# xShare Care Plan example - xShare Project CarePlan v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **xShare Care Plan example**

## Example CarePlan: xShare Care Plan example

Profile: [xShare Care Plan](StructureDefinition-xshare-careplan.md)

**identifier**: `http://example.org/careplans`/CP-2026-001

**status**: Active

**intent**: Plan

**category**: Care plan

**title**: Post-discharge diabetes care plan

**description**: Care plan for follow-up after discharge, including diabetes monitoring and patient education.

**subject**: [Maria Rossi Female, DoB: 1975-04-12 ( http://example.org/patients#PAT-001)](Patient-xshare-careplan-patient-example.md)

**period**: 2026-05-01 --> 2026-08-31

**created**: 2026-05-01

**author**: [Organization Example Community Health Centre](Organization-xshare-careplan-organization-example.md)

**careTeam**: [CareTeam Diabetes follow-up care team](CareTeam-xshare-careplan-careteam-example.md)

**addresses**: [Condition Diabetes mellitus type 2](Condition-xshare-careplan-condition-example.md)

**goal**: [Goal: lifecycleStatus = active; category = Education; description = Diabetes self management plan](Goal-xshare-careplan-goal-example.md)

### Activities

| | | | |
| :--- | :--- | :--- | :--- |
| - | **OutcomeCodeableConcept** | **Progress** | **Reference** |
| * | Successful | > Initial education session scheduled and glucose monitoring plan reviewed. | [ServiceRequest Assessment of health and social care needs](ServiceRequest-xshare-careplan-servicerequest-example.md) |



## Resource Content

```json
{
  "resourceType" : "CarePlan",
  "id" : "xshare-careplan-example",
  "meta" : {
    "profile" : ["http://hl7.eu/fhir/ig/xshare-careplan/StructureDefinition/xshare-careplan"]
  },
  "identifier" : [{
    "system" : "http://example.org/careplans",
    "value" : "CP-2026-001"
  }],
  "status" : "active",
  "intent" : "plan",
  "category" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "734163000",
      "display" : "Care plan"
    }]
  }],
  "title" : "Post-discharge diabetes care plan",
  "description" : "Care plan for follow-up after discharge, including diabetes monitoring and patient education.",
  "subject" : {
    "reference" : "Patient/xshare-careplan-patient-example"
  },
  "period" : {
    "start" : "2026-05-01",
    "end" : "2026-08-31"
  },
  "created" : "2026-05-01",
  "author" : {
    "reference" : "Organization/xshare-careplan-organization-example"
  },
  "careTeam" : [{
    "reference" : "CareTeam/xshare-careplan-careteam-example"
  }],
  "addresses" : [{
    "reference" : "Condition/xshare-careplan-condition-example"
  }],
  "goal" : [{
    "reference" : "Goal/xshare-careplan-goal-example"
  }],
  "activity" : [{
    "outcomeCodeableConcept" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385669000",
        "display" : "Successful"
      }]
    }],
    "progress" : [{
      "text" : "Initial education session scheduled and glucose monitoring plan reviewed."
    }],
    "reference" : {
      "reference" : "ServiceRequest/xshare-careplan-servicerequest-example"
    }
  }]
}

```
