Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Careplan-example-pregnancy.ttl

Example CarePlan/preg (Turtle)

Patient Care Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner , RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification )

Care plan to address pregnancy 

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

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

<http://hl7.org/fhir/CarePlan/preg> a fhir:CarePlan;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "preg"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "additional" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>A maternity care plan (for a pregnant woman).</p>\n      <p>LMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take prenatal vitamins, schedule first antenatal,\n            and 'placeholders' for the second antenatal and delivery (there would be lots of others of course)</p>\n      <p>Note that where is a proposed 'status' element against each activity</p>\n    </div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Condition;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "p1" ];
     fhir:Condition.clinicalStatus [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
         fhir:Coding.code [ fhir:value "active" ]
       ]
     ];
     fhir:Condition.verificationStatus [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
         fhir:Coding.code [ fhir:value "confirmed" ]
       ]
     ];
     fhir:Condition.code [
       fhir:CodeableConcept.text [ fhir:value "pregnancy" ]
     ];
     fhir:Condition.subject [
       fhir:link <http://hl7.org/fhir/Patient/1>;
       fhir:Reference.reference [ fhir:value "Patient/1" ];
       fhir:Reference.display [ fhir:value "Eve Everywoman" ]
     ]
  ], [
     a fhir:Practitioner;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "pr1" ];
     fhir:Practitioner.name [
       fhir:index 0;
       fhir:HumanName.family [ fhir:value "Midwife" ];
       fhir:HumanName.given [
         fhir:value "Mavis";
         fhir:index 0
       ]
     ]
  ], [
     a fhir:Practitioner;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "pr2" ];
     fhir:Practitioner.name [
       fhir:index 0;
       fhir:HumanName.family [ fhir:value "Obstetrician" ];
       fhir:HumanName.given [
         fhir:value "Oscar";
         fhir:index 0
       ]

[a fhir:CarePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "preg"] ; # 
  fhir:text [
     fhir:status [ fhir:v "additional" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>A maternity care plan (for a pregnant woman).</p>\n      <p>LMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take prenatal vitamins, schedule first antenatal,\n            and 'placeholders' for the second antenatal and delivery (there would be lots of others of course)</p>\n      <p>Note that where is a proposed 'status' element against each activity</p>\n    </div>"
  ] ; # 
  fhir:contained ( [
     a fhir:Condition ;
     fhir:id [ fhir:v "p1" ] ;
     fhir:clinicalStatus [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "active" ]
       ] )
     ] ;
     fhir:verificationStatus [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "confirmed" ]
       ] )
     ] ;
     fhir:code [
       fhir:text [ fhir:v "pregnancy" ]
     ] ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/1" ] ;
       fhir:display [ fhir:v "Eve Everywoman" ]

     ]
  ], [
     a fhir:CareTeam;
     fhir:index 3;
     fhir:Resource.id [ fhir:value "careteam" ];
     fhir:CareTeam.participant [
       fhir:index 0;
       fhir:CareTeam.participant.role [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/mysys" ];
           fhir:Coding.code [ fhir:value "lmc" ]
         ];
         fhir:CodeableConcept.text [ fhir:value "Midwife" ]
       ];
       fhir:CareTeam.participant.member [
         fhir:Reference.reference [ fhir:value "#pr1" ];
         fhir:Reference.display [ fhir:value "Mavis Midwife" ]

  ] [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "pr1" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Midwife" ] ;
       fhir:given ( [ fhir:v "Mavis" ] )
     ] )
  ] [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "pr2" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Obstetrician" ] ;
       fhir:given ( [ fhir:v "Oscar" ] )
     ] )
  ] [
     a fhir:CareTeam ;
     fhir:id [ fhir:v "careteam" ] ;
     fhir:participant ( [
       fhir:role [
         fhir:coding ( [
           fhir:system [ fhir:v "http://example.org/mysys"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "lmc" ]
         ] ) ;
         fhir:text [ fhir:v "Midwife" ]
       ] ; #   In New Zealand, there is a Lead Maternity Carer (LMC) - often a midwife  
       fhir:member [
         fhir:reference [ fhir:v "#pr1" ] ; #   This links to the clinician resource, so we get all the stuff related to that like address, contact etc...  
         fhir:display [ fhir:v "Mavis Midwife" ]

