Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-17 US Core CarePlan

Where a Health Plan has access to Care Plan information for a member they SHALL make the information available using the US Core CarePlan resource.

The essential fields to be provided in the CarePla resource are:

R4 Hierarchical Name R4 Name Flags Card. Type
CarePlan CarePlan I 0..*  
CarePlan.id id   0..1 id
CarePlan.text text S 1..1 Narrative
CarePlan.text.status status S 1..1 code
CarePlan.text.div div I 1..1 xhtml
CarePlan.status status ?!S 1..1 code
CarePlan.intent intent ?!S 1..1 code
CarePlan.category category SI 1..* CodeableConcept
CarePlan.subject subject S 1..1 Reference(US Core Patient Profile)
CarePlan.activity.detail.status status ?! 1..1 code

3-6-17-1 Example CarePlan Resource

An example mapping of a CarePlan for a colonoscopy is shown below:

{
  "resourceType" : "CarePlan",
  "id" : "colonoscopy",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan"
    ]
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\tAssessment\n\t\t\t
    \n\t\t\t\t
  1. Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy.
  2. \n\t\t\t\t
  3. Acute on chronic anemia secondary to #1.
  4. \n\t\t\t\t
  5. Azotemia, acute renal failure with volume loss secondary to #1.
  6. \n\t\t\t\t
  7. Hyperkalemia secondary to #3 and on ACE and K+ supplement.
  8. \n\t\t\t\t
  9. Other chronic diagnoses as noted above, currently stable.
  10. \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\n\t\t\t
Planned ActivityPlanned Date
ColonoscopyApril 21, 2000
\n\t\t</div>" }, "status" : "active", "intent" : "order", "category" : [ { "coding" : [ { "system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category", "code" : "assess-plan" } ] } ], "subject" : { "reference" : "Patient/example", "display" : "Amy Shaw" } }