QI-Core Implementation Guide
8.0.0-ballot - STU 8 - ballot

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

## : CarePlan example

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    {
      "resourceType" : "CarePlan",
      "id" : "example",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><p><b>instantiatesCanonical</b>: <code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule</code></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}\">Assessment and Plan of Treatment</span></p><p><b>subject</b>: Eve Everywoman</p><p><b>period</b>: 2019-05-24 --&gt; 2020-02-24</p><p><b>careTeam</b>: <a href=\"CareTeam-example.html\">CareTeam: status = active</a></p><p><b>addresses</b>: pregnancy</p><p><b>goal</b>: pregnancy goal</p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01</p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>In Progress</td><td>Mabel Midwife</td><td>First antenatal care contact</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Scheduled</td><td>2019-07-26 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Second contact to occur at 20 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-09-06 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Third contact to occur at 26 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-10-04 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Fourth contact to occur at 30 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-11-01 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Fifth contact to occur at 34 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-11-15 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Sixth contact to occur at 36 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-11-29 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Seventh contact to occur at 38 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>InstantiatesCanonical</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><code>http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact</code></td><td><span title=\"Codes:{http://snomed.info/sct 424525001}\">Antenatal care</span></td><td>Not Started</td><td>2019-12-13 --&gt; (ongoing)</td><td>Mabel Midwife</td><td>Eighth contact to occur at 40 weeks of gestational age</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>ServiceRequest</td><td><span title=\"Codes:{http://snomed.info/sct 236973005}\">Delivery procedure</span></td><td>Not Started</td><td>2019-12-13 --&gt; 2019-12-27</td><td>Mabel Midwife</td><td>Delivery</td></tr></table></blockquote></div>"
      },
      "instantiatesCanonical" : [
        "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule"
      ],
      "status" : "active",
      "intent" : "plan",
      "category" : [
        // extension url="http://example.org/guides/who/anc-cds/StructureDefinition/careplan-episodeOfCare">
            <valueReference>
                <reference value="EpisodeOfCare/mom-pregnancy-episode"/>
            </valueReference>
        </extension
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
              "code" : "assess-plan",
              "display" : "Assessment and Plan of Treatment"
            }
          ]
        }
      ],
      "subject" : {
        "display" : "Eve Everywoman"
      },
      "period" : // reference value="Patient/mom"/
      {
        "start" : "2019-05-24",
        "end" : "2020-02-24"
      },
      "careTeam" : [
        //   The likely duration of the pregnancy
        {
          🔗 "reference" : "CareTeam/example"
        }
      ],
      "addresses" : [
        {
          "display" : "pregnancy"
        }
      ],
      "goal" : [
        // reference value="Condition/mom-pregnancy"/
        {
          "display" : "pregnancy goal"
        }
      ],
      "activity" : [
        // reference value="Goal/mom-pregnancy-goal"/
        //  First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01
        {
          "outcomeReference" : [
            {
              "display" : "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01"
            }
          ],
          "detail" : // reference value="Encounter/mom-first-contact"/
          {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "in-progress",
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "First antenatal care contact"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : // reference>
              <reference value="ServiceRequest/mom-second-contact"/>
              <display value="Second contact, scheduled based on gestational age from LMP of 2019-03-01, gathered during the first contact"/>
            </reference
          {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "scheduled",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-07-26"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Second contact to occur at 20 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-09-06"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Third contact to occur at 26 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-10-04"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Fourth contact to occur at 30 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-11-01"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Fifth contact to occur at 34 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-11-15"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Sixth contact to occur at 36 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-11-29"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Seventh contact to occur at 38 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "instantiatesCanonical" : [
              "http://example.org/guides/who/anc-cds/PlanDefinition/anc-contact"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424525001",
                  "display" : "Antenatal care (regime/therapy)"
                }
              ],
              "text" : "Antenatal care"
            },
            "status" : "not-started",
            "scheduledPeriod" : //  Scheduled based on gestational age calculation
            {
              "start" : "2019-12-13"
            },
            "performer" : [
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Eighth contact to occur at 40 weeks of gestational age"
          }
        },
        // reference value="Practitioner/midwife"/
        {
          "detail" : {
            "kind" : "ServiceRequest",
            "code" : //   This will be the delivery. It is not yet scheduled.
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "236973005",
                  "display" : "Delivery procedure (procedure)"
                }
              ],
              "text" : "Delivery procedure"
            },
            "status" : "not-started",
            "scheduledPeriod" : {
              "start" : "2019-12-13",
              "end" : "2019-12-27"
            },
            "performer" : [
              //  TODO: location
              {
                "display" : "Mabel Midwife"
              }
            ],
            "description" : "Delivery"
          }
        }
      ]
    }