to perform0..1stringExtra info describing activity to perform
                                                                                                                                                      ... note 0..*AnnotationComments about the plan
                                                                                                                                                      0..*AnnotationComments about the plan

                                                                                                                                                        doco Documentation for this format