Shared Care Planning (SCP) Implementation Guide
0.3.0 - ci-build
Shared Care Planning (SCP) Implementation Guide - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "cps-bundle-02",
"meta" : {
"versionId" : "1"
},
"type" : "transaction",
"entry" : [
{
"resource" : {
"resourceType" : "Task",
"id" : "cps-task-02",
"meta" : {
"versionId" : "1",
"profile" : [
🔗 "http://santeonnl.github.io/shared-care-planning/StructureDefinition/SCPTask"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_cps-task-02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task cps-task-02</b></p><a name=\"cps-task-02\"> </a><a name=\"hccps-task-02\"> </a><a name=\"cps-task-02-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SCPTask.html\">Shared Care Planning: Task Profile</a></p></div><p><b>basedOn</b>: <code>{{org1-fhir-url}}CarePlan/{{careplan1id}}</code></p><p><b>partOf</b>: <code>{{org1-fhir-url}}Task/{{task1id}}</code></p><p><b>status</b>: Ready</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/task-code fullfill}\">fullfill</span></p><p><b>focus</b>: <a href=\"#hccps-task-02/msc-telemonitoring-heartfailure-enrollment\">Vragenlijst voor aanmelding van patienten met hartfalen voor telemonitoring</a></p><p><b>for</b>: <code>{{org1-fhir-url}}Patient/{{Patient1}}</code></p><p><b>requester</b>: <a href=\"#hccps-task-02/msc-msc\">Organization Medical Service Centre</a></p><p><b>owner</b>: <a href=\"#hccps-task-02/hospitalx-carolinevandijk-hospitalx\">PractitionerRole Cardiologist</a></p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole #hospitalx-carolinevandijk-hospitalx</b></p><a name=\"cps-task-02/hospitalx-carolinevandijk-hospitalx\"> </a><a name=\"hccps-task-02/hospitalx-carolinevandijk-hospitalx\"> </a><a name=\"cps-task-02/hospitalx-carolinevandijk-hospitalx-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole</code></p></div><p><b>identifier</b>: <code>http://hospitalx.example.org/HRM/assignments</code>/123456, <code>http://fhir.nl/fhir/NamingSystem/uzi</code>/UZI-1</p><p><b>practitioner</b>: <a href=\"Bundle-hospitalx-bundle-01.html#urn-uuid-hospitalx-carolinevandijk\">Bundle: type = transaction</a></p><p><b>organization</b>: <a href=\"Bundle-hospitalx-bundle-01.html#urn-uuid-hospitalx-hospitalx\">Bundle: type = transaction</a></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 17561000}\">Cardiologist</span></p><p><b>specialty</b>: <span title=\"Codes:{http://snomed.info/sct 394579002}\">Cardiology</span></p><p><b>telecom</b>: <a href=\"mailto:c.vandijk@hospitalx.nl\">c.vandijk@hospitalx.nl</a></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #msc-msc</b></p><a name=\"cps-task-02/msc-msc\"> </a><a name=\"hccps-task-02/msc-msc\"> </a><a name=\"cps-task-02/msc-msc-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization</code></p></div><p><b>identifier</b>: <code>http://fhir.nl/fhir/NamingSystem/ura</code>/URA-2</p><p><b>name</b>: Medical Service Centre</p><p><b>telecom</b>: <a href=\"tel:+31301234567\">+31301234567</a>, <a href=\"mailto:info@msc.nl\">info@msc.nl</a></p><p><b>address</b>: Herculesplein 38 Utrecht 3584 AA </p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Questionnaire",
"id" : "msc-telemonitoring-heartfailure-enrollment",
"meta" : {
"tag" : [
{
"system" : "http://hl7.org/fhir/FHIR-version",
"code" : "4.0.1"
}
]
},
"language" : "nl-NL",
"url" : "http://example.org/Questionnaire-msc-telemonitoring-heartfailure-enrollment|0.3",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:95b9cffc-277b-4941-88e0-c0bb6931af01"
}
],
"title" : "Vragenlijst voor aanmelding van patienten met hartfalen voor telemonitoring",
"status" : "active",
"experimental" : false,
"date" : "2024-12-11",
"publisher" : "Medical Service Centre B.V.",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://example.org"
}
]
}
],
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "task"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "OE",
"display" : "order entry task"
}
]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "719858009",
"display" : "monitoren via telegeneeskunde (regime/therapie)"
}
]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "84114007",
"display" : "hartfalen (aandoening)"
}
]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "879780004",
"display" : "monitoren van chronisch hartfalen via telegeneeskunde (regime/therapie)"
}
]
}
}
],
"effectivePeriod" : {
"start" : "2024-12-11"
},
"item" : [
{
"linkId" : "5c167c2d-f518-4bc1-adb7-ea06bc789a36",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "64572001",
"display" : "aandoening"
}
],
"text" : "Zorgpad",
"type" : "choice",
"readOnly" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "84114007",
"display" : "Hartfalen"
},
"initialSelected" : true
}
]
},
{
"linkId" : "245f3b7e-47d2-4b78-b751-fb04f38b17b9",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "362981000",
"display" : "kwalificatiewaarde"
}
],
"text" : "Selecteer het Meetprotocol",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "255299009",
"display" : "Instabiel"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "58158008",
"display" : "Stabiel"
}
}
]
},
{
"linkId" : "2f505566-ac92-4347-8731-840e6bc84851",
"type" : "group",
"enableWhen" : [
{
"question" : "245f3b7e-47d2-4b78-b751-fb04f38b17b9",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "255299009"
}
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "check-box"
}
]
}
}
],
"linkId" : "1b81f13b-923e-4fc8-b758-08b3f172b2de",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "713838004",
