Care plan to address pregnancy (id = "preg")

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
      
      LMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take prenatal
         vitamins, schedule first antenatal,
            and 'placeholders' for the second antenatal and delivery (there would be lots
         of others of course)
      
    
  
  
    
      
      
    
      
      
    
    

    
    
      
      
    
    
      
        
      
      
        
        
      
    
  
  
    
      
      
        
        
      
    
  
  
    
      
      
        
        
      
    
  
  
    
      
      
        
        
          
            
            
          
          
        
        
          <!--   This links to the clinician resource, so we get all the stuff related to that like address,
           contact etc...   -->
          
          
        
      
      
        
        
          
            
            
          
          
        
        
          <!--   This links to the clinician resource, so we get all the stuff related to that like address,
           contact etc...   -->
          
          
        
      
    
  
  
    
      
      
      
        
      
      
        
        
           
    
  
  
  
    
  
  
  
  
    
    
   
  
    
    
    
  
  
    
  
  
    
    
  
  
    
  
  
  
    
  
  
  
    
    
    
      
    
    
     
      
        
          
          
        
        
      
      
      
      
        
        
          
            
            
          
        
      
      
        
        
      
      The first antenatal encounter. This is where a detailed physical examination is performed.
                   and the pregnanacy discussed with the mother-to-be.
      <!--   This is a booked encounter with Mavis Midwife for the first antenatal checkup. 
        This entry is only made after the appointment (a planned encounter) has been made.
        Commented out for now because Encounter hasn't been defined yet
        <actionTaken>
            <url value="xxx"/>
            <display value="Appointment with Mavis midwife @12.30pm, 112 St albans Ave"/>
        </actionTaken>  -->
    
  
  
    
      <!--   This will be the second antenatal encounter - 3 months after LMP. It is not yet scheduled.
         -->
      
      
        <!--   The code is just for an antenatal encounter. There are many of these, the first is special...
           -->
        
          
          
        
        
      
      
      
      
        
        
          
            
            
          
        
      
      
        <!--   The performer is known, but the actual appointment is not yet made, hence there is no
         action element...   -->
        
        
      
      The second antenatal encounter. Discuss any issues that arose from the first antenatal
       encounter
    
  
  <!--   
        There would be a number of other encounters to be scheduled here... 
        ...
        ...
    
      -->
  
    
      
      
      
        
          
          
        
        
      
      
      
      
        
        
          
            
            
          
        
      
      <!--   Where the delivery is to occur... 
          Commented out for now because location resource isn't defined
        <location>
            <url value="loc100"/>
            <display value="St Albans delivery suite"/>
        </location>  -->
      
        
        
        
      
      
    
  

<CarePlan xmlns="http://hl7.org/fhir">
  <id value="preg"/> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> A maternity care plan (for a pregnant woman).</p> 
      <p> LMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take
         prenatal vitamins, schedule first antenatal,
            and 'placeholders' for the second antenatal and delivery (there would
         be lots of others of course)</p> 
      <p> Note that where is a proposed 'status' element against each activity</p>     </div>   </text>   <contained>     <Condition>       <id value="p1"/>       <clinicalStatus>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>       <code value="active"/>     </coding>     </clinicalStatus>     <verificationStatus>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>       <code value="confirmed"/>     </coding>     </verificationStatus>       <code>         <text value="pregnancy"/>       </code>       <subject>         <reference value="Patient/1"/>         <display value="Eve Everywoman"/>       </subject>     </Condition>   </contained>   <contained>     <Practitioner>       <id value="pr1"/>       <name>         <family value="Midwife"/>         <given value="Mavis"/>       </name>     </Practitioner>   </contained>   <contained>     <Practitioner>       <id value="pr2"/>       <name>         <family value="Obstetrician"/>         <given value="Oscar"/>       </name>     </Practitioner>   </contained>   <contained>     <CareTeam>       <id value="careteam"/>       <participant>           <!--   In New Zealand, there is a Lead Maternity Carer (LMC) - often a midwife   -->        <role>           <coding>             <system value="http://example.org/mysys"/>             <code value="lmc"/>           </coding>           <text value="Midwife"/>         </role>         <member>             <!--   This links to the clinician resource, so we get all the stuff related to that

           like address, contact etc...   -->
          <reference value="#pr1"/>           <display value="Mavis Midwife"/>         </member>       </participant>       <participant>           <!--   To indicate that there is an obstretian consultant involved in this case.   -->        <role>           <coding>             <system value="http://example.org/mysys"/>             <code value="obs"/>           </coding>           <text value="Obstretitian"/>         </role>         <member>             <!--   This links to the clinician resource, so we get all the stuff related to that

