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

<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="RPMCardiacRehabCarePlanTemplate"/>
  <language value="en-NZ"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-NZ" lang="en-NZ">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">RPMCardiacRehabCarePlanTemplate</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-RPMCardiacRehabCarePlanTemplate.html">Template for Remote Monitoring Cardiac Rehab Care Plan</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">0.1.1</td>
        </tr>
        

        
        <tr>
            <th scope="row">
                <b>
                    
                        Official
                    
                </b>
            </th>
            <td style="padding-left: 4px;">
                
                <p style="margin-bottom: 5px;">
                    <span>RemoteMonitoringCardiacRehabCarePlanTemplate</span>
                </p>
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">Template for Remote Monitoring Cardiac Rehab Care Plan</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Subtitle: </b></th>
            <td style="padding-left: 4px;">Care in the Community plans to handle heart failure patients remotely in an ongoing capacity</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Experimental: </b></th>
            <td style="padding-left: 4px;">true</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <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>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>order-set</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>display: </b> <span>Order Set</span>
                        </p>
                        
                    
                
                
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Subject: </b></th>
            
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">http://hl7.org/fhir/resource-types</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>Patient</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>display: </b> <span>Patient</span>
                        </p>
                        
                    
                
                
            </td>
            
            
        </tr>
        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2025-08-20</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">Te Whatu Ora</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>Published by Wellington Hospital Cardiac Rehab Team for national use</p>
</div></td>
        </tr>
        

        

        

        

        
        <tr>
            <th scope="row"><b>Jurisdiction: </b></th>
            <td style="padding-left: 4px;">NZ</td>
        </tr>
        

        
            <tr>
                <th scope="row"><b>Topic: </b></th>
                <td style="padding-left: 4px;">treatment</td>
            </tr>
        

        
        <tr>
            <th scope="row"><b>Purpose: </b></th>
            <td style="padding-left: 4px;"><div><p>Remote Community Monitoring of Cardiac Rehabilitation in NZ</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Usage: </b></th>
            <td style="padding-left: 4px;">Patient managed post cardiac event rehabilitation - both surgical and medical</td>
        </tr>
        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b>1 Observation Activity:</b> Take an observation
                            
                            <br/>
                            
                            
                            
                            
                            <b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-RPMObservationRequest.html">Vital Signs Observation Service Request</a><br/>
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
  <url value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/PlanDefinition/RPMCardiacRehabCarePlanTemplate"/>
  <identifier>
    <use value="official"/>
    <value value="RemoteMonitoringCardiacRehabCarePlanTemplate"/>
  </identifier>
  <version value="0.1.1"/>
  <name value="RemoteMonitoringCardiacRehabCarePlanTemplate"/>
  <title value="Template for Remote Monitoring Cardiac Rehab Care Plan"/>
  <subtitle value="Care in the Community plans to handle heart failure patients remotely in an ongoing capacity"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="order-set"/>
      <display value="Order Set"/>
    </coding>
    <text value="Order Set"/>
  </type>
  <status value="active"/>
  <experimental value="true"/>
  <subjectCodeableConcept>
    <coding>
      <system value="http://hl7.org/fhir/resource-types"/>
      <code value="Patient"/>
      <display value="Patient"/>
    </coding>
    <text value="Patient"/>
  </subjectCodeableConcept>
  <date value="2025-08-20"/>
  <publisher value="Te Whatu Ora"/>
  <contact>
    <name value="Te Whatu Ora"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.tewhatuora.govt.nz/"/>
    </telecom>
  </contact>
  <contact>
    <name value="Te Whatu Ora Integration Team"/>
    <telecom>
      <system value="email"/>
      <value value="integration@tewhatuora.govt.nz"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="Published by Wellington Hospital Cardiac Rehab Team for national use"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="NZ"/>
      <display value="New Zealand"/>
    </coding>
  </jurisdiction>
  <purpose value="Remote Community Monitoring of Cardiac Rehabilitation in NZ"/>
  <usage value="Patient managed post cardiac event rehabilitation - both surgical and medical"/>
  <lastReviewDate value="2025-08-20"/>
  <topic>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/definition-topic"/>
      <code value="treatment"/>
      <display value="Treatment"/>
    </coding>
    <text value="Treatment"/>
  </topic>
  <author>
    <name value="HNZ RPM Project"/>
  </author>
  <editor>
    <name value="HNZ RPM Project"/>
  </editor>
  <reviewer>
    <name value="HNZ RPM Project"/>
  </reviewer>
  <endorser>
    <name value="Alastair Kenworthy"/>
    <telecom>
      <system value="other"/>
      <value value="CinC Fit for Future Project"/>
    </telecom>
  </endorser>
  <goal id="cardiac-rehab-monitoring">
    <category>
      <text value="Cardiac Rehab Monitoring"/>
    </category>
    <description>
      <text value="Independence post cardiac event"/>
    </description>
    <priority>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/goal-priority"/>
        <code value="medium-priority"/>
        <display value="Medium Priority"/>
      </coding>
      <text value="Medium Priority"/>
    </priority>
    <start>
      <text value="Assessed as suitable"/>
    </start>
  </goal>
  <action id="1">
    <prefix value="1"/>
    <title value="Observation Activity"/>
    <description value="Take an observation"/>
    <priority value="routine"/>
    <goalId value="cardiac-rehab-monitoring"/>
    <subjectCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/resource-types"/>
        <code value="Patient"/>
        <display value="Patient"/>
      </coding>
      <text value="Patient"/>
    </subjectCodeableConcept>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/action-type"/>
        <code value="create"/>
        <display value="Create"/>
      </coding>
      <text value="Create"/>
    </type>
    <requiredBehavior value="must"/>
    <precheckBehavior value="yes"/>
    <cardinalityBehavior value="multiple"/>
    <definitionCanonical value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/ActivityDefinition/RemoteMonitoringObservationRequest"/>
  </action>
</PlanDefinition>