Care Plan (V2)_2.16.840.1.113883.

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SDWG Supported Sample from Implementation Guide

The initial load of this repository in January 2021 includes all examples (figures) from the June 2019 Errata published PDF of C-CDA 2.1 and 2019 release of C-CDA Companion Guide.

These examples were reviewed through the HL7 ballot process. They have not been formally reviewed/approved by the examples task force.


Care Plan (V2)



Example: Care Plan performer Example.xml download example view on GitHub

<performer typeCode="PRF">
  <time value="20130715223615-0800" />
    <id extension="5555555555" root="2.16.840.1.113883.4.6" />
    <code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General physician" />
      <streetAddressLine>1004 Healthcare Drive </streetAddressLine>
    <telecom use="WP" value="tel:+1(555)-1004" />
        <given qualifier="CL">Patty</given>
        <suffix qualifier="AC">M.D.</suffix>

Example: Care Plan relatedDocument Example.xml download example view on GitHub

<!-- This document is the second in a set - relatedDocument
  describes the parent document-->
<relatedDocument typeCode="RPLC">
    <id root="223769be-f6ee-4b04-a0ce-b56ae998c880" />
    <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of care note" />
    <setId root="004bb033-b948-4f4c-b5bf-a8dbd7d8dd40" />
    <versionNumber value="1" />

Example: Care Plan Review Example.xml download example view on GitHub

<!-- This participant represents the Care Plan review. 
  If the date in the time element is in the past, 
  then this review has already taken place. 
  If the date in the time element is in the future, 
  then this is the date of the next scheduled review. -->
<!-- This example shows a Care Plan Review that has already taken place -->
<participant typeCode="IND">
  <functionCode code="425268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Review of care plan" />
  <time value="20130801" />
  <associatedEntity classCode="ASSIGNED">
    <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />

Example: Care Plan Patient authenticator Example.xml download example view on GitHub

<!-- This authenticator represents patient agreement or 
  sign-off of the Care Plan-->
  <time value="20130802" />
  <signatureCode code="S" />
  <sdtc:signatureText mediaType="text/xml" representation="B64">omSJUEdmde9j44zmMiromSJUEdmde9j44zmMirdMDSsWdIJdksIJR3373jeu83
    6edjzMMIjdMDSsWdIJdksIJR3373jeu83MNYD83jmMdomSJUEdmde9j44zmMir ...
    <id extension="996-756-495" root="2.16.840.1.113883.19.5" />
    <code code="ONESELF" displayName="self" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7 Role code" />

Example: Care Plan Caregiver participant Example.xml download example view on GitHub

<participant typeCode="IND">
  <functionCode code="407543004" displayName="Primary caregiver" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
  <!-- Caregiver -->
  <associatedEntity classCode="CAREGIVER">
    <code code="MTH" codeSystem="2.16.840.1.113883.5.111" displayName="mother" />
      <streetAddressLine>17 Daws Rd.</streetAddressLine>
      <city>Ann Arbor</city>
    <telecom value="tel:(999)555-1212" use="WP" />
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