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CarePlan "preg" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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A maternity care plan (for a pregnant woman).

LMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take prenatal vitamins, schedule first antenatal, and 'placeholders' for the second antenatal and delivery (there would be lots of others of course)

Note that where is a proposed 'status' element against each activity


{
  "resourceType" : "CarePlan",
  "id" : "preg",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:33.239Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>A maternity care plan (for a pregnant woman).</p>\n <p>LMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take prenatal vitamins, schedule first antenatal,\n and 'placeholders' for the second antenatal and delivery (there would be lots of others of course)</p>\n <p>Note that where is a proposed 'status' element against each activity</p>\n </div>"
  },
  "contained" : [
    {
      "resourceType" : "Condition",
      "id" : "p1",
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "code" : {
        "text" : "pregnancy"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Practitioner",
      "id" : "pr1",
      "name" : [
        {
          "family" : "Midwife",
          "given" : [
            "Mavis"
          ]
        }
      ]
    },
    {
      "resourceType" : "Practitioner",
      "id" : "pr2",
      "name" : [
        {
          "family" : "Obstetrician",
          "given" : [
            "Oscar"
          ]
        }
      ]
    },
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://example.org/mysys",
                  "code" : "lmc"
                }
              ],
              "text" : "Midwife"
            }
          ],
          "member" : {
            "reference" : "#pr1",
            "display" : "Mavis Midwife"
          }
        },
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://example.org/mysys",
                  "code" : "obs"
                }
              ],
              "text" : "Obstretitian"
            }
          ],
          "member" : {
            "reference" : "#pr2",
            "display" : "Oscar Obstetrician"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Maintain patient's health throughout pregnancy and ensure a healthy child"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    }
  ],
  "extension" : [
    {
      "url" : "http://example.org/fhir/StructureDefinition/careplan#lmp",
      "valueDateTime" : "2013-01-01"
    }
  ],
  "status" : "active",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/1",
    "display" : "Eve Everywoman"
  },
  "period" : {
    "start" : "2013-01-01",
    "end" : "2013-10-01"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "#p1",
      "display" : "pregnancy"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "reference" : {
        "display" : "Prenatal vitamin MedicationRequest"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/fhir/StructureDefinition/careplan#andetails",
          "valueUri" : "http://orionhealth.com/fhir/careplan/1andetails"
        }
      ],
      "detail" : {
        "kind" : "Appointment",
        "code" : {
          "coding" : [
            {
              "system" : "http://example.org/mySystem",
              "code" : "1an"
            }
          ],
          "text" : "First Antenatal encounter"
        },
        "status" : "scheduled",
        "doNotPerform" : false,
        "scheduledTiming" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2013-02-14",
              "end" : "2013-02-28"
            }
          }
        },
        "performer" : [
          {
            "reference" : "#pr1",
            "display" : "Mavis Midwife"
          }
        ],
        "description" : "The first antenatal encounter. This is where a detailed physical examination is performed. and the pregnanacy discussed with the mother-to-be."
      }
    },
    {
      "detail" : {
        "kind" : "Appointment",
        "code" : {
          "coding" : [
            {
              "system" : "http://example.org/mySystem",
              "code" : "an"
            }
          ],
          "text" : "Follow-up Antenatal encounter"
        },
        "status" : "not-started",
        "doNotPerform" : false,
        "scheduledTiming" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2013-03-01",
              "end" : "2013-03-14"
            }
          }
        },
        "performer" : [
          {
            "reference" : "#pr1",
            "display" : "Mavis Midwife"
          }
        ],
        "description" : "The second antenatal encounter. Discuss any issues that arose from the first antenatal encounter"
      }
    },
    {
      "detail" : {
        "kind" : "Appointment",
        "code" : {
          "coding" : [
            {
              "system" : "http://example.org/mySystem",
              "code" : "del"
            }
          ],
          "text" : "Delivery"
        },
        "status" : "not-started",
        "doNotPerform" : false,
        "scheduledTiming" : {
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2013-09-01",
              "end" : "2013-09-14"
            }
          }
        },
        "performer" : [
          {
            "reference" : "#pr1",
            "display" : "Mavis Midwife"
          }
        ],
        "description" : "The delivery."
      }
    }
  ]
}

CarePlan "obesity-narrative" Version "1"

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Updated: by

Care plan to address obesity. Goal is a target weight of 160 to 180 lbs. Activities include diet and exercise.


