Implementation Guide
23.0.0 - R4 APIs

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: General CarePlan Example for Coded SDOH Interventions - XML Representation

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="Example2"/>
  <meta>
    <versionId value="Example2"/>
    <lastUpdated value="2023-12-13T07:25:58.007+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan"/>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-careplan-profile"/>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="New"/>
      <display value="New"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="Pen"/>
      <display value="Pen"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="NewPen"/>
      <display value="New Pen"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CarePlan Example2</b></p><a name="Example2"> </a><a name="hcExample2"> </a><a name="Example2-en-US"> </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">version: versionId: id (PrimitiveType/CarePlan.meta.versionId): element = id -&gt; versionId=id[Example2]; Last updated: 2023-12-13 07:25:58+0000</p><p style="margin-bottom: 0px">Profiles: <a href="http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-careplan.html">US Core CarePlan Profile</a>, <a href="StructureDefinition-athena-careplan-profile.html">AthenaCarePlan</a></p><p style="margin-bottom: 0px">Tags: New (Details: EditTags code New  = ' New ', stated as ' New '), Pen (Details: EditTags code Pen  = ' Pen ', stated as ' Pen '), New Pen (Details: EditTags code NewPen  = ' NewPen ', stated as ' New Pen ')</p></div><p><b>identifier</b>: Unspecified Identifier/Example2</p><p><b>status</b>: Completed</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}">assess-plan</span>, <span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-category sdoh}">Social Determinants Of Health</span></p><p><b>subject</b>: <a href="Patient/Example2">Patient/Example2</a></p><p><b>encounter</b>: <a href="Encounter-Example2.html">Encounter: extension = No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Consultation in laboratory medicine for test interpretation; priority = urgent; period = 1998-02-27 00:00:00+0000 --&gt; (ongoing)</a></p><p><b>created</b>: 2023-12-13 07:25:58+0000</p><p><b>author</b>: <a href="Practitioner/Example2">Practitioner/Example2</a></p><p><b>careTeam</b>: <a href="CareTeam/CareTeam-Example2">CareTeam/CareTeam-Example2</a></p><p><b>addresses</b>: <a href="Condition-Example2.html">Condition Left ventricular abnormality</a></p><p><b>goal</b>: <a href="Goal-Example2.html">Goal: identifier = Unspecified Identifier: Example2; lifecycleStatus = active; category = SDOH; description = Food Insecurity Goals; start[x] = 2023-12-08; statusDate = 2023-12-08</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ReasonReference</b></td><td><b>Goal</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition-Example2.html">Condition Left ventricular abnormality</a></td><td><a href="Goal-Example2.html">Goal: identifier = Unspecified Identifier: Example2; lifecycleStatus = active; category = SDOH; description = Food Insecurity Goals; start[x] = 2023-12-08; statusDate = 2023-12-08</a></td><td>In Progress</td><td>2023-12-13 00:00:00+0000 --&gt; (ongoing)</td><td>Clinician: Educate patient on importance of home monitoring, signs and symptoms of hyper and hypoglycemia</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ReasonReference</b></td><td><b>Goal</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition-Example2.html">Condition Left ventricular abnormality</a></td><td><a href="Goal-Example2.html">Goal: identifier = Unspecified Identifier: Example2; lifecycleStatus = active; category = SDOH; description = Food Insecurity Goals; start[x] = 2023-12-08; statusDate = 2023-12-08</a></td><td>In Progress</td><td>2023-12-13 00:00:00+0000 --&gt; (ongoing)</td><td>Clinician: Instruct patient on proper monitoring technique</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>ReasonReference</b></td><td><b>Goal</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://www.ama-assn.org/go/cpt 96156}">Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)</span></td><td><a href="Condition-Example2.html">Condition Left ventricular abnormality</a></td><td><a href="Goal-Example2.html">Goal: identifier = Unspecified Identifier: Example2; lifecycleStatus = active; category = SDOH; description = Food Insecurity Goals; start[x] = 2023-12-08; statusDate = 2023-12-08</a></td><td>In Progress</td><td>2023-12-13 00:00:00+0000 --&gt; (ongoing)</td><td>Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>ReasonReference</b></td><td><b>Goal</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 1002223009}">Assessment of progress toward goals to achieve food security (procedure)</span></td><td><a href="Condition-Example2.html">Condition Left ventricular abnormality</a></td><td><a href="Goal-Example2.html">Goal: identifier = Unspecified Identifier: Example2; lifecycleStatus = active; category = SDOH; description = Food Insecurity Goals; start[x] = 2023-12-08; statusDate = 2023-12-08</a></td><td>In Progress</td><td>2023-12-13 00:00:00+0000 --&gt; (ongoing)</td><td>Assessment of progress toward goals to achieve food security (procedure)</td></tr></table></blockquote></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="U"/>
