QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v6.0.0-ballot: STU6 (v6.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

: CarePlan example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CarePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b><a name=\"example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CarePlan &quot;example&quot; </p></div><p><b>instantiatesCanonical</b>: <a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule</a></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: Assessment and Plan of Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU6.1/CodeSystem-careplan-category.html\">US Core CarePlan Category Extension Codes</a>#assess-plan)</span></p><p><b>subject</b>: <span>: Eve Everywoman</span></p><p><b>period</b>: 2019-05-24 --&gt; 2020-02-24</p><p><b>careTeam</b>: <a href=\"CareTeam-example.html\">CareTeam/example</a></p><p><b>addresses</b>: <span>: pregnancy</span></p><p><b>goal</b>: <span>: pregnancy goal</span></p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: <span>: First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01</span></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>in-progress</td><td><span>: Mabel Midwife</span></td><td>First antenatal care contact</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>scheduled</td><td>2019-07-26 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Second contact to occur at 20 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>not-started</td><td>2019-09-06 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Third contact to occur at 26 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>not-started</td><td>2019-10-04 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Fourth contact to occur at 30 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>not-started</td><td>2019-11-01 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Fifth contact to occur at 34 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>not-started</td><td>2019-11-15 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Sixth contact to occur at 36 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>not-started</td><td>2019-11-29 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Seventh contact to occur at 38 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><a href=\"http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact\">http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact</a></td><td>Antenatal care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#424525001 &quot;Antenatal care (regime/therapy)&quot;)</span></td><td>not-started</td><td>2019-12-13 --&gt; (ongoing)</td><td><span>: Mabel Midwife</span></td><td>Eighth contact to occur at 40 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td>Delivery procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (mySystem#236973005 &quot;Delivery procedure (procedure)&quot;)</span></td><td>not-started</td><td>2019-12-13 --&gt; 2019-12-27</td><td><span>: Mabel Midwife</span></td><td>Delivery</td></tr></table></blockquote></div>"
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule>
  ] ) ; # extension url="http://fhir.org/guides/who/anc-cds/StructureDefinition/careplan-episodeOfCare">
#        <valueReference>
#            <reference value="EpisodeOfCare/mom-pregnancy-episode"/>
#        </valueReference>
#    </extension
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "plan"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/careplan-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assess-plan" ] ;
fhir:display [ fhir:v "Assessment and Plan of Treatment" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:display [ fhir:v "Eve Everywoman" ] # reference value=\"Patient\/mom\"\/
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2019-05-24"^^xsd:date ] ; #   The likely duration of the pregnancy  
fhir:end [ fhir:v "2020-02-24"^^xsd:date ]
  ] ; # 
  fhir:careTeam ( [
fhir:reference [ fhir:v "CareTeam/example" ]
  ] ) ; # 
  fhir:addresses ( [
fhir:display [ fhir:v "pregnancy" ] # reference value=\"Condition\/mom-pregnancy\"\/
  ] ) ; # 
  fhir:goal ( [
fhir:display [ fhir:v "pregnancy goal" ] # reference value=\"Goal\/mom-pregnancy-goal\"\/
  ] ) ; # 
  fhir:activity ( [
    ( fhir:outcomeReference [
fhir:display [ fhir:v "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01" ] # reference value=\"Encounter\/mom-first-contact\"\/     ] ) ;
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "in-progress" ] ;
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "First antenatal care contact" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "scheduled" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-07-26"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Second contact to occur at 20 weeks of gestational age" ]     ] # reference>\n          <reference value=\"ServiceRequest\/mom-second-contact\"\/>\n          <display value=\"Second contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact\"\/>\n        <\/reference
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-09-06"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Third contact to occur at 26 weeks of gestational age" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-10-04"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Fourth contact to occur at 30 weeks of gestational age" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-11-01"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Fifth contact to occur at 34 weeks of gestational age" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-11-15"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Sixth contact to occur at 36 weeks of gestational age" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-11-29"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Seventh contact to occur at 38 weeks of gestational age" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ;
      ( fhir:instantiatesCanonical [
fhir:v "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact>       ] ) ;
fhir:code [
        ( fhir:coding [
a sct:424525001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "424525001" ] ;
fhir:display [ fhir:v "Antenatal care (regime/therapy)" ]         ] ) ;
fhir:text [ fhir:v "Antenatal care" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-12-13"^^xsd:date ]       ] ; #  Scheduled based on gestational age calculation 
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ;
fhir:description [ fhir:v "Eighth contact to occur at 40 weeks of gestational age" ]     ]
  ] [
fhir:detail [
fhir:kind [ fhir:v "ServiceRequest" ] ; #   This will be the delivery. It is not yet scheduled.  
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://example.org/mySystem"^^xsd:anyURI ] ;
fhir:code [ fhir:v "236973005" ] ;
fhir:display [ fhir:v "Delivery procedure (procedure)" ]         ] ) ;
fhir:text [ fhir:v "Delivery procedure" ]       ] ;
fhir:status [ fhir:v "not-started" ] ;
fhir:scheduled [
a fhir:Period ;
fhir:start [ fhir:v "2019-12-13"^^xsd:date ] ;
fhir:end [ fhir:v "2019-12-27"^^xsd:date ]       ] ;
      ( fhir:performer [
fhir:display [ fhir:v "Mabel Midwife" ] # reference value=\"Practitioner\/midwife\"\/       ] ) ; #  TODO: location 
fhir:description [ fhir:v "Delivery" ]     ]
  ] ) . #  First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01