{
  "resourceType" : "CarePlan",
  "id" : "obesity-narrative",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:33.208Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p> Care plan to address obesity. Goal is a target weight of 160 to 180 lbs. Activities include diet and exercise.</p>\n </div>"
  },
  "status" : "active",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  }
}

CarePlan "integrate" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Patient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future

Start Date Goal Action Steps Status Date Last Updated Comments
10 Sep 2012 Eve will lose weight and reduce her GERDS symptoms by improving her diet Eve will review photos of high and low density foods and share with her parents New Goal 10 Sep 2012 9/10/12 Eve eats one meal a day with her parents
10 Sep 2012 Eve will lose weight and reduce her GERDS symptoms by improving her diet Eve will ask her dad to asist her to put the head of her bed on blocks New Goal 10 Sep 2012 9/10/12 Eve will sleep in her bed more often than the couch
10 Sep 2012 Eve will improve her GERDS symptoms Eve will reduce her intake of coffee and chocolate In Process 10 Sep 2012
27 Aug 2012 Eve will increase her energy by being more active Eve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a week In Process 10 Sep 2012 8/27/12 Eve would like to try for 5 days a week. 9/10/12 Eve is still walking the dogs.
23 Jul 2012 Eve will increase her energy by being more active Eve will walk 3 blocks to her parents house twice a week In Process 10 Sep 2012 8/13/12 Eve walked 4 times the last week. 9/10/12 Eve did not walk to her parents the last week, but has plans to start again
23 Jul 2012 Eve will set up her medications and take as prescribed Eve will us a calendar to check off after medications are taken In Process 13 Aug 2012
23 Jul 2012 Eve will restart her light treatments Eve will use her lights MWF after her shower for 3 minutes In Process 27 Aug 2012 8/13/12 After restarting the vinegar soaks the psoriasis is improved and Eve plans to treat the remainder with light treatments. She plans to start this week. 8/27/12 Since her skin is improved Eve has not been using the light treatment as often, maybe once a week. She would like to increase to 3 times a week again
10 Jul 2012 Eve will set up her medications and take as prescribed Eve will use a calendar of a chart to help her remember when to take her medications In Process 10 Sep 2012 7/23/12 Eve created a chart as a reminer to take the medications that do not fit in her pill box
23 Jul 2012 Eve will increase her energy by being more active Eve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon On-Hold 23 Aug 2012 7/30/12 will be able to esume exercise. 8/13/12 Eve prefers to focus on walking at this time
10 Jul 2012 Eve will set up her medications and take as prescribed Eve will match a printed medication worksheet with the medication bottles at home Completed 23 Jul 2012
10 Jul 2012 Eve will set up her medications and take as prescribed Eve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed Completed 16 Jul 2012 7/16/12 Eve now has some of her medications set up in pill packs by her pharmacist
23 Jul 2012 Eve will increase her energy by being more active Eve will open "The Firm" DVD workout package and listen to it Discontinued 13 Aug 2012 7/30/12 Eve will be able to resume exercise on 7/30/12. 8/13/12 -hold until "less busy"