        <display value="Unspecified Identifier"/>
      </coding>
      <text value="Unspecified Identifier"/>
    </type>
    <system
            value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/CarePlanId/1000-4-9390"/>
    <value value="Example2"/>
  </identifier>
  <status value="completed">
    <extension
               url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
      <valueCoding>
        <system
                value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/careplanstatus"/>
        <code value="NYN"/>
        <display value="Completed"/>
      </valueCoding>
    </extension>
  </status>
  <intent value="plan"/>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
      <code value="assess-plan"/>
      <display value="assess-plan"/>
    </coding>
    <text value="assess-plan"/>
  </category>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/us-core-category"/>
      <code value="sdoh"/>
      <display value="SDOH"/>
    </coding>
    <text value="Social Determinants Of Health"/>
  </category>
  <subject>
    <reference value="Patient/Example2"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example2"/>
  </encounter>
  <created value="2023-12-13T07:25:58+00:00"/>
  <author>
    <reference value="Practitioner/Example2"/>
  </author>
  <careTeam>
    <reference value="CareTeam/CareTeam-Example2"/>
  </careTeam>
  <addresses>🔗 
    <reference value="Condition/Example2"/>
  </addresses>
  <goal>🔗 
    <reference value="Goal/Example2"/>
  </goal>
  <activity>
    <detail>
      <reasonReference>🔗 
        <reference value="Condition/Example2"/>
      </reasonReference>
      <goal>🔗 
        <reference value="Goal/Example2"/>
      </goal>
      <status value="in-progress"/>
      <scheduledPeriod>
        <start value="2023-12-13T00:00:00+00:00"/>
      </scheduledPeriod>
      <description
                   value="Clinician: Educate patient on importance of home monitoring, signs and symptoms of hyper and hypoglycemia"/>
    </detail>
  </activity>
  <activity>
    <detail>
      <reasonReference>🔗 
        <reference value="Condition/Example2"/>
      </reasonReference>
      <goal>🔗 
        <reference value="Goal/Example2"/>
      </goal>
      <status value="in-progress"/>
      <scheduledPeriod>
        <start value="2023-12-13T00:00:00+00:00"/>
      </scheduledPeriod>
      <description
                   value="Clinician: Instruct patient on proper monitoring technique"/>
    </detail>
  </activity>
  <activity>
    <detail>
      <code>
        <coding>
          <system value="http://www.ama-assn.org/go/cpt"/>
          <code value="96156"/>
          <display
                   value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
        </coding>
        <text
              value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
      </code>
      <reasonReference>🔗 
        <reference value="Condition/Example2"/>
      </reasonReference>
      <goal>🔗 
        <reference value="Goal/Example2"/>
      </goal>
      <status value="in-progress"/>
      <scheduledPeriod>
        <start value="2023-12-13T00:00:00+00:00"/>
      </scheduledPeriod>
      <description
                   value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
    </detail>
  </activity>
  <activity>
    <detail>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="1002223009"/>
          <display
                   value="Assessment of progress toward goals to achieve food security (procedure)"/>
        </coding>
        <text
              value="Assessment of progress toward goals to achieve food security (procedure)"/>
      </code>
      <reasonReference>🔗 
        <reference value="Condition/Example2"/>
      </reasonReference>
      <goal>🔗 
        <reference value="Goal/Example2"/>
      </goal>
      <status value="in-progress"/>
      <scheduledPeriod>
        <start value="2023-12-13T00:00:00+00:00"/>
      </scheduledPeriod>
      <description
                   value="Assessment of progress toward goals to achieve food security (procedure)"/>
    </detail>
  </activity>
</CarePlan>