C-CDA on FHIR
2.0.0-ballot - STU 2 Ballot

C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions

## : Care Plan - XML Representation

Page standards status: Informative

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="Care-Plan-Example"/>
      <meta>
        <versionId value="6"/>
        <lastUpdated value="2020-08-19T04:55:46.030+00:00"/>
        <source value="#jOiomrQ69OIQipUi"/>
        <profile
                 value="http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document"/>
      </meta>
      <language value="en-US"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US">
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Document Id</span>
                            </td>
                            <td class="td_header_role_value">12345</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Document Created:</span>
                            </td>
                            <td class="td_header_role_value">June 15, 2016, 16:14, PST </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Care Provision</span>
                            </td>
                            <td class="td_header_role_value">Care Plan for Amy Shaw</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Performer</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD</td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Author</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Encounter Id</span>
                            </td>
                            <td class="td_header_role_value">9937012
                                            2.16.840.1.113883.19</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Encounter Type</span>
                            </td>
                            <td class="td_header_role_value">Care Plan</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Encounter Period</span>
                            </td>
                            <td class="td_header_role_value"> From June 15, 2016, 16:20 to
                                            Sept 18, 2016, 18:20 </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Encounter Location</span>
                            </td>
                            <td class="td_header_role_value">Ambulatory Care at Acme
                                            Laboratories</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Responsible party</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Assigned entity</span>
                            </td>
                            <td class="td_header_role_value">Acme Laboratories

                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Emergency contact</span>
                            </td>
                            <td class="td_header_role_value">Michael Shaw

                                <br/>
                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">49 Meadow St

                                <br/>Amherst MA
                                            01003, US

                                <br/>Tel: (555)555-1212

                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Care giver</span>
                            </td>
                            <td class="td_header_role_value">Mrs. Lillian White

                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">49 Meadow St

                                <br/>Amherst MA
                                            01003, US

                                <br/>Tel: (555)555-1215

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Entered by</span>
                            </td>
                            <td class="td_header_role_value">Sally Jones</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Signed </span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone at June 15, 2016
    									</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Informant</span>
                            </td>
                            <td class="td_header_role_value">Henry Vincent, CPh</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1007 Pharmacy Drive

                                <br/>Portland, OR 99123, US

                                <br/>Tel: +1(555)555-1215

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Information recipient:</span>
                            </td>
                            <td class="td_header_role_value">Primary Physician, MD</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1005 St. Clair Avenue

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1666

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Legal authenticator</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD signed at June
                                            15, 2016 </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Document maintained by</span>
                            </td>
                            <td class="td_header_role_value">Acme Laboratories</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US

                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension">
        <valueReference>🔗
          <reference value="PractitionerRole/ccda-practitionerrole-example"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber">
        <valueInteger value="1"/>
      </extension>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:39067866-6319-4008-9c6d-3f0176d6826c"/>
      </identifier>
      <status value="preliminary"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18776-5"/>
          <display value="Plan of care note"/>
        </coding>
      </type>
      <subject>🔗
        <reference value="Patient/example"/>
        <display value="Amy V. Shaw"/>
      </subject>
      <date value="2016-06-15T09:10:14Z"/>
      <author>🔗
        <reference value="PractitionerRole/ccda-practitionerrole-example"/>
        <display value="Ronald Bone, MD"/>
      </author>
      <title value="Care Plan"/>
      <attester>
        <mode value="legal"/>
        <time value="2016-06-15T09:10:14Z"/>
        <party>🔗
          <reference value="PractitionerRole/ccda-practitionerrole-example"/>
          <display value="Ronald Boone, MD"/>
        </party>
      </attester>
      <custodian>🔗
        <reference value="Organization/acme-lab"/>
        <display value="Acme Lab"/>
      </custodian>
      <event>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="73761001"/>
            <display value="Colonoscopy"/>
          </coding>
        </code>
        <period>
          <start value="2016-06-15"/>
          <end value="2016-09-18"/>
        </period>
      </event>
      <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>
      </section>
      <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>
      <section>
        <title value="Interventions Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="62387-6"/>
            <display value="Interventions Narrative"/>
          </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>June 18, 2016</td>
                        </tr>
                        <tr>
                            <td>Oxygen administration by nasal cannula</td>
                            <td>active</td>
                            <td>June 18, 2016</td>
                        </tr>
                        <tr>
                            <td>pulse oximetry monitoring</td>
                            <td>active</td>
                            <td>June 18, 2016</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <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>June 20, 2016</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
    </Composition>