{
  "resourceType" : "CarePlan",
  "id" : "integrate",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:33.020Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Patient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future</p>\n <table>\n <thead>\n <tr>\n <th>Start Date</th>\n <th>Goal</th>\n <th>Action Steps</th>\n <th>Status</th>\n <th>Date Last Updated</th>\n <th>Comments</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>10 Sep 2012</td>\n <td>Eve will lose weight and reduce her GERDS symptoms by improving her diet</td>\n <td>Eve will review photos of high and low density foods and share with her parents</td>\n <td>New Goal</td>\n <td>10 Sep 2012</td>\n <td>9/10/12 Eve eats one meal a day with her parents</td>\n </tr>\n <tr>\n <td>10 Sep 2012</td>\n <td>Eve will lose weight and reduce her GERDS symptoms by improving her diet</td>\n <td>Eve will ask her dad to asist her to put the head of her bed on blocks</td>\n <td>New Goal</td>\n <td>10 Sep 2012</td>\n <td>9/10/12 Eve will sleep in her bed more often than the couch</td>\n </tr>\n <tr>\n <td>10 Sep 2012</td>\n <td>Eve will improve her GERDS symptoms</td>\n <td>Eve will reduce her intake of coffee and chocolate</td>\n <td>In Process</td>\n <td>10 Sep 2012</td>\n <td/>\n </tr>\n <tr>\n <td>27 Aug 2012</td>\n <td>Eve will increase her energy by being more active</td>\n <td>Eve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a week</td>\n <td>In Process</td>\n <td>10 Sep 2012</td>\n <td>8/27/12 Eve would like to try for 5 days a week. 9/10/12 Eve is still walking the dogs.</td>\n </tr>\n <tr>\n <td>23 Jul 2012</td>\n <td>Eve will increase her energy by being more active</td>\n <td>Eve will walk 3 blocks to her parents house twice a week</td>\n <td>In Process</td>\n <td>10 Sep 2012</td>\n <td>8/13/12 Eve walked 4 times the last week. 9/10/12 Eve did not walk to her parents the last week, but has plans to start again</td>\n </tr>\n <tr>\n <td>23 Jul 2012</td>\n <td>Eve will set up her medications and take as prescribed</td>\n <td>Eve will us a calendar to check off after medications are taken</td>\n <td>In Process</td>\n <td>13 Aug 2012</td>\n <td/>\n </tr>\n <tr>\n <td>23 Jul 2012</td>\n <td>Eve will restart her light treatments</td>\n <td>Eve will use her lights MWF after her shower for 3 minutes</td>\n <td>In Process</td>\n <td>27 Aug 2012</td>\n <td>8/13/12 After restarting the vinegar soaks the psoriasis is improved and Eve plans to treat the remainder with light treatments. She plans to start this week. 8/27/12 Since her skin is improved Eve has not been using the light treatment as often, maybe once a week. She would like to increase to 3 times a week again</td>\n </tr>\n <tr>\n <td>10 Jul 2012</td>\n <td>Eve will set up her medications and take as prescribed</td>\n <td>Eve will use a calendar of a chart to help her remember when to take her medications</td>\n <td>In Process</td>\n <td>10 Sep 2012</td>\n <td>7/23/12 Eve created a chart as a reminer to take the medications that do not fit in her pill box</td>\n </tr>\n <tr>\n <td>23 Jul 2012</td>\n <td>Eve will increase her energy by being more active</td>\n <td>Eve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon</td>\n <td>On-Hold</td>\n <td>23 Aug 2012</td>\n <td>7/30/12 will be able to esume exercise. 8/13/12 Eve prefers to focus on walking at this time</td>\n </tr>\n <tr>\n <td>10 Jul 2012</td>\n <td>Eve will set up her medications and take as prescribed</td>\n <td>Eve will match a printed medication worksheet with the medication bottles at home</td>\n <td>Completed</td>\n <td>23 Jul 2012</td>\n <td/>\n </tr>\n <tr>\n <td>10 Jul 2012</td>\n <td>Eve will set up her medications and take as prescribed</td>\n <td>Eve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed</td>\n <td>Completed</td>\n <td>16 Jul 2012</td>\n <td>7/16/12 Eve now has some of her medications set up in pill packs by her pharmacist</td>\n </tr>\n <tr>\n <td>23 Jul 2012</td>\n <td>Eve will increase her energy by being more active</td>\n <td>Eve will open \"The Firm\" DVD workout package and listen to it</td>\n <td>Discontinued</td>\n <td>13 Aug 2012</td>\n <td>7/30/12 Eve will be able to resume exercise on 7/30/12. 8/13/12 -hold until \"less busy\"</td>\n </tr>\n </tbody>\n </table>\n </div>"
  },
  "contained" : [
    {
      "resourceType" : "Condition",
      "id" : "p1",
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "code" : {
        "text" : "GERDS"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Condition",
      "id" : "p2",
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "code" : {
        "text" : "Obesity"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Condition",
      "id" : "p3",
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "code" : {
        "text" : "Psoriasis"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Goal",
      "id" : "g1",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Eve will lose weight and reduce her GERDS symptoms by improving her diet"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Goal",
      "id" : "g2",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Eve will improve her GERDS symptoms"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Goal",
      "id" : "g3",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Eve will increase her energy by being more active"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Goal",
      "id" : "g4",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Eve will set up her medications and take as prescribed"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    },
    {
      "resourceType" : "Goal",
      "id" : "g5",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Eve will restart her light treatments"
      },
      "subject" : {
        "reference" : "Patient/1",
        "display" : "Eve Everywoman"
      }
    }
  ],
  "status" : "active",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/1",
    "display" : "Eve Everywoman"
  },
  "addresses" : [
    {
      "reference" : "#p1",
      "display" : "GERDS"
    },
    {
      "reference" : "#p2",
      "display" : "Obesity"
    },
    {
      "reference" : "#p3",
      "display" : "Psoriasis"
    }
  ],
  "goal" : [
    {
      "reference" : "#g1"
    },
    {
      "reference" : "#g2"
    },
    {
      "reference" : "#g3"
    },
    {
      "reference" : "#g4"
    },
    {
      "reference" : "#g5"
    }
  ],
  "activity" : [
    {
      "progress" : [
        {
          "time" : "2012-09-10",
          "text" : "Eve eats one meal a day with her parents"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-09-10"
