{"resourceType":"PlanDefinition","id":"RPMCardiacRehabCarePlanTemplate","language":"en-NZ","url":"https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/PlanDefinition/RPMCardiacRehabCarePlanTemplate","identifier":[{"use":"official","value":"RemoteMonitoringCardiacRehabCarePlanTemplate"}],"version":"0.1.1","name":"RemoteMonitoringCardiacRehabCarePlanTemplate","title":"Template for Remote Monitoring Cardiac Rehab Care Plan","subtitle":"Care in the Community plans to handle heart failure patients remotely in an ongoing capacity","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":"2025-08-20","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":"Published by Wellington Hospital Cardiac Rehab Team for national use","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"NZ","display":"New Zealand"}]}],"purpose":"Remote Community Monitoring of Cardiac Rehabilitation in NZ","usage":"Patient managed post cardiac event rehabilitation - both surgical and medical","lastReviewDate":"2025-08-20","topic":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/definition-topic","code":"treatment","display":"Treatment"}],"text":"Treatment"}],"author":[{"name":"HNZ RPM Project"}],"editor":[{"name":"HNZ RPM Project"}],"reviewer":[{"name":"HNZ RPM Project"}],"endorser":[{"name":"Alastair Kenworthy","telecom":[{"system":"other","value":"CinC Fit for Future Project"}]}],"goal":[{"id":"cardiac-rehab-monitoring","category":{"text":"Cardiac Rehab Monitoring"},"description":{"text":"Independence post cardiac event"},"priority":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/goal-priority","code":"medium-priority","display":"Medium Priority"}],"text":"Medium Priority"},"start":{"text":"Assessed as suitable"}}],"action":[{"id":"1","prefix":"1","title":"Observation Activity","description":"Take an observation","priority":"routine","goalId":["cardiac-rehab-monitoring"],"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/ActivityDefinition/RemoteMonitoringObservationRequest"}]}