Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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
    				            Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy.
    										       Acute on chronic anemia secondary to #1.
    													 Azotemia, acute renal failure with volume loss secondary to #1.
    													 Hyperkalemia secondary to #3 and on ACE and K+ supplement.
    													 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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