Da Vinci Payer Data Exchange
2.1.1 - STU2 Ballot 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 2.1.1 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

Page standards status: Informative

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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. 
										       
  2. Acute on chronic anemia secondary to #1.
    3. 
													 
  3. Azotemia, acute renal failure with volume loss secondary to #1.
    4. 
													 
  4. Hyperkalemia secondary to #3 and on ACE and K+ supplement.
    5. 
													 
  5. Other chronic diagnoses as noted above, currently stable.
    6. 
										

										

										      
													    

															     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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