       ]
     ], [
       fhir:index 1;
       fhir:CareTeam.participant.role [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/mysys" ];
           fhir:Coding.code [ fhir:value "obs" ]
         ];
         fhir:CodeableConcept.text [ fhir:value "Obstretitian" ]
       ];
       fhir:CareTeam.participant.member [
         fhir:Reference.reference [ fhir:value "#pr2" ];
         fhir:Reference.display [ fhir:value "Oscar Obstetrician" ]

     ] [
       fhir:role [
         fhir:coding ( [
           fhir:system [ fhir:v "http://example.org/mysys"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "obs" ]
         ] ) ;
         fhir:text [ fhir:v "Obstretitian" ]
       ] ; #   To indicate that there is an obstretian consultant involved in this case.  
       fhir:member [
         fhir:reference [ fhir:v "#pr2" ] ; #   This links to the clinician resource, so we get all the stuff related to that like address, contact etc...  
         fhir:display [ fhir:v "Oscar Obstetrician" ]

       ]
     ] )
  ] [
     a fhir:Goal ;
     fhir:id [ fhir:v "goal" ] ;
     fhir:lifecycleStatus [ fhir:v "active" ] ;
     fhir:description [
       fhir:text [ fhir:v "Maintain patient's health throughout pregnancy and ensure a healthy child" ]
     ] ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/1" ] ;
       fhir:display [ fhir:v "Eve Everywoman" ]

     ]
  ], [
     a fhir:Goal;
     fhir:index 4;
     fhir:Resource.id [ fhir:value "goal" ];
     fhir:Goal.lifecycleStatus [ fhir:value "active" ];
     fhir:Goal.description [
       fhir:CodeableConcept.text [ fhir:value "Maintain patient's health throughout pregnancy and ensure a healthy child" ]
     ];
     fhir:Goal.subject [
       fhir:link <http://hl7.org/fhir/Patient/1>;
       fhir:Reference.reference [ fhir:value "Patient/1" ];
       fhir:Reference.display [ fhir:value "Eve Everywoman" ]

