QI-Core Implementation Guide
4.1.1 - STU 4.1.1
US
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<CarePlan xmlns="http://hl7.org/fhir">
<id value="example"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "example" </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/STU3.1.1/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 --> 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>-</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>*</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 "Antenatal care (regime/therapy)")</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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>scheduled</td><td>2019-07-26 --> (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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>not-started</td><td>2019-09-06 --> (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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>not-started</td><td>2019-10-04 --> (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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>not-started</td><td>2019-11-01 --> (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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>not-started</td><td>2019-11-15 --> (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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>not-started</td><td>2019-11-29 --> (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>-</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>*</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 "Antenatal care (regime/therapy)")</span></td><td>not-started</td><td>2019-12-13 --> (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>-</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>*</td><td>ServiceRequest</td><td>Delivery procedure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (mySystem#236973005 "Delivery procedure (procedure)")</span></td><td>not-started</td><td>2019-12-13 --> 2019-12-27</td><td><span>: Mabel Midwife</span></td><td>Delivery</td></tr></table></blockquote></div>
</text>
<!-- extension url="http://fhir.org/guides/who/anc-cds/StructureDefinition/careplan-episodeOfCare">
<valueReference>
<reference value="EpisodeOfCare/mom-pregnancy-episode"/>
</valueReference>
</extension -->
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule"/>
<status value="active"/>
<intent value="plan"/>
<category>
<coding>
<system value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
<code value="assess-plan"/>
<display value="Assessment and Plan of Treatment"/>
</coding>
</category>
<subject>
<!-- reference value="Patient/mom"/ -->
<display value="Eve Everywoman"/>
</subject>
<period>
<!-- The likely duration of the pregnancy -->
<start value="2019-05-24"/>
<end value="2020-02-24"/>
</period>
<careTeam>
<reference value="CareTeam/example"/>
</careTeam>
<addresses>
<!-- reference value="Condition/mom-pregnancy"/ -->
<display value="pregnancy"/>
</addresses>
<goal>
<!-- reference value="Goal/mom-pregnancy-goal"/ -->
<display value="pregnancy goal"/>
</goal>
<!-- First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01 -->
<activity>
<outcomeReference>
<!-- reference value="Encounter/mom-first-contact"/ -->
<display
value="First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01"/>
</outcomeReference>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="in-progress"/>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description value="First antenatal care contact"/>
</detail>
</activity>
<!-- Second contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<!-- reference>
<reference value="ServiceRequest/mom-second-contact"/>
<display value="Second contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact"/>
</reference -->
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="scheduled"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-07-26"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description
value="Second contact to occur at 20 weeks of gestational age"/>
</detail>
</activity>
<!-- Third contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="not-started"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-09-06"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description value="Third contact to occur at 26 weeks of gestational age"/>
</detail>
</activity>
<!-- Fourth contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="not-started"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-10-04"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description
value="Fourth contact to occur at 30 weeks of gestational age"/>
</detail>
</activity>
<!-- Fifth contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="not-started"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-11-01"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description value="Fifth contact to occur at 34 weeks of gestational age"/>
</detail>
</activity>
<!-- Sixth contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="not-started"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-11-15"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description value="Sixth contact to occur at 36 weeks of gestational age"/>
</detail>
</activity>
<!-- Seventh contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="not-started"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-11-29"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description
value="Seventh contact to occur at 38 weeks of gestational age"/>
</detail>
</activity>
<!-- Eighth contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact -->
<activity>
<detail>
<kind value="ServiceRequest"/>
<instantiatesCanonical
value="http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424525001"/>
<display value="Antenatal care (regime/therapy)"/>
</coding>
<text value="Antenatal care"/>
</code>
<status value="not-started"/>
<!-- Scheduled based on gestational age calculation -->
<scheduledPeriod>
<start value="2019-12-13"/>
</scheduledPeriod>
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description
value="Eighth contact to occur at 40 weeks of gestational age"/>
</detail>
</activity>
<activity>
<detail>
<!-- This will be the delivery. It is not yet scheduled. -->
<kind value="ServiceRequest"/>
<code>
<coding>
<system value="http://example.org/mySystem"/>
<code value="236973005"/>
<display value="Delivery procedure (procedure)"/>
</coding>
<text value="Delivery procedure"/>
</code>
<status value="not-started"/>
<scheduledPeriod>
<start value="2019-12-13"/>
<end value="2019-12-27"/>
</scheduledPeriod>
<!-- TODO: location -->
<performer>
<!-- reference value="Practitioner/midwife"/ -->
<display value="Mabel Midwife"/>
</performer>
<description value="Delivery"/>
</detail>
</activity>
</CarePlan>