Da Vinci Payer Data Exchange
2.1.0 - STU2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

US Core CarePlan

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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 (Must Support or Cardinality greater than 0..*) to be provided in the US Core 3.1.1 CarePlan or US Core 6.1.0 CarePlanresource are:

R4 Element Name Cardinality Type
CarePlan.text text 1..1 Narrative
CarePlan.text.status status 1..1 code
CarePlan.text.div div 1..1 xhtml
CarePlan.status status 1..1 code
CarePlan.intent intent 1..1 code
CarePlan.category category 1..* (Slice Definition)
CarePlan.category:AssessPlan category:AssessPlan 1..1 CodeableConcept
CarePlan.category:AssessPlan.coding coding 1..* Coding
CarePlan.category:AssessPlan.coding.system system 1..1 uri
CarePlan.category:AssessPlan.coding.code code 1..1 code
CarePlan.subject subject 1..1 Reference(US Core Patient Profile)

Table Definition

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\">      
				            Assessment
				            
  1. Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy.
  2. Acute on chronic anemia secondary to #1.
  3. Azotemia, acute renal failure with volume loss secondary to #1.
  4. Hyperkalemia secondary to #3 and on ACE and K+ supplement.
  5. Other chronic diagnoses as noted above, currently stable.
Planned Activity Planned Date
Colonoscopy April 21, 2000
</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" } }

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