{
  "resourceType" : "PlanDefinition",
  "meta" : {
    "versionId" : "3",
    "lastUpdated" : "2022-09-12T04:46:55.848Z",
    "profile" : ["https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiPlanDefinition"]
  },
  "language" : "en-NZ",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-NZ\" lang=\"en-NZ\">\n<div>\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">PlanDefinitionExample</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-PlanDefinitionExample.html\">Template for COVID-19 Care in the Community CCCM MVP Careplans</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        Usual\n                    \n                </b>\n            </th>\n            <td style=\"padding-left: 4px;\">\n                \n                <p style=\"margin-bottom: 5px;\">\n                    <span>CareplanTemplate-CitC-COVID19-CCCM</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Template for COVID-19 Care in the Community CCCM MVP Careplans</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Subtitle: </b></th>\n            <td style=\"padding-left: 4px;\">Care in the Community plans to handle low risk COVID-19 cases</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>order-set</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Order Set</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Subject: </b></th>\n            \n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://hl7.org/fhir/R4/codesystem-resource-types.html\">http://hl7.org/fhir/resource-types</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>Patient</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Patient</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n            \n            \n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2023-07-27</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Te Whatu Ora</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>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>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">NZ</td>\n        </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Topic: </b></th>\n                <td style=\"padding-left: 4px;\">treatment</td>\n            </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Purpose: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>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>\n</div></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Usage: </b></th>\n            <td style=\"padding-left: 4px;\">Allows monitoring and tracking of progress of a self serve COVID-19 patient.</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Effective Period: </b></th>\n            <td style=\"padding-left: 4px;\">2022-08-04..2023-08-04</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Actions: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td>\n                            \n                            Health check to monitor conditions and enable ability to make decisions on continuing with care plan\n                            \n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"Questionnaire-COVIDRegularHealthCheckQuestionnaire.html\">Question Template for COVID-19 Regular Health Check</a><br/>\n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n    </table>\n</div>\n</div>"
  },
  "url" : "https://fhir-ig.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" : "Te Whatu Ora Integration Team",
    "telecom" : [{
      "system" : "email",
      "value" : "integration@tewhatuora.govt.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"
  }]
}