This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
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Patient Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient |
Raw XML (canonical form + also see XML Format Specification)
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> <!-- This is the reason for the encounter. It is referenced by the concern --> <contained> <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> <!-- No end yet as the encounter is still in progress. --> <period> <!-- This is the time the plan started - i.e. when they arrived --> <start value="2013-01-01T10:30:00+00:00"/> </period> <careTeam> <reference value="#careteam"/> </careTeam> <addresses> <reference> <reference value="#p1"/> <display value="obesity"/> </reference> </addresses> <goal> <reference value="#goal"/> </goal> <!-- 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> <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> </activity> <!-- 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> <!-- This activity is for the encounter with the doctor --> <plannedActivityReference> <reference value="#activity-2"/> </plannedActivityReference> </activity> </CarePlan>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Wed, Oct 2, 2024 17:57+0000.
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