          }
        ],
        "goal" : [
          {
            "reference" : "#g1"
          }
        ],
        "status" : "not-started",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-09-10"
        },
        "description" : "Eve will review photos of high and low density foods and share with her parents"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-09-10",
          "text" : "Eve will sleep in her bed more often than the couch"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-09-10"
          }
        ],
        "kind" : "CommunicationRequest",
        "goal" : [
          {
            "reference" : "#g1"
          }
        ],
        "status" : "not-started",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-09-10"
        },
        "description" : "Eve will ask her dad to asist her to put the head of her bed on blocks"
      }
    },
    {
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-09-10"
          }
        ],
        "goal" : [
          {
            "reference" : "#g2"
          }
        ],
        "status" : "in-progress",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-09-10"
        },
        "description" : "Eve will reduce her intake of coffee and chocolate"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-08-27",
          "text" : "Eve would like to try for 5 days a week."
        },
        {
          "time" : "2012-09-10",
          "text" : "Eve is still walking the dogs."
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-09-10"
          }
        ],
        "goal" : [
          {
            "reference" : "#g3"
          }
        ],
        "status" : "in-progress",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-08-27"
        },
        "description" : "Eve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a week"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-08-13",
          "text" : "Eve walked 4 times the last week."
        },
        {
          "time" : "2012-09-10",
          "text" : "Eve did not walk to her parents the last week, but has plans to start again"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-09-10"
          }
        ],
        "goal" : [
          {
            "reference" : "#g3"
          }
        ],
        "status" : "in-progress",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-23"
        },
        "description" : "Eve will walk 3 blocks to her parents house twice a week"
      }
    },
    {
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-08-13"
          }
        ],
        "goal" : [
          {
            "reference" : "#g4"
          }
        ],
        "status" : "in-progress",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-23"
        },
        "description" : "Eve will use a calendar to check off after medications are taken"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-08-13",
          "text" : "After restarting the vinegar soaks the psoriasis is improved and Eve plans to treat the remainder with light treatments. She plans to start this week."
        },
        {
          "time" : "2012-08-27",
          "text" : "Since her skin is improved Eve has not been using the light treatment as often, maybe once a week. She would like to increase to 3 times a week again"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-08-27"
          }
        ],
        "goal" : [
          {
            "reference" : "#g5"
          }
        ],
        "status" : "in-progress",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-23"
        },
        "description" : "Eve will use her lights MWF after her shower for 3 minutes"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-07-23",
          "text" : "Eve created a chart as a reminer to take the medications that do not fit in her pill box"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-09-10"
          }
        ],
        "goal" : [
          {
            "reference" : "#g4"
          }
        ],
        "status" : "in-progress",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-10"
        },
        "description" : "Eve will use a calendar of a chart to help her remember when to take her medications"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-07-30",
          "text" : "Will be able to esume exercise."
        },
        {
          "time" : "2012-08-13",
          "text" : "Eve prefers to focus on walking at this time"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-08-23"
          }
        ],
        "goal" : [
          {
            "reference" : "#g3"
          }
        ],
        "status" : "on-hold",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-23"
        },
        "description" : "Eve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon"
      }
    },
    {
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-07-23"
          }
        ],
        "goal" : [
          {
            "reference" : "#g4"
          }
        ],
        "status" : "completed",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-10"
        },
        "description" : "Eve will match a printed medication worksheet with the medication bottles at home"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-07-16",
          "text" : "Eve now has some of her medications set up in pill packs by her pharmacist"
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-07-16"
          }
        ],
        "goal" : [
          {
            "reference" : "#g4"
          }
        ],
        "status" : "completed",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-10"
        },
        "description" : "Eve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed"
      }
    },
    {
      "progress" : [
        {
          "time" : "2012-07-12",
          "text" : "Eve will be able to resume exercise on 7/30/12"
        },
        {
          "time" : "2012-08-13",
          "text" : "hold until \"less busy\""
        }
      ],
      "detail" : {
        "extension" : [
          {
            "url" : "http://example.org/fhir/StructureDefinition/RevisionDate",
            "valueDate" : "2012-08-13"
          }
        ],
        "goal" : [
          {
            "reference" : "#g3"
          }
        ],
        "status" : "on-hold",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2012-07-23"
        },
        "description" : "Eve will open \"The Firm\" DVD workout package and listen to it"
      }
    }
  ],
  "note" : [
    {
      "text" : "Patient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future"
    }
  ]
}

