Te Whatu Ora Shared Care FHIR API
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: Template for COVID-19 Care in the Community CCCM MVP Careplans - JSON Representation

Active as of 2023-07-27

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{
  "resourceType" : "PlanDefinition",
  "meta" : {
    "versionId" : "3",
    "lastUpdated" : "2022-09-12T04:46:55.848Z",
    "profile" : [
      🔗 "https://fhir-ig-uat.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiPlanDefinition"
    ]
  },
  "language" : "en-NZ",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-NZ\" lang=\"en-NZ\"><p><b>Generated Narrative: PlanDefinition </b><a name=\"PlanDefinitionExample\"> </a><a name=\"hcPlanDefinitionExample\"> </a></p><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\">ResourcePlanDefinition &quot;PlanDefinitionExample&quot; Version&quot;3&quot; Updated&quot;2022-09-12 04:46:55+0000&quot;  (Language&quot;en-NZ&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ManaakiNgaTahiPlanDefinition.html\">ManaakiNgaTahiPlanDefinition</a></p></div><p><b>url</b>: <code>https://fhir-ig-uat.digital.health.nz/shared-care/PlanDefinition/PlanDefinitionExample</code></p><p><b>identifier</b>: CareplanTemplate-CitC-COVID19-CCCM\u00a0(use:\u00a0usual,\u00a0period:\u00a02022-09-12 --&gt; (ongoing))</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: COVIDMVPCarePlanTemplate</p><p><b>title</b>: Template for COVID-19 Care in the Community CCCM MVP Careplans</p><p><b>subtitle</b>: Care in the Community plans to handle low risk COVID-19 cases</p><p><b>type</b>: Order Set <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#order-set)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>subject</b>: Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Patient)</span></p><p><b>date</b>: 2023-07-27</p><p><b>publisher</b>: Te Whatu Ora</p><p><b>contact</b>: Te Whatu Ora: <a href=\"https://www.tewhatuora.govt.nz/\">https://www.tewhatuora.govt.nz/</a>, David Grainger: <a href=\"mailto:david.grainger@middleware.co.nz\">david.grainger@middleware.co.nz</a></p><p><b>description</b>: A Care plan with a finite set of activities including medication delivery, heath checks, self applied RAT test and follow up GP Check which supports a low to medium COVID-19 infected patient.</p><p><b>jurisdiction</b>: New Zealand <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#NZ)</span></p><p><b>purpose</b>: A care plan which supports a patient who has tested positive for COVID-19 infection and will isolate at home and self serve as appropriate as they recover.</p><p><b>usage</b>: Allows monitoring and tracking of progress of a self serve COVID-19 patient.</p><p><b>lastReviewDate</b>: 2022-08-04</p><p><b>effectivePeriod</b>: 2022-08-04 --&gt; 2023-08-04</p><p><b>topic</b>: Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-definition-topic.html\">DefinitionTopic</a>#treatment)</span></p><p><b>author</b>: CinC Fit for Future Project</p><p><b>editor</b>: CinC Fit for Future Project</p><p><b>reviewer</b>: CinC Fit for Future Project</p><p><b>endorser</b>: CinC Fit for Future Project</p><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>covid-recovery</blockquote><p><b>category</b>: Full Recovery <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>description</b>: Activities in the Self Serve COVID-19 Care Plan are intended to monitor progress of a patient who self isolates and self serves as they recover from a COVID-19 infection, to ensure they receive the appropriate level of care throughout (physical, financial, mental, social, family, spiritual). <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>priority</b>: Medium Priority <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-goal-priority.html\">Goal priority</a>#medium-priority)</span></p><p><b>start</b>: Exposure to coronavirus infection (event) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>addresses</b>: At risk of dehydration <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#704420006; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#267036007 &quot;Shortness of breath&quot;)</span></p><blockquote><p><b>target</b></p><p><b>measure</b>: Oxygen Saturation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#20564-1 &quot;Oxygen saturation in Blood&quot;)</span></p><p><b>detail</b>: 99 percent<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><h3>Dues</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>5</td><td>days</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>1</blockquote><p><b>prefix</b>: 1.</p><p><b>title</b>: Health Check</p><p><b>description</b>: Health Check</p><p><b>textEquivalent</b>: Health check to monitor conditions and enable ability to make decisions on continuing with care plan</p><p><b>priority</b>: urgent</p><p><b>goalId</b>: covid-recovery</p><p><b>subject</b>: Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">ResourceType</a>#Patient)</span></p><p><b>type</b>: Create <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-action-type.html\">ActionType</a>#create)</span></p><p><b>requiredBehavior</b>: must</p><p><b>precheckBehavior</b>: yes</p><p><b>cardinalityBehavior</b>: multiple</p><p><b>definition</b>: <a href=\"Questionnaire-COVIDRegularHealthCheckQuestionnaire.html\">Question Template for COVID-19 Regular Health Check</a></p></blockquote></div>"
  },