"display" : "optimaliseren van medicatie"
}
],
"text" : "Titratie",
"type" : "choice",
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "ja, titratie"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "check-box"
}
]
}
}
],
"linkId" : "dcba2829-32d8-4390-b1d4-32a5fefda539",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "308118002",
"display" : "behandelen van hartfalen"
}
],
"text" : "Recompensatie",
"type" : "choice",
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "ja, recompensatie"
}
}
]
}
]
},
{
"linkId" : "170292e5-3163-43b4-88af-affb3e4c27ab",
"type" : "group",
"enableWhen" : [
{
"question" : "245f3b7e-47d2-4b78-b751-fb04f38b17b9",
"operator" : "exists",
"answerBoolean" : true
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "kg",
"display" : "kg"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString" : "Streefgewicht '0.0'"
}
],
"linkId" : "4e973bcb-bbbb-4a9f-877b-fbf45ab94361",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "1078215008",
"display" : "Target body weight"
}
],
"text" : "Streefgewicht",
"type" : "decimal",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "check-box"
}
]
}
}
],
"linkId" : "135aec2f-e410-4668-9a26-f745dc1789af",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "266938001",
"display" : "ziekenhuispatiënt"
}
],
"text" : "Ziekenhuispatiënt",
"type" : "choice",
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "ja, patiënt is opgenomen geweest"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "check-box"
}
]
}
}
],
"linkId" : "345ca4a3-1bc8-4358-8d78-783c05953261",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "735333005",
"display" : "apparatuur beschikbaar"
}
],
"text" : "Apparatuur beschikbaar",
"type" : "choice",
"required" : true,
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "ja, patiënt beschikt over een weegschaal en bloeddrukmeter (of is bereid deze aan te schaffen)"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString" : "Notitie (optioneel)"
}
],
"linkId" : "be4b671d-f91f-4fc3-a6d8-fcafa8e67161",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "11221000146107",
"display" : "notitie (gegevensobject)"
}
],
"text" : "Notitie",
"type" : "text",
"repeats" : false
}
]
},
{
"linkId" : "2bc0b73f-506a-48a4-994d-fe355a5825f3",
"text" : "Begeleiding bij onboarding",
"type" : "group",
"enableWhen" : [
{
"question" : "245f3b7e-47d2-4b78-b751-fb04f38b17b9",
"operator" : "exists",
"answerBoolean" : true
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "check-box"
}
]
}
}
],
"linkId" : "295a22d7-d0ff-4546-b2a0-ce46beeba086",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "761731000000100",
"display" : "moeite met gebruiken van personal computer"
}
],
"text" : "Moeite met apps",
"type" : "choice",
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "ja, patiënt heeft hulp nodig bij het downloaden en inloggen in de app"
}
}
]
}
]
}
]
},
{
"resourceType" : "PractitionerRole",
"id" : "hospitalx-carolinevandijk-hospitalx",
"meta" : {
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
]
},
"identifier" : [
{
"system" : "http://hospitalx.example.org/HRM/assignments",
"value" : "123456"
},
{
"system" : "http://fhir.nl/fhir/NamingSystem/uzi",
"value" : "UZI-1"
}
],
"practitioner" : {
"reference" : "urn:uuid:hospitalx-carolinevandijk"
},
"organization" : {
"reference" : "urn:uuid:hospitalx-hospitalx"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "17561000",
"display" : "Cardiologist"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394579002",
"display" : "Cardiology"
}
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "c.vandijk@hospitalx.nl"
}
]
},
{
"resourceType" : "Organization",
"id" : "msc-msc",
"meta" : {
"profile" : [
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization"
]
},
"identifier" : [
{
"system" : "http://fhir.nl/fhir/NamingSystem/ura",
"value" : "URA-2"
}
],
"name" : "Medical Service Centre",
"telecom" : [
{
"system" : "phone",
"value" : "+31301234567",
"use" : "work"
},
{
"system" : "email",
"value" : "info@msc.nl",
"use" : "work"
}
],
"address" : [
{
"line" : [
"Herculesplein 38"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Herculesplein"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "38"
}
]
}
],
"city" : "Utrecht",
"postalCode" : "3584 AA"
}
]
}
],
"basedOn" : [
{
"reference" : "{{org1-fhir-url}}CarePlan/{{careplan1id}}"
}
],
"partOf" : [
{
"reference" : "{{org1-fhir-url}}Task/{{task1id}}"
}
],
"status" : "ready",
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/CodeSystem/task-code",
"code" : "fullfill"
}
]
},
"focus" : {
"reference" : "#msc-telemonitoring-heartfailure-enrollment"
},
"for" : {
"reference" : "{{org1-fhir-url}}Patient/{{Patient1}}",
"type" : "Patient",
"identifier" : {
"system" : "http://fhir.nl/fhir/NamingSystem/bsn",
"value" : "111222333",
"assigner" : {
"identifier" : {
"system" : "http://fhir.nl/fhir/NamingSystem/ura",
"value" : "URA-1"
}
}
}
},
"requester" : {
"reference" : "#msc-msc",
"type" : "Organization",
"identifier" : {
"system" : "http://fhir.nl/fhir/NamingSystem/ura",
"value" : "URA-2",
"assigner" : {
"identifier" : {
"system" : "http://fhir.nl/fhir/NamingSystem/ura",
"value" : "URA-2"
}
}
}
},
"owner" : {
"reference" : "#hospitalx-carolinevandijk-hospitalx",
"type" : "PractitionerRole",
"identifier" : {
"system" : "http://fhir.nl/fhir/NamingSystem/uzi",
"value" : "UZI-1",
"assigner" : {
"identifier" : {
"system" : "http://fhir.nl/fhir/NamingSystem/ura",
"value" : "URA-1"
}
}
}
}
},
"request" : {
"method" : "POST",
"url" : "Task"
}
}
]
}