This page is part of the C-CDA on FHIR Implementation Guide (v1.8.0: STU 1 Ballot 2) based on FHIR v1.8.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

{title?}

<Composition xmlns="http://hl7.org/fhir">
  <id value="CCDA-on-FHIR-Care-Plan-Example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2016-06-15T08:16:14Z"/>
    <profile
             value="http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Care-Plan"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <p>Care Plan document for Henry Jones</p>
            <p>Managed by Community Health and Hospitals</p>
        </div>
  </text>
<!--  <extension url="http://hl7.org/fhir/ccda/StructureDefinition/ccda-data-enterer-extension"><valueUri value="http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500"/></extension><extension url="http://hl7.org/fhir/ccda/StructureDefinition/ccda-informant-extension"><valueUri value="http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500"/></extension><extension url="http://hl7.org/fhir/ccda/StructureDefinition/ccda-information-recipient-extension"><valueUri value="http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500"/></extension><extension url="http://hl7.org/fhir/ccda/StructureDefinition/ccda-participant-extension"><valueUri value="http://fhirtest.uhn.ca/baseDstu3/RelatedPerson/117466"/></extension><extension url="http://hl7.org/fhir/ccda/StructureDefinition/ccda-performer-extension"><valueUri value="http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500"/></extension><extension url="http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension"><valueUri value="http://hl7.org/fhir/ccda/StructureDefinition/ccda-consent"/></extension> -->
  <identifier>
    <system
            value="http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Care-Plan"/>
    <value value="1"/>
  </identifier>
  <date value="2016-03-22T09:10:14Z"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="52521-2"/>
      <display value="Overall Plan of Care/Advance Care Directives"/>
    </coding>
  </type>
  <title value="Care Plan Example"/>
  <status value="preliminary"/>
  <confidentiality value="N"/>
<!--   Patient Resource   -->
  <subject>
    <reference
               value="http://fhir3.healthintersections.com.au/open/Patient/c493f2f2-28d5-49ab-90e8-9e8be341f7"/>
    <display value="Henry Jones"/>
  </subject>
<!--   Practitioner Resource   -->
  <author>
    <reference
               value="http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500"/>
    <display value="Adam Everyman, MD"/>
  </author>
  <attester>
    <mode value="legal"/>
    <time value="2012-01-04T09:10:14Z"/>
    <party>
      <reference
                 value="http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500"/>
      <display value="Adam Everyman, MD"/>
    </party>
  </attester>
<!--   Organization Resource   -->
  <custodian>
    <reference
               value="http://fhir3.healthintersections.com.au/open/Organization/1213e1ae-afc2-4a7c-8ed3-43b7a4e3d7"/>
    <display value="Community Health and Hospitals"/>
  </custodian>
  <event>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="73761001"/>
        <display value="Colonoscopy"/>
      </coding>
    </code>
    <period>
      <start value="2015-11-18"/>
      <end value="2015-12-12"/>
    </period>
  </event>
<!--   Encounter Resource   -->
<!--   <encounter><reference value="http://fhirtest.uhn.ca/baseDstu3/Encounter/117630"/></encounter> -->
<!--   Health Concerns Section Narrative  -->
  <section>
    <title value="Health Concerns Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="75310-3"/>
        <display value="Health concerns document"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">
                <table>
                    <tr>
                        <td>
                            <b>Concern</b>
                        </td>
                        <td>
                            <b>Status</b>
                        </td>
                        <td>
                            <b>Date</b>
                        </td>
                    </tr>
                    <tr>
                        <td>Current every day smoker</td>
                        <td>Active</td>
                        <td>Concern from June 16, 2015</td>
                    </tr>
                    <tr>
                        <td>Respiratory insufficiency</td>
                        <td>Completed</td>
                        <td>Concern from June 13, 2015</td>
                    </tr>
                    <tr>
                        <td>Pneumonia</td>
                        <td>Completed</td>
                        <td>June 16, 2015</td>
                    </tr>
                </table>
            </div>
    </text>
    <mode value="snapshot"/>
    <orderedBy>
      <coding>
        <system value="http://hl7.org/fhir/list-order"/>
        <code value="event-date"/>
        <display value="Sorted by Event Date"/>
      </coding>
    </orderedBy>
  </section>
<!--   Goals Section Narrative  -->
  <section>
    <title value="Goals Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="61146-7"/>
        <display value="Goals"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">
                <table>
                    <tr>
                        <td>
                            <b>Goal</b>
                        </td>
                        <td>
                            <b>Value</b>
                        </td>
                        <td>
                            <b>Date</b>
                        </td>
                    </tr>
                    <tr>
                        <td>Pulse oximetry</td>
                        <td>92%</td>
                        <td>September 2, 2015</td>
                    </tr>
                </table>
            </div>
    </text>
  </section>
<!--   Interventions Section Narrative   -->
  <section>
    <title value="Interventions Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="62387-6"/>
        <display value="Interventions provided"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">
                <table>
                    <tr>
                        <td>
                            <b>Planned Intervention</b>
                        </td>
                        <td>
                            <b>Status</b>
                        </td>
                        <td>
                            <b>Date</b>
                        </td>
                    </tr>
                    <tr>
                        <td>Elevate head of bed</td>
                        <td>active</td>
                        <td>September 2, 2015</td>
                    </tr>
                    <tr>
                        <td>Oxygen administration by nasal cannula</td>
                        <td>active</td>
                        <td>September 1, 2015</td>
                    </tr>
                    <tr>
                        <td>pulse oximetry monitoring</td>
                        <td>active</td>
                        <td>September 3, 2015</td>
                    </tr>
                </table>
            </div>
    </text>
  </section>
<!--   Health Status Evaluations and Outcomes Section Narrative   -->
  <section>
    <title value="Health Status Evaluations and Outcomes Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11383-7"/>
        <display value="Patient problem outcome"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">
                <table>
                    <tr>
                        <td>
                            <b>Item</b>
                        </td>
                        <td>
                            <b>Outcome</b>
                        </td>
                        <td>
                            <b>Date</b>
                        </td>
                    </tr>
                    <tr>
                        <td>Pulse oximetry</td>
                        <td>95%</td>
                        <td>August 6, 2015</td>
                    </tr>
                </table>
            </div>
    </text>
  </section>
</Composition>