           like address, contact etc...   -->
          <reference value="#pr2"/>           <display value="Oscar Obstetrician"/>         </member>       </participant>     </CareTeam>   </contained>   <contained>     <Goal>       <id value="goal"/>       <lifecycleStatus value="active"/>       <description>         <text value="Maintain patient's health throughout pregnancy and ensure a healthy child"/>       </description>       <subject>         <reference value="Patient/1"/>         <display value="Eve Everywoman"/>       </subject>          </Goal>   </contained>   <contained>     <Appointment>       <id value="activity-1"/>       <status value="booked"/>     <description value="The first antenatal encounter. This is where a detailed physical examination is

       performed and the pregnanacy discussed with the mother-to-be."/>  
    <start value="2013-02-14T10:38:00+00:00"/>       <end value="2013-02-14T10:50:00+00:00"/>     <requestedPeriod>         <start value="2013-02-14"/>         <end value="2013-02-28"/>       </requestedPeriod>     <subject>         <reference value="Patient/1"/>     <display value="Eve Everywoman"/>       </subject> 
    
    <participant>      <actor>        <reference value="Patient/1"/>       <display value="Eve Everywoman"/>     </actor>      <required value="true"/>      <status value="accepted"/>      </participant>      <participant>      <type>        <coding>        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>        <code value="ATND"/>        </coding>      </type>      <actor>        <reference value="#pr1"/>       <display value="Mavis Midwife"/>     </actor>      <required value="true"/>      <status value="accepted"/>      </participant>  
  
    </Appointment>   </contained> 
  
  <contained>     <Appointment>       <id value="activity-2"/>       <status value="proposed"/>     <description value="The second antenatal encounter. Discuss any issues that arose from the first antenatal

       encounter"/>  
    <requestedPeriod>         <start value="2013-03-01"/>         <end value="2013-03-14"/>       </requestedPeriod>     <subject>         <reference value="Patient/1"/>     <display value="Eve Everywoman"/>       </subject> 
    
    <participant>      <actor>        <reference value="Patient/1"/>       <display value="Eve Everywoman"/>     </actor>      <required value="true"/>      <status value="accepted"/>      </participant>      <participant>      <type>        <coding>        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>        <code value="ATND"/>        </coding>      </type>      <actor>        <reference value="#pr1"/>           <display value="Mavis Midwife"/>     </actor>      <required value="true"/>      <status value="accepted"/>      </participant>  
  
    </Appointment>   </contained> 
  
  <contained>     <Appointment>       <id value="activity-3"/>       <status value="proposed"/>     <description value="The delivery."/>      <requestedPeriod>         <start value="2013-09-01"/>         <end value="2013-09-14"/>       </requestedPeriod>     <subject>         <reference value="Patient/1"/>     <display value="Eve Everywoman"/>       </subject> 
    
    <participant>      <actor>        <reference value="Patient/1"/>       <display value="Eve Everywoman"/>     </actor>      <required value="true"/>      <status value="accepted"/>      </participant>      <participant>      <type>        <coding>        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>        <code value="ATND"/>        </coding>      </type>      <actor>        <reference value="#pr1"/>           <display value="Mavis Midwife"/>     </actor>      <required value="true"/>      <status value="accepted"/>      </participant>  
  
    </Appointment>   </contained>     <!--   an extension to record the LMP, which is required at the plan level...   -->  <extension url="http://example.org/fhir/StructureDefinition/careplan#lmp">    <valueDateTime value="2013-01-01"/>   </extension>   <status value="active"/>   <intent value="plan"/>   <subject>     <reference value="Patient/1"/>     <display value="Eve Everywoman"/>   </subject>    <period>       <!--   The likely duration of the pregnancy   -->    <start value="2013-01-01"/>     <end value="2013-10-01"/>   </period>   <careTeam>     <reference value="#careteam"/>   </careTeam>   <addresses>     <reference>       <reference value="#p1"/>       <display value="pregnancy"/>     </reference>   </addresses>   <goal>     <reference value="#goal"/>   </goal>   <activity>   <plannedActivityReference>     <display value="Prenatal vitamin MedicationRequest"/>   </plannedActivityReference>   </activity>   <activity>       <!--   This will be the first antenatal encounter   -->      <!--   a link to further details about the first antenatal details   -->    <extension url="http://example.org/fhir/StructureDefinition/careplan#andetails">      <valueUri value="http://orionhealth.com/fhir/careplan/1andetails"/>     </extension>     <plannedActivityReference>     <reference value="#activity-1"/>   </plannedActivityReference>   </activity>   <activity>     <plannedActivityReference>     <reference value="#activity-2"/>   </plannedActivityReference>   </activity>     <!--   
        There would be a number of other encounters to be scheduled here... 
        ...
        ...
    
      -->
  <activity>     <plannedActivityReference>     <reference value="#activity-3"/>   </plannedActivityReference>   </activity> 


</

CarePlan

>