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 - XML Representation

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="care-plan-ccm-example"/>
  <meta>
    <profile
             value="http://helex.org/ig/ccm/StructureDefinition/care-plan-ccm"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="https://helex.org/sid/ccm-care-plan"/>
    <value value="0232"/>
  </identifier>
  <status value="completed"/>
  <intent value="plan"/>
  <subject>🔗 
    <reference value="Patient/patient-ccm-example"/>
  </subject>
  <period>
    <start value="2023-10-01"/>
  </period>
  <careTeam>🔗 
    <reference value="CareTeam/care-team-ccm-example"/>
  </careTeam>
  <supportingInfo>🔗 
    <reference value="ResearchSubject/research-subject-ccm-example"/>
  </supportingInfo>
  <goal>🔗 
    <reference value="Goal/goal-activity-ccm-example"/>
  </goal>
</CarePlan>