  "url" : "https://fhir-ig-uat.digital.health.nz/shared-care/PlanDefinition/PlanDefinitionExample",
  "identifier" : [
    {
      "use" : "usual",
      "value" : "CareplanTemplate-CitC-COVID19-CCCM",
      "period" : {
        "start" : "2022-09-12"
      }
    }
  ],
  "version" : "1.0.0",
  "name" : "COVIDMVPCarePlanTemplate",
  "title" : "Template for COVID-19 Care in the Community CCCM MVP Careplans",
  "subtitle" : "Care in the Community plans to handle low risk COVID-19 cases",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "order-set",
        "display" : "Order Set"
      }
    ],
    "text" : "Order Set"
  },
  "status" : "active",
  "experimental" : true,
  "subjectCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/resource-types",
        "code" : "Patient",
        "display" : "Patient"
      }
    ],
    "text" : "Patient"
  },
  "date" : "2023-07-27",
  "publisher" : "Te Whatu Ora",
  "contact" : [
    {
      "name" : "Te Whatu Ora",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.tewhatuora.govt.nz/"
        }
      ]
    },
    {
      "name" : "David Grainger",
      "telecom" : [
        {
          "system" : "email",
          "value" : "david.grainger@middleware.co.nz",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "A Care plan with a finite set of activities including medication delivery, heath checks, self applied RAT test and follow up GP Check which supports a low to medium COVID-19 infected patient.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "NZ",
          "display" : "New Zealand"
        }
      ]
    }
  ],
  "purpose" : "A care plan which supports a patient who has tested positive for COVID-19 infection and will isolate at home and self serve as appropriate as they recover.",
  "usage" : "Allows monitoring and tracking of progress of a self serve COVID-19 patient.",
  "lastReviewDate" : "2022-08-04",
  "effectivePeriod" : {
    "start" : "2022-08-04",
    "end" : "2023-08-04"
  },
  "topic" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
          "code" : "treatment",
          "display" : "Treatment"
        }
      ],
      "text" : "Treatment"
    }
  ],
  "author" : [
    {
      "telecom" : [
        {
          "system" : "other",
          "value" : "CinC Fit for Future Project"
        }
      ]
    }
  ],
  "editor" : [
    {
      "telecom" : [
        {
          "system" : "other",
          "value" : "CinC Fit for Future Project"
        }
      ]
    }
  ],
  "reviewer" : [
    {
      "telecom" : [
        {
          "system" : "other",
          "value" : "CinC Fit for Future Project"
        }
      ]
    }
  ],
  "endorser" : [
    {
      "telecom" : [
        {
          "system" : "other",
          "value" : "CinC Fit for Future Project"
        }
      ]
    }
  ],
  "goal" : [
    {
      "id" : "covid-recovery",
      "category" : {
        "text" : "Full Recovery"
      },
      "description" : {
        "text" : "Activities in the Self Serve COVID-19 Care Plan are intended to monitor progress of a patient who self isolates and self serves as they recover from a COVID-19 infection, to ensure they receive the appropriate level of care throughout (physical, financial, mental, social, family, spiritual)."
      },
      "priority" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
            "code" : "medium-priority",
            "display" : "Medium Priority"
          }
        ],
        "text" : "Medium Priority"
      },
      "start" : {
        "text" : "Exposure to coronavirus infection (event)"
      },
      "addresses" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "704420006",
              "display" : "At risk of dehydration"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "267036007",
              "display" : "Shortness of breath"
            }
          ]
        }
      ],
      "target" : [
        {
          "measure" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "20564-1",
                "display" : "Oxygen saturation in Blood"
              }
            ],
            "text" : "Oxygen Saturation"
          },
          "detailQuantity" : {
            "value" : 99,
            "unit" : "percent",
            "system" : "http://unitsofmeasure.org",
            "code" : "%"
          },
          "due" : {
            "value" : 5,
            "unit" : "days",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          }
        }
      ]
    }
  ],
  "action" : [
    {
      "id" : "1",
      "prefix" : "1.",
      "title" : "Health Check",
      "description" : "Health Check",
      "textEquivalent" : "Health check to monitor conditions and enable ability to make decisions on continuing with care plan",
      "priority" : "urgent",
      "goalId" : [
        "covid-recovery"
      ],
      "subjectCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/resource-types",
            "code" : "Patient",
            "display" : "Patient"
          }
        ],
        "text" : "Patient"
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/action-type",
            "code" : "create",
            "display" : "Create"
          }
        ],
        "text" : "Create"
      },
      "requiredBehavior" : "must",
      "precheckBehavior" : "yes",
      "cardinalityBehavior" : "multiple",
      "definitionCanonical" : "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/COVIDRegularHealthCheckQuestionnaire"
    }
  ]
}