Encounter-specific care plan for GP visit (id = "gpvisit")

<?xml version="1.0" encoding="UTF-8"?>

<CarePlan xmlns="http://hl7.org/fhir">
  <id value="gpvisit"/> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>   Represents the flow of a patient within a practice. The plan is created when
        they arrive and represents the 'care' of the patient over the course of
         that encounter.
        They first see the nurse for basic observations (BP, pulse, temp) then
         the doctor for
        the consultation and finally the nurse again for a tetanus immunization.
         As the plan is
        updated (e.g. a new activity added), different versions of the plan exist,
         and workflow timings
        for reporting can be gained by examining the plan history. This example
         is the version after
        seeing the doctor, and waiting for the nurse.The plan can either be created
         'ad hoc' and modified as
        the parient progresses, or start with a standard template (which can, of
         course, be altered to suit the patient.</p> 
    </div> 
  </text> 
  <contained> 
      <!--   This is the reason for the encounter. It is referenced by the concern   -->
    <Condition> 
      <id value="p1"/> 
      <clinicalStatus> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> 
      <code value="active"/> 
    </coding> 
    </clinicalStatus> 

    <verificationStatus> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/> 
      <code value="confirmed"/> 
    </coding> 
    </verificationStatus> 
      <code> 
          <!--   Could coded if we wanted to...  -->
        <text value="Overseas encounter"/> 
      </code> 
      <subject> 
        <reference value="Patient/100"/> 
        <display value="Peter James Chalmers"/> 
      </subject> 
    </Condition> 
  </contained> 
  
  <contained> 
    <CareTeam> 
        <id value="careteam"/> 
        <participant id="part1">
    
      <role> 
      
        <coding> 
        
        <system value="http://example.org/local"/> 
        
        <code value="nur"/> 
      
        </coding> 
      
    <text value="nurse"/> 
    
      </role> 
    
      <member> 
      
    <reference value="Practitioner/13"/> 
      
    <display value="Nurse Nancy"/> 
    
      </member> 
  
  </participant> 
  
  <participant id="part2">
    
      <role> 
      
    <coding> 
        
        <system value="http://example.org/local"/> 
        
        <code value="doc"/> 
      
          </coding> 
      
    <text value="doctor"/> 
    
       </role> 
    
       <member> 
      
    <reference value="Practitioner/14"/> 
      
    <display value="Doctor Dave"/> 
    
       </member> 
  
  </participant> 

    </CareTeam> 
  </contained> 


  <contained> 
    <Goal> 
      <id value="goal"/> 
      <lifecycleStatus value="planned"/> 
    <description> 
        <text value="Complete consultation"/> 
      </description> 
    <subject> 
        <reference value="Patient/100"/> 
        <display value="Peter James Chalmers"/> 
      </subject> 
    </Goal> 
  </contained> 
  
  <contained> 
    <Appointment> 
      <id value="activity-1"/> 
      <status value="fulfilled"/> 
    <description value="Nurse consultation"/>  
    <start value="2013-01-01T10:38:00+00:00"/> 
      <end value="2013-01-01T10:50:00+00:00"/> 
    <subject> 
        <reference value="Patient/100"/> 
        <display value="Peter James Chalmers"/> 
      </subject> 
    
    <participant>  
    <actor>  
      <reference value="Patient/100"/> 
      <display value="Peter James Chalmers"/> 
    </actor>  
    <required value="true"/>  
    <status value="accepted"/>  
    </participant>  
    <participant>  
    <type>  
      <coding>  
      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>  
      <code value="ATND"/>  
      </coding>  
    </type>  
    <actor>  
      <reference value="Practitioner/13"/> 
          <display value="Nurse Nancy"/> 
    </actor>  
    <required value="true"/>  
    <status value="accepted"/>  
    </participant>  
    </Appointment> 
  </contained> 
  
  <contained> 
    <Appointment> 
      <id value="activity-2"/> 
      <status value="proposed"/> 
    <description value="Doctor Consultation"/>  
    
    <subject> 
        <reference value="Patient/100"/> 
        <display value="Peter James Chalmers"/> 
      </subject> 
    
    <participant>  
    <actor>  
      <reference value="Patient/100"/> 
      <display value="Peter James Chalmers"/> 
    </actor>  
    <required value="true"/>  
    <status value="accepted"/>  
    </participant>  
    <participant>  
    <type>  
      <coding>  
      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>  
      <code value="ATND"/>  
      </coding>  
    </type>  
    <actor>  
      <reference value="Practitioner/14"/> 
      <display value="Doctor Dave"/> 
    </actor>  
    <required value="true"/>  
    <status value="accepted"/>  
    </participant>  
  
    </Appointment> 
  </contained> 
  
  <status value="active"/> 
  <intent value="plan"/> 
  <subject> 
    <reference value="Patient/100"/> 
    <display value="Peter James Chalmers"/> 
  </subject> 
  <period> 
      <!--   This is the time the plan started - i.e. when they arrived  -->
    <start value="2013-01-01T10:30:00+00:00"/> 
      <!--   No end yet as the encounter is still in progress.  -->
  </period> 
  <careTeam> 
    <reference value="#careteam"/> 
  </careTeam> 
  <addresses> 
    <reference> 
      <reference value="#p1"/> 
      <display value="obesity"/> 
    </reference> 
  </addresses> 
  <goal> 
    <reference value="#goal"/> 
  </goal> 
  <activity> 
    <performedActivity> 
      <reference> 
          <!--   This is a link to the nurse encounter. The assumption is that all contacts with
         practitioners
        are modelled as separate encounters. Ideally, there will be  a 'master/parent'
         encounter that ties them together.
        If there is a single encounter, then all participants will be linked to
         that encounter.  -->
        <reference value="Encounter/example"/> 
      </reference> 
    </performedActivity> 
      <!--   This activity is for the initial nurse encounter where vitals are taken. It has
     been completed.   -->
  <plannedActivityReference> 
    <reference value="#activity-1"/> 
  </plannedActivityReference> 
      <!--   moved to contained
  <plannedActivityDetail>
      <kind value="Appointment"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="nursecon"/>
        </coding>
        <text value="Nurse Consultation"/>
      </code>
      <status value="completed"/>
      <doNotPerform value="false"/>
      <scheduledPeriod>
        the nurse saw the patient between 10:38 and 10:50
        <start value="2013-01-01T10:38:00+00:00"/>
        <end value="2013-01-01T10:50:00+00:00"/>
      </scheduledPeriod>
      <performer>
        refer to the participant (the nurse) in this resource
        <reference value="Practitioner/13"/>
        <display value="Nurse Nancy"/>
      </performer>
    </plannedActivityDetail>
    -->
  </activity> 
  <activity> 
      <!--   This activity is for the encounter with the doctor   -->
    <plannedActivityReference> 
    <reference value="#activity-2"/> 
  </plannedActivityReference> 
      <!--   moved to contained
    <plannedActivityDetail>
      <kind value="Appointment"/>
      <code>
        <coding>
          <system value="http://example.org/local"/>
          <code value="doccon"/>
        </coding>
        <text value="Doctor Consultation"/>
      </code>
      <status value="scheduled"/>
      <doNotPerform value="false"/>
      <performer>
        <reference value="Practitioner/14"/>
        <display value="Doctor Dave"/>
      </performer>
    </plannedActivityDetail>
    -->
  </activity> 
</CarePlan>