Care Coordination Management
0.0.1 - ci-build Estonia (EST)

Care Coordination Management, published by Helex OÜ. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/helexlab/ig-ccm/ and changes regularly. See the Directory of published versions

: Example of CCM Care Plan - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CarePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "care-plan-ccm-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://helex.org/ig/ccm/StructureDefinition/care-plan-ccm"^^xsd:anyURI ;
fhir:l <http://helex.org/ig/ccm/StructureDefinition/care-plan-ccm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan care-plan-ccm-example</b></p><a name=\"care-plan-ccm-example\"> </a><a name=\"hccare-plan-ccm-example\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-care-plan-ccm.html\">CarePlanCcm</a></p></div><p><b>identifier</b>: <code>https://helex.org/sid/ccm-care-plan</code>/0232</p><p><b>status</b>: Completed</p><p><b>intent</b>: Plan</p><p><b>subject</b>: <a href=\"Patient-patient-ccm-example.html\">Jaan Tamm (official) Male, DoB: 1950-05-15 ( https://fhir.ee/sid/pid/est/ni#Estonian Personal National Identification Code#tegelik-isikukood)</a></p><p><b>period</b>: 2023-10-01 --&gt; (ongoing)</p><p><b>careTeam</b>: <a href=\"CareTeam-care-team-ccm-example.html\">CareTeam: status = active; period = 2023-10-01 --&gt; (ongoing)</a></p><p><b>supportingInfo</b>: <a href=\"ResearchSubject-research-subject-ccm-example.html\">ResearchSubject: identifier = https://helex.org/sid/ccm-research-subject#0002; status = active; period = 2025-11-01 09:00:00+0200 --&gt; (ongoing)</a></p><p><b>goal</b>: <a href=\"Goal-goal-activity-ccm-example.html\">Goal: lifecycleStatus = active; achievementStatus = in-progress; category = Treatment; description = Increase physical activity; start[x] = 2023-10-01; statusDate = 2023-10-01</a></p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "https://helex.org/sid/ccm-care-plan"^^xsd:anyURI ;
fhir:l <https://helex.org/sid/ccm-care-plan>     ] ;
fhir:value [ fhir:v "0232" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "plan"] ; # 
  fhir:subject [
fhir:l fhir:Patient/patient-ccm-example ;
fhir:reference [ fhir:v "Patient/patient-ccm-example" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2023-10-01"^^xsd:date ]
  ] ; # 
  fhir:careTeam ( [
fhir:l fhir:CareTeam/care-team-ccm-example ;
fhir:reference [ fhir:v "CareTeam/care-team-ccm-example" ]
  ] ) ; # 
  fhir:supportingInfo ( [
fhir:l fhir:ResearchSubject/research-subject-ccm-example ;
fhir:reference [ fhir:v "ResearchSubject/research-subject-ccm-example" ]
  ] ) ; # 
  fhir:goal ( [
fhir:l fhir:Goal/goal-activity-ccm-example ;
fhir:reference [ fhir:v "Goal/goal-activity-ccm-example" ]
  ] ) . #