CarePlan "gpvisit" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Represents the flow of a patient within a practice. The plan is created when they arrive and represents the 'care' of the patient over the course of that encounter. They first see the nurse for basic observations (BP, pulse, temp) then the doctor for the consultation and finally the nurse again for a tetanus immunization. As the plan is updated (e.g. a new activity added), different versions of the plan exist, and workflow timings for reporting can be gained by examining the plan history. This example is the version after seeing the doctor, and waiting for the nurse.The plan can either be created 'ad hoc' and modified as the parient progresses, or start with a standard template (which can, of course, be altered to suit the patient.


{
  "resourceType" : "CarePlan",
  "id" : "gpvisit",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.911Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p> Represents the flow of a patient within a practice. The plan is created when\n they arrive and represents the 'care' of the patient over the course of that encounter.\n They first see the nurse for basic observations (BP, pulse, temp) then the doctor for\n the consultation and finally the nurse again for a tetanus immunization. As the plan is\n updated (e.g. a new activity added), different versions of the plan exist, and workflow timings\n for reporting can be gained by examining the plan history. This example is the version after\n seeing the doctor, and waiting for the nurse.The plan can either be created 'ad hoc' and modified as\n the parient progresses, or start with a standard template (which can, of course, be altered to suit the patient.</p>\n </div>"
  },
  "contained" : [
    {
      "resourceType" : "Condition",
      "id" : "p1",
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "code" : {
        "text" : "Overseas encounter"
      },
      "subject" : {
        "reference" : "Patient/100",
        "display" : "Peter James Chalmers"
      }
    },
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "id" : "part1",
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://example.org/local",
                  "code" : "nur"
                }
              ],
              "text" : "nurse"
            }
          ],
          "member" : {
            "reference" : "Practitioner/13",
            "display" : "Nurse Nancy"
          }
        },
        {
          "id" : "part2",
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://example.org/local",
                  "code" : "doc"
                }
              ],
              "text" : "doctor"
            }
          ],
          "member" : {
            "reference" : "Practitioner/14",
            "display" : "Doctor Dave"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "planned",
      "description" : {
        "text" : "Complete consultation"
      },
      "subject" : {
        "reference" : "Patient/100",
        "display" : "Peter James Chalmers"
      }
    }
  ],
  "status" : "active",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/100",
    "display" : "Peter James Chalmers"
  },
  "period" : {
    "start" : "2013-01-01T10:30:00+00:00"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "#p1",
      "display" : "obesity"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "outcomeReference" : [
        {
          "reference" : "Encounter/example"
        }
      ],
      "detail" : {
        "kind" : "Appointment",
        "code" : {
          "coding" : [
            {
              "system" : "http://example.org/local",
              "code" : "nursecon"
            }
          ],
          "text" : "Nurse Consultation"
        },
        "status" : "completed",
        "doNotPerform" : false,
        "scheduledPeriod" : {
          "start" : "2013-01-01T10:38:00+00:00",
          "end" : "2013-01-01T10:50:00+00:00"
        },
        "performer" : [
          {
            "reference" : "Practitioner/13",
            "display" : "Nurse Nancy"
          }
        ]
      }
    },
    {
      "detail" : {
        "kind" : "Appointment",
        "code" : {
          "coding" : [
            {
              "system" : "http://example.org/local",
              "code" : "doccon"
            }
          ],
          "text" : "Doctor Consultation"
        },
        "status" : "scheduled",
        "doNotPerform" : false,
        "performer" : [
          {
            "reference" : "Practitioner/14",
            "display" : "Doctor Dave"
          }
        ]
      }
    }
  ]
}

