Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: ManaakiNgaTahiCarePlan

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiCarePlan | Version: 0.1.3
Active as of 2026-03-03 | Computable Name: ManaakiNgaTahiCarePlan

CarePlan FHIR resource for Manaaki Nga Tahi

Usages:

- Examples for this Profile: CarePlan/CarePlanExample
- CapabilityStatements using this Profile: Shared Care FHIR Server Capability Statement

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
contained |  | 0..* | Goal | Contained, inline Resources
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition) | Instantiates FHIR protocol or definition
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.
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category | Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (required)
subject | Σ | 1..1 | Reference(Patient) | Who the care plan is for
period | Σ | 0..1 | Period | Start | end values must be in UTC timezone on the FHIR server
author | Σ | 0..1 | Reference(Practitioner) | Who is the designated responsible party
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
CarePlan.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
CarePlan.intent | required | CarePlanIntent `http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1` From the FHIR Standard
CarePlan.category | required | CarePlanCategory `http://hl7.org/fhir/ValueSet/care-plan-category` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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()) |

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
implicitRules |  | 0..0 |  |
language |  | 0..0 |  |
contained |  | 0..* | Goal | Contained, inline Resources
modifierExtension |  | 0..0 |  |
instantiatesCanonical |  | 0..* | canonical(PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..0 |  |
basedOn |  | 0..0 |  |
replaces |  | 0..0 |  |
partOf |  | 0..0 |  |
category |  | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (required)
subject |  | 1..1 | Reference(Patient) | Who the care plan is for
period |  | 0..1 | Period | Start | end values must be in UTC timezone on the FHIR server
author |  | 0..1 | Reference(Practitioner) | Who is the designated responsible party
contributor |  | 0..0 |  |
supportingInfo |  | 0..0 |  |
activity |  |  |  |
id |  | 0..0 |  |
extension |  | 0..0 |  |
modifierExtension |  | 0..0 |  |
outcomeCodeableConcept |  | 0..0 |  |
progress |  | 0..0 |  |
reference |  | 0..0 |  |
detail |  |  |  |
id |  | 0..0 |  |
modifierExtension |  | 0..0 |  |
kind |  | 0..0 |  |
instantiatesCanonical |  | 0..* | canonical(Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..0 |  |
code |  | 0..0 |  |
reasonCode |  | 0..0 |  |
reasonReference |  | 0..0 |  |
goal |  | 0..0 |  |
statusReason |  | 0..0 |  |
doNotPerform |  | 0..0 |  |
scheduled[x] |  | 0..1 | Timing | When activity is to occur
location |  | 0..0 |  |
performer |  | 0..0 |  |
product[x] |  | 0..0 |  |
dailyAmount |  | 0..0 |  |
quantity |  | 0..0 |  |
description |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
CarePlan.category | required | CarePlanCategory `http://hl7.org/fhir/ValueSet/care-plan-category` From the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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..* | Goal | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
identifier | Σ | 0..* | Identifier | External Ids for this plan
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition) | Instantiates FHIR protocol or definition
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.
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category | Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (required)
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | Σ | 1..1 | Reference(Patient) | Who the care plan is for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..1 | Period | Start | end values must be in UTC timezone on the FHIR server
created | Σ | 0..1 | dateTime | Date record was first recorded
author | Σ | 0..1 | Reference(Practitioner) | Who is the designated responsible party
careTeam |  | 0..* | Reference(CareTeam) | Who's involved in plan?
addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses
goal |  | 0..* | Reference(Goal) | Desired outcome of plan
activity | C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3
outcomeReference |  | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
detail | C | 0..1 | BackboneElement | In-line definition of activity
extension |  | 0..* | Extension | Additional content defined by implementations
instantiatesCanonical |  | 0..* | canonical(Questionnaire) | Instantiates FHIR protocol or definition
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.
scheduled[x] |  | 0..1 | Timing | When activity is to occur
note |  | 0..* | Annotation | Comments about the plan
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
CarePlan.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
CarePlan.intent | required | CarePlanIntent `http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1` From the FHIR Standard
CarePlan.category | required | CarePlanCategory `http://hl7.org/fhir/ValueSet/care-plan-category` From the FHIR Standard
CarePlan.activity.detail.status | required | CarePlanActivityStatus `http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1` From the FHIR Standard