  ] [
     a fhir:Appointment ;
     fhir:id [ fhir:v "activity-1" ] ;
     fhir:status [ fhir:v "booked" ] ;
     fhir:description [ fhir:v "The first antenatal encounter. This is where a detailed physical examination is performed and the pregnanacy discussed with the mother-to-be." ] ;
     fhir:start [ fhir:v "2013-02-14T10:38:00+00:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2013-02-14T10:50:00+00:00"^^xsd:dateTime ] ;
     fhir:requestedPeriod ( [
       fhir:start [ fhir:v "2013-02-14"^^xsd:date ] ;
       fhir:end [ fhir:v "2013-02-28"^^xsd:date ]
     ] ) ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/1" ] ;
       fhir:display [ fhir:v "Eve Everywoman" ]
     ] ;
     fhir:participant ( [
       fhir:actor [
         fhir:reference [ fhir:v "Patient/1" ] ;
         fhir:display [ fhir:v "Eve Everywoman" ]
       ] ;
       fhir:required [ fhir:v "true"^^xsd:boolean ] ;
       fhir:status [ fhir:v "accepted" ]
     ] [
       fhir:type ( [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "ATND" ]
         ] )
       ] ) ;
       fhir:actor [
         fhir:reference [ fhir:v "#pr1" ] ;
         fhir:display [ fhir:v "Mavis Midwife" ]
       ] ;
       fhir:required [ fhir:v "true"^^xsd:boolean ] ;
       fhir:status [ fhir:v "accepted" ]
     ] )
  ] [
     a fhir:Appointment ;
     fhir:id [ fhir:v "activity-2" ] ;
     fhir:status [ fhir:v "proposed" ] ;
     fhir:description [ fhir:v "The second antenatal encounter. Discuss any issues that arose from the first antenatal encounter" ] ;
     fhir:requestedPeriod ( [
       fhir:start [ fhir:v "2013-03-01"^^xsd:date ] ;
       fhir:end [ fhir:v "2013-03-14"^^xsd:date ]
     ] ) ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/1" ] ;
       fhir:display [ fhir:v "Eve Everywoman" ]
     ] ;
     fhir:participant ( [
       fhir:actor [
         fhir:reference [ fhir:v "Patient/1" ] ;
         fhir:display [ fhir:v "Eve Everywoman" ]
       ] ;
       fhir:required [ fhir:v "true"^^xsd:boolean ] ;
       fhir:status [ fhir:v "accepted" ]
     ] [
       fhir:type ( [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "ATND" ]
         ] )
       ] ) ;
       fhir:actor [
         fhir:reference [ fhir:v "#pr1" ] ;
         fhir:display [ fhir:v "Mavis Midwife" ]
       ] ;
       fhir:required [ fhir:v "true"^^xsd:boolean ] ;
       fhir:status [ fhir:v "accepted" ]
     ] )
  ] [
     a fhir:Appointment ;
     fhir:id [ fhir:v "activity-3" ] ;
     fhir:status [ fhir:v "proposed" ] ;
     fhir:description [ fhir:v "The delivery." ] ;
     fhir:requestedPeriod ( [
       fhir:start [ fhir:v "2013-09-01"^^xsd:date ] ;
       fhir:end [ fhir:v "2013-09-14"^^xsd:date ]
     ] ) ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/1" ] ;
       fhir:display [ fhir:v "Eve Everywoman" ]
     ] ;
     fhir:participant ( [
       fhir:actor [
         fhir:reference [ fhir:v "Patient/1" ] ;
         fhir:display [ fhir:v "Eve Everywoman" ]
       ] ;
       fhir:required [ fhir:v "true"^^xsd:boolean ] ;
       fhir:status [ fhir:v "accepted" ]
     ] [
       fhir:type ( [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "ATND" ]
         ] )
       ] ) ;
       fhir:actor [
         fhir:reference [ fhir:v "#pr1" ] ;
         fhir:display [ fhir:v "Mavis Midwife" ]
       ] ;
       fhir:required [ fhir:v "true"^^xsd:boolean ] ;
       fhir:status [ fhir:v "accepted" ]
     ] )
  ] ) ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://example.org/fhir/StructureDefinition/careplan#lmp"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "2013-01-01"^^xsd:date ]
  ] ) ; #   an extension to record the LMP, which is required at the plan level...  
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "plan"] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/1" ] ;
     fhir:display [ fhir:v "Eve Everywoman" ]
  ] ; # 
  fhir:period [
     fhir:start [ fhir:v "2013-01-01"^^xsd:date ] ; #   The likely duration of the pregnancy  
     fhir:end [ fhir:v "2013-10-01"^^xsd:date ]
  ] ; # 
  fhir:careTeam ( [
     fhir:reference [ fhir:v "#careteam" ]
  ] ) ; # 
  fhir:addresses ( [
     fhir:reference [
       fhir:reference [ fhir:v "#p1" ] ;
       fhir:display [ fhir:v "pregnancy" ]

     ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/careplan#lmp" ];
     fhir:Extension.valueDateTime [ fhir:value "2013-01-01"^^xsd:date ]
  ];
  fhir:CarePlan.status [ fhir:value "active"];
  fhir:CarePlan.intent [ fhir:value "plan"];
  fhir:CarePlan.subject [
     fhir:link <http://hl7.org/fhir/Patient/1>;
     fhir:Reference.reference [ fhir:value "Patient/1" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:CarePlan.period [
     fhir:Period.start [ fhir:value "2013-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2013-10-01"^^xsd:date ]
  ];
  fhir:CarePlan.careTeam [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#careteam" ]
  ];
  fhir:CarePlan.addresses [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#p1" ];
     fhir:Reference.display [ fhir:value "pregnancy" ]
  ];
  fhir:CarePlan.goal [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#goal" ]
  ];
  fhir:CarePlan.activity [
     fhir:index 0;
     fhir:CarePlan.activity.reference [
       fhir:Reference.display [ fhir:value "Prenatal vitamin MedicationRequest" ]

  ] ) ; # 
  fhir:goal ( [
     fhir:reference [ fhir:v "#goal" ]
  ] ) ; # 
  fhir:activity ( [
     fhir:plannedActivityReference [
       fhir:display [ fhir:v "Prenatal vitamin MedicationRequest" ]

     ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/careplan#andetails" ];
       fhir:Extension.valueUri [ fhir:value "http://orionhealth.com/fhir/careplan/1andetails" ]
     ];
     fhir:CarePlan.activity.detail [
       fhir:CarePlan.activity.detail.kind [ fhir:value "Appointment" ];
       fhir:CarePlan.activity.detail.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/mySystem" ];
           fhir:Coding.code [ fhir:value "1an" ]
         ];
         fhir:CodeableConcept.text [ fhir:value "First Antenatal encounter" ]
       ];
       fhir:CarePlan.activity.detail.status [ fhir:value "scheduled" ];
       fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ];
       fhir:CarePlan.activity.detail.scheduledTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2013-02-14"^^xsd:date ];
             fhir:Period.end [ fhir:value "2013-02-28"^^xsd:date ]
           ]
         ]
       ];
       fhir:CarePlan.activity.detail.performer [
         fhir:index 0;
         fhir:Reference.reference [ fhir:value "#pr1" ];
         fhir:Reference.display [ fhir:value "Mavis Midwife" ]
       ];
       fhir:CarePlan.activity.detail.description [ fhir:value "The first antenatal encounter. This is where a detailed physical examination is performed.             and the pregnanacy discussed with the mother-to-be." ]

  ] [
     fhir:extension ( [
       fhir:url [ fhir:v "http://example.org/fhir/StructureDefinition/careplan#andetails"^^xsd:anyURI ] ;
       fhir:value [ fhir:v "http://orionhealth.com/fhir/careplan/1andetails"^^xsd:anyURI ]
     ] ) ; #   This will be the first antenatal encounter  ,   a link to further details about the first antenatal details  
     fhir:plannedActivityReference [
       fhir:reference [ fhir:v "#activity-1" ]

     ]
  ], [
     fhir:index 2;
     fhir:CarePlan.activity.detail [
       fhir:CarePlan.activity.detail.kind [ fhir:value "Appointment" ];
       fhir:CarePlan.activity.detail.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/mySystem" ];
           fhir:Coding.code [ fhir:value "an" ]
         ];
         fhir:CodeableConcept.text [ fhir:value "Follow-up Antenatal encounter" ]
       ];
       fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ];
       fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ];
       fhir:CarePlan.activity.detail.scheduledTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2013-03-01"^^xsd:date ];
             fhir:Period.end [ fhir:value "2013-03-14"^^xsd:date ]
           ]
         ]
       ];
       fhir:CarePlan.activity.detail.performer [
         fhir:index 0;
         fhir:Reference.reference [ fhir:value "#pr1" ];
         fhir:Reference.display [ fhir:value "Mavis Midwife" ]
       ];
       fhir:CarePlan.activity.detail.description [ fhir:value "The second antenatal encounter. Discuss any issues that arose from the first antenatal encounter" ]

  ] [
     fhir:plannedActivityReference [
       fhir:reference [ fhir:v "#activity-2" ]

     ]
  ], [
     fhir:index 3;
     fhir:CarePlan.activity.detail [
       fhir:CarePlan.activity.detail.kind [ fhir:value "Appointment" ];
       fhir:CarePlan.activity.detail.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/mySystem" ];
           fhir:Coding.code [ fhir:value "del" ]
         ];
         fhir:CodeableConcept.text [ fhir:value "Delivery" ]
       ];
       fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ];
       fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ];
       fhir:CarePlan.activity.detail.scheduledTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2013-09-01"^^xsd:date ];
             fhir:Period.end [ fhir:value "2013-09-14"^^xsd:date ]
           ]
         ]
       ];
       fhir:CarePlan.activity.detail.performer [
         fhir:index 0;
         fhir:Reference.reference [ fhir:value "#pr1" ];
         fhir:Reference.display [ fhir:value "Mavis Midwife" ]
       ];
       fhir:CarePlan.activity.detail.description [ fhir:value "The delivery." ]

  ] [
     fhir:plannedActivityReference [
       fhir:reference [ fhir:v "#activity-3" ]

     ]
  ] .

<http://hl7.org/fhir/Patient/1> a fhir:Patient .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CarePlan/preg.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/CarePlan/preg.ttl> .

  ] )] . # 


# -------------------------------------------------------------------------------------

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.