CarePlan "f203" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f203

contained: ,

status: completed

intent: plan

subject: Roel

period: Apr 14, 2013 --> Apr 21, 2013

careTeam: id: careteam

addresses: Roel's sepsis

goal: id: goal; lifecycleStatus: cancelled; Check whether further treatment of sepsis/pulmonary abcess is required (Details )

activity

Details

-KindCodeStatusDoNotPerform
*ServiceRequestHigh resolution computed tomography of lungs (Details : {SNOMED CT code '241541005' = 'High resolution CT of lungs', given as 'High resolution computed tomography of lungs'})not-startedfalse

{
  "resourceType" : "CarePlan",
  "id" : "f203",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.848Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f203</p><p><b>contained</b>: , </p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a>Roel</a></p><p><b>period</b>: Apr 14, 2013 --&gt; Apr 21, 2013</p><p><b>careTeam</b>: id: careteam</p><p><b>addresses</b>: <a>Roel's sepsis</a></p><p><b>goal</b>: id: goal; lifecycleStatus: cancelled; Check whether further treatment of sepsis/pulmonary abcess is required <span>(Details )</span></p><blockquote><p><b>activity</b></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td></tr><tr><td>*</td><td>ServiceRequest</td><td>High resolution computed tomography of lungs <span>(Details : {SNOMED CT code '241541005' = 'High resolution CT of lungs', given as 'High resolution computed tomography of lungs'})</span></td><td>not-started</td><td>false</td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "425268008",
                  "display" : "Review of care plan"
                }
              ]
            }
          ],
          "member" : {
            "reference" : "Practitioner/f201",
            "display" : "Dokter Bronsig"
          }
        },
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "278110001",
                  "display" : "Radiographic imaging"
                }
              ]
            }
          ],
          "member" : {
            "reference" : "Practitioner/f202",
            "display" : "Luigi Maas"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "cancelled",
      "description" : {
        "text" : "Check whether further treatment of sepsis/pulmonary abcess is required"
      },
      "subject" : {
        "reference" : "Patient/f201",
        "display" : "Roel"
      }
    }
  ],
  "status" : "completed",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "period" : {
    "start" : "2013-04-14",
    "end" : "2013-04-21"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "Condition/f203",
      "display" : "Roel's sepsis"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "241541005",
              "display" : "High resolution computed tomography of lungs"
            }
          ]
        },
        "status" : "not-started",
        "doNotPerform" : false
      }
    }
  ]
}

