QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) 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 example - JSON Representation

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{
  "resourceType" : "CarePlan",
  "id" : "example",
  "text" : {
    "status" : "generated",
    "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\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#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>"
  },
  "instantiatesCanonical" : [
    "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule"
  ],
  "status" : "active",
  "intent" : "plan",
  "category" : [
    // extension url="http://fhir.org/guides/who/anc-cds/StructureDefinition/careplan-episodeOfCare">
        <valueReference>
            <reference value="EpisodeOfCare/mom-pregnancy-episode"/>
        </valueReference>
    </extension
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code" : "assess-plan",
          "display" : "Assessment and Plan of Treatment"
        }
      ]
    }
  ],
  "subject" : {
    "display" : "Eve Everywoman"
  },
  "period" : // reference value="Patient/mom"/
  {
    "start" : "2019-05-24",
    "end" : "2020-02-24"
  },
  "careTeam" : [
    //   The likely duration of the pregnancy  
    {
      🔗 "reference" : "CareTeam/example"
    }
  ],
  "addresses" : [
    {
      "display" : "pregnancy"
    }
  ],
  "goal" : [
    // reference value="Condition/mom-pregnancy"/
    {
      "display" : "pregnancy goal"
    }
  ],
  "activity" : [
    // reference value="Goal/mom-pregnancy-goal"/
    //  First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01 
    {
      "outcomeReference" : [
        {
          "display" : "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01"
        }
      ],
      "detail" : // reference value="Encounter/mom-first-contact"/
      {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "in-progress",
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "First antenatal care contact"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : // 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
      {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "scheduled",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-07-26"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Second contact to occur at 20 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "not-started",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-09-06"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Third contact to occur at 26 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "not-started",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-10-04"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Fourth contact to occur at 30 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "not-started",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-11-01"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Fifth contact to occur at 34 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "not-started",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-11-15"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Sixth contact to occur at 36 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "not-started",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-11-29"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Seventh contact to occur at 38 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "instantiatesCanonical" : [
          "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "424525001",
              "display" : "Antenatal care (regime/therapy)"
            }
          ],
          "text" : "Antenatal care"
        },
        "status" : "not-started",
        "scheduledPeriod" : //  Scheduled based on gestational age calculation 
        {
          "start" : "2019-12-13"
        },
        "performer" : [
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Eighth contact to occur at 40 weeks of gestational age"
      }
    },
    // reference value="Practitioner/midwife"/
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : //   This will be the delivery. It is not yet scheduled.  
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "236973005",
              "display" : "Delivery procedure (procedure)"
            }
          ],
          "text" : "Delivery procedure"
        },
        "status" : "not-started",
        "scheduledPeriod" : {
          "start" : "2019-12-13",
          "end" : "2019-12-27"
        },
        "performer" : [
          //  TODO: location 
          {
            "display" : "Mabel Midwife"
          }
        ],
        "description" : "Delivery"
      }
    }
  ]
}