QI-Core Implementation Guide
4.1.0 - release

This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

: CarePlan example - XML Representation

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<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 --&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>-</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 --&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>-</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 --&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>-</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 --&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>-</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 --&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>-</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 --&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>-</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 --&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>-</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 --&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>-</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 --&gt; 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>