CarePlan "f202" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f202

contained: , , , , ,

status: active

intent: plan

subject: Roel

careTeam: id: careteam

addresses: Roel's head-neck tumor

goal: id: goal; lifecycleStatus: active; Elimination of the spenoid bone tumor (Details )

activity

outcomeReference: Roel's Chemotherapy

Details

-KindCodeStatusDoNotPerformProduct[x]
*ServiceRequestChemotherapy (Details : {SNOMED CT code '367336001' = 'Chemotherapy', given as 'Chemotherapy'})in-progressfalseid: tpf; TPF (Details )

{
  "resourceType" : "CarePlan",
  "id" : "f202",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.786Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>contained</b>: , , , , , </p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a>Roel</a></p><p><b>careTeam</b>: id: careteam</p><p><b>addresses</b>: <a>Roel's head-neck tumor</a></p><p><b>goal</b>: id: goal; lifecycleStatus: active; Elimination of the spenoid bone tumor <span>(Details )</span></p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: <a>Roel's Chemotherapy</a></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td><td><b>Product[x]</b></td></tr><tr><td>*</td><td>ServiceRequest</td><td>Chemotherapy <span>(Details : {SNOMED CT code '367336001' = 'Chemotherapy', given as 'Chemotherapy'})</span></td><td>in-progress</td><td>false</td><td>id: tpf; TPF <span>(Details )</span></td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "doce",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "108806006",
            "display" : "Docetaxel"
          }
        ]
      }
    },
    {
      "resourceType" : "Medication",
      "id" : "cisp",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "57066004",
            "display" : "Cisplatin"
          }
        ]
      }
    },
    {
      "resourceType" : "Medication",
      "id" : "fluo",
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "3127006",
            "display" : "Fluorouracil"
          }
        ]
      }
    },
    {
      "resourceType" : "Medication",
      "id" : "tpf",
      "code" : {
        "text" : "TPF"
      },
      "ingredient" : [
        {
          "itemReference" : {
            "reference" : "#doce"
          }
        },
        {
          "itemReference" : {
            "reference" : "#cisp"
          }
        },
        {
          "itemReference" : {
            "reference" : "#fluo"
          }
        }
      ]
    },
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "28995006",
                  "display" : "Treated with"
                }
              ]
            }
          ],
          "member" : {
            "reference" : "Practitioner/f201",
            "display" : "Dokter Bronsig"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "active",
      "description" : {
        "text" : "Elimination of the spenoid bone tumor"
      },
      "subject" : {
        "reference" : "Patient/f201",
        "display" : "Roel"
      }
    }
  ],
  "status" : "active",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "Condition/f202",
      "display" : "Roel's head-neck tumor"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "outcomeReference" : [
        {
          "reference" : "Procedure/f201",
          "display" : "Roel's Chemotherapy"
        }
      ],
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "367336001",
              "display" : "Chemotherapy"
            }
          ]
        },
        "status" : "in-progress",
        "doNotPerform" : false,
        "productReference" : {
          "reference" : "#tpf"
        }
      }
    }
  ]
}

CarePlan "f201" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f201

contained: ,

status: draft

intent: proposal

subject: Roel

period: Mar 11, 2013 --> Mar 13, 2013

careTeam: id: careteam

addresses: Roel's renal insufficiency

goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); Re-established renal function with at least healthy nutrients. (Details )

activity

Details

-KindCodeStatusDoNotPerformScheduled[x]Product[x]DailyAmount
*NutritionOrderPotassium supplementation (Details : {SNOMED CT code '284093001' = 'Potassium supplementation', given as 'Potassium supplementation'})completedfalsedailyPotassium80 mmol (Details: SNOMED CT code 258718000 = 'millimole')

activity

Details

-KindCodeStatusDoNotPerform
*ServiceRequestEchography of kidney (Details : {SNOMED CT code '306005' = 'Echography of kidney', given as 'Echography of kidney'})completedfalse

