description: A person-centered care plan SHALL reference a person-centered goal and SHALL include action steps that support progress toward achievement of the plan's goals and desired outcomes. A plan SHOULD address the person's stated priorities for what matters most to them. Action steps may include both treatment procedures and self-care steps identified by the person. package_name: hl7.fhir.us.pco derivation: constraint name: PCOCarePlan type: CarePlan elements: category: short: Person-Centered resource category binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/pco/ValueSet/pco-categories'} mustSupport: true index: 0 slicing: slices: pco: match: {} schema: short: Person-Centered resource category binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/pco/ValueSet/pco-categories'} mustSupport: true index: 0 min: 0 max: 1 goal: mustSupport: true index: 1 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: 1 slices: SupportedGoals: match: {} schema: min: 1 short: Person-centered goals supported by this plan refers: ['http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-profile'] type: Reference mustSupport: true array: true _required: true index: 2 min: 1 activity: index: 3 elements: reference: {short: Action steps for person-centered goals, mustSupport: true, index: 4} detail: {short: Removed in FHIR R5, index: 5} required: [reference] package_version: 1.0.0-ballot class: profile kind: resource url: http://hl7.org/fhir/us/pco/StructureDefinition/pco-care-plan base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan version: 1.0.0-ballot required: [activity, goal]