#### Constraints

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

This structure is derived from CarePlan

Summary

Prohibited: 31 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
contained |  | 0..* | Goal | Contained, inline Resources
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition) | Instantiates FHIR protocol or definition
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.
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category | Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (required)
subject | Σ | 1..1 | Reference(Patient) | Who the care plan is for
period | Σ | 0..1 | Period | Start | end values must be in UTC timezone on the FHIR server
author | Σ | 0..1 | Reference(Practitioner) | Who is the designated responsible party
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
CarePlan.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
CarePlan.intent | required | CarePlanIntent `http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1` From the FHIR Standard
CarePlan.category | required | CarePlanCategory `http://hl7.org/fhir/ValueSet/care-plan-category` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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()) |

Differential View

This structure is derived from CarePlan

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
implicitRules |  | 0..0 |  |
language |  | 0..0 |  |
contained |  | 0..* | Goal | Contained, inline Resources
modifierExtension |  | 0..0 |  |
instantiatesCanonical |  | 0..* | canonical(PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..0 |  |
basedOn |  | 0..0 |  |
replaces |  | 0..0 |  |
partOf |  | 0..0 |  |
category |  | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (required)
subject |  | 1..1 | Reference(Patient) | Who the care plan is for
period |  | 0..1 | Period | Start | end values must be in UTC timezone on the FHIR server
author |  | 0..1 | Reference(Practitioner) | Who is the designated responsible party
contributor |  | 0..0 |  |
supportingInfo |  | 0..0 |  |
activity |  |  |  |
id |  | 0..0 |  |
extension |  | 0..0 |  |
modifierExtension |  | 0..0 |  |
outcomeCodeableConcept |  | 0..0 |  |
progress |  | 0..0 |  |
reference |  | 0..0 |  |
detail |  |  |  |
id |  | 0..0 |  |
modifierExtension |  | 0..0 |  |
kind |  | 0..0 |  |
instantiatesCanonical |  | 0..* | canonical(Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..0 |  |
code |  | 0..0 |  |
reasonCode |  | 0..0 |  |
reasonReference |  | 0..0 |  |
goal |  | 0..0 |  |
statusReason |  | 0..0 |  |
doNotPerform |  | 0..0 |  |
scheduled[x] |  | 0..1 | Timing | When activity is to occur
location |  | 0..0 |  |
performer |  | 0..0 |  |
product[x] |  | 0..0 |  |
dailyAmount |  | 0..0 |  |
quantity |  | 0..0 |  |
description |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
CarePlan.category | required | CarePlanCategory `http://hl7.org/fhir/ValueSet/care-plan-category` From the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | CarePlan | Healthcare plan for patient or group
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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..* | Goal | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
identifier | Σ | 0..* | Identifier | External Ids for this plan
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition) | Instantiates FHIR protocol or definition
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.
intent | ?!Σ | 1..1 | code | proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
category | Σ | 0..* | CodeableConcept | Type of plan Binding: CarePlanCategory (required)
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | Σ | 1..1 | Reference(Patient) | Who the care plan is for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..1 | Period | Start | end values must be in UTC timezone on the FHIR server
created | Σ | 0..1 | dateTime | Date record was first recorded
author | Σ | 0..1 | Reference(Practitioner) | Who is the designated responsible party
careTeam |  | 0..* | Reference(CareTeam) | Who's involved in plan?
addresses | Σ | 0..* | Reference(Condition) | Health issues this plan addresses
goal |  | 0..* | Reference(Goal) | Desired outcome of plan
activity | C | 0..* | BackboneElement | Action to occur as part of plan Constraints: cpl-3
outcomeReference |  | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
detail | C | 0..1 | BackboneElement | In-line definition of activity
extension |  | 0..* | Extension | Additional content defined by implementations
instantiatesCanonical |  | 0..* | canonical(Questionnaire) | Instantiates FHIR protocol or definition
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.
scheduled[x] |  | 0..1 | Timing | When activity is to occur
note |  | 0..* | Annotation | Comments about the plan
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
CarePlan.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
CarePlan.intent | required | CarePlanIntent `http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1` From the FHIR Standard
CarePlan.category | required | CarePlanCategory `http://hl7.org/fhir/ValueSet/care-plan-category` From the FHIR Standard
CarePlan.activity.detail.status | required | CarePlanActivityStatus `http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1` From the FHIR Standard

#### Constraints

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

This structure is derived from CarePlan

Summary

Prohibited: 31 elements

Other representations of profile: CSV, Excel, Schematron