Careplan-example-GPVisit.json

Encounter to GP (Primary care Practitioner)

{
  "resourceType": "CarePlan",
  "id": "gpvisit",
  "text": {
    "status": "additional",
    "div": "<div>\n      <p>  Represents the flow of a patient within a practice. The plan is created when\n        they arrive and represents the 'care' of the patient over the course of that encounter.\n        They first see the nurse for basic observations (BP, pulse, temp) then the doctor for\n        the consultation and finally the nurse again for a tetanus immunization. As the plan is\n        updated (e.g. a new activity added), different versions of the plan exist, and workflow timings\n        for reporting can be gained by examining the plan history. This example is the version after\n        seeing the doctor, and waiting for the nurse.The plan can either be created 'ad hoc' and modified as\n        the parient progresses, or start with a standard template (which can, of course, be altered to suit the patient.</p>\n    </div>"
  },
  "contained": [
    {
      "resourceType": "Condition",
      "id": "p1",
      "patient": {
        "reference": "Patient/100",
        "display": "Peter James Chalmers"
      },
      "code": {
        "text": "Overseas encounter",
        "_text": {
          "fhir_comments": [
            "  Could coded if we wanted to... "
          ]
        }
      },
      "verificationStatus": "confirmed"
    },
    {
      "resourceType": "Goal",
      "id": "goal",
      "subject": {
        "reference": "Patient/100",
        "display": "Peter James Chalmers"
      },
      "description": "Complete consultation",
      "status": "planned"
    }
  ],
  "subject": {
    "reference": "Patient/100",
    "display": "Peter James Chalmers"
  },
  "status": "active",
  "period": {
    "fhir_comments": [
      "  No end yet as the encounter is still in progress. "
    ],
    "start": "2013-01-01T10:30:00+00:00",
    "_start": {
      "fhir_comments": [
        "  This is the time the plan started - i.e. when they arrived "
      ]
    }
  },
  "addresses": [
    {
      "reference": "#p1",
      "display": "obesity"
    }
  ],
  "participant": [
    {
      "id": "part1",
      "role": {
        "coding": [
          {
            "system": "http://example.org/local",
            "code": "nur"
          }
        ],
        "text": "nurse"
      },
      "member": {
        "reference": "Practitioner/13",
        "display": "Nurse Nancy"
      }
    },
    {
      "id": "part2",
      "role": {
        "coding": [
          {
            "system": "http://example.org/local",
            "code": "doc"
          }
        ],
        "text": "doctor"
      },
      "member": {
        "reference": "Practitioner/14",
        "display": "Doctor Dave"
      }
    }
  ],
  "goal": [
    {
      "reference": "#goal"
    }
  ],
  "activity": [
    {
      "actionResulting": [
        {
          "reference": "Encounter/example",
          "_reference": {
            "fhir_comments": [
              "  This is a link to the nurse encounter. The assumption is that all contacts with practitioners\n            are modelled as separate encounters. Ideally, there will be  a 'master/parent' encounter that ties them together.\n            If there is a single encounter, then all participants will be linked to that encounter. "
            ]
          }
        }
      ],
      "detail": {
        "category": {
          "fhir_comments": [
            "  This activity is for the initial nurse encounter where vitals are taken. It has been completed. "
          ],
          "coding": [
            {
              "system": "http://hl7.org/fhir/care-plan-activity-category",
              "code": "encounter"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://example.org/local",
              "code": "nursecon"
            }
          ],
          "text": "Nurse Consultation"
        },
        "status": "completed",
        "prohibited": false,
        "scheduledPeriod": {
          "start": "2013-01-01T10:38:00+00:00",
          "_start": {
            "fhir_comments": [
              "  the nurse saw the patient between 10:38 and 10:50  "
            ]
          },
          "end": "2013-01-01T10:50:00+00:00"
        },
        "performer": [
          {
            "reference": "Practitioner/13",
            "_reference": {
              "fhir_comments": [
                "  refer to the participant (the nurse) in this resource "
              ]
            },
            "display": "Nurse Nancy"
          }
        ]
      }
    },
    {
      "detail": {
        "category": {
          "fhir_comments": [
            "  This activity is for the encounter with the doctor. It is scheduled, but not yet started,\n              so there is no timing[x]  or actionTaken element yet  "
          ],
          "coding": [
            {
              "system": "http://hl7.org/fhir/care-plan-activity-category",
              "code": "encounter"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://example.org/local",
              "code": "doccon"
            }
          ],
          "text": "Doctor Consultation"
        },
        "status": "scheduled",
        "prohibited": false,
        "performer": [
          {
            "fhir_comments": [
              "  The status is 'scheduled' so the doctor knows the patient is waiting.   "
            ],
            "reference": "Practitioner/14",
            "_reference": {
              "fhir_comments": [
                "  refer to the participant (the nurse) in this resource "
              ]
            },
            "display": "Doctor Dave"
          }
        ]
      }
    }
  ]
}