{
  "resourceType" : "CarePlan",
  "id" : "f201",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.708Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>contained</b>: , </p><p><b>status</b>: draft</p><p><b>intent</b>: proposal</p><p><b>subject</b>: <a>Roel</a></p><p><b>period</b>: Mar 11, 2013 --&gt; Mar 13, 2013</p><p><b>careTeam</b>: id: careteam</p><p><b>addresses</b>: <a>Roel's renal insufficiency</a></p><p><b>goal</b>: id: goal; lifecycleStatus: completed; Achieved <span>(Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'})</span>; Re-established renal function with at least healthy nutrients. <span>(Details )</span></p><blockquote><p><b>activity</b></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td><td><b>Scheduled[x]</b></td><td><b>Product[x]</b></td><td><b>DailyAmount</b></td></tr><tr><td>*</td><td>NutritionOrder</td><td>Potassium supplementation <span>(Details : {SNOMED CT code '284093001' = 'Potassium supplementation', given as 'Potassium supplementation'})</span></td><td>completed</td><td>false</td><td>daily</td><td><a>Potassium</a></td><td>80 mmol<span> (Details: SNOMED CT code 258718000 = 'millimole')</span></td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td></tr><tr><td>*</td><td>ServiceRequest</td><td>Echography of kidney <span>(Details : {SNOMED CT code '306005' = 'Echography of kidney', given as 'Echography of kidney'})</span></td><td>completed</td><td>false</td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "425268008",
                  "display" : "Review of care plan"
                }
              ]
            }
          ],
          "member" : {
            "reference" : "Practitioner/f201",
            "display" : "Dokter Bronsig"
          }
        },
        {
          "role" : [
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "229774002",
                  "display" : "Carer"
                }
              ]
            }
          ],
          "member" : {
            "reference" : "Practitioner/f204",
            "display" : "Nurse Carla Espinosa"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "completed",
      "achievementStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
            "code" : "achieved",
            "display" : "Achieved"
          }
        ],
        "text" : "Achieved"
      },
      "description" : {
        "text" : "Re-established renal function with at least healthy nutrients."
      },
      "subject" : {
        "reference" : "Patient/f201",
        "display" : "Roel"
      }
    }
  ],
  "status" : "draft",
  "intent" : "proposal",
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "period" : {
    "start" : "2013-03-11",
    "end" : "2013-03-13"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "Condition/f204",
      "display" : "Roel's renal insufficiency"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "kind" : "NutritionOrder",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "284093001",
              "display" : "Potassium supplementation"
            }
          ]
        },
        "status" : "completed",
        "doNotPerform" : false,
        "scheduledString" : "daily",
        "productReference" : {
          "reference" : "Substance/f203",
          "display" : "Potassium"
        },
        "dailyAmount" : {
          "value" : 80,
          "unit" : "mmol",
          "system" : "http://snomed.info/sct",
          "code" : "258718000"
        }
      }
    },
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "306005",
              "display" : "Echography of kidney"
            }
          ]
        },
        "status" : "completed",
        "doNotPerform" : false
      }
    }
  ]
}

CarePlan "f003" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f003

contained: ,

identifier: CP3953 (OFFICIAL)

status: completed

intent: plan

subject: P. van de Heuvel

period: Mar 8, 2013 9:00:10 AM --> Mar 8, 2013 9:30:10 AM

careTeam: id: careteam

addresses: ?????

goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); Retropharyngeal abscess removal (Details ); Annotation: goal accomplished without complications

activity

Details

-KindCodeStatusDoNotPerformScheduled[x]Performer
*ServiceRequestIncision of retropharyngeal abscess (Details : {SNOMED CT code '172960003' = 'Incision of retropharyngeal abscess', given as 'Incision of retropharyngeal abscess'})completedtrue2011-06-27T09:30:10+01:00E.M. van den broek

{
  "resourceType" : "CarePlan",
  "id" : "f003",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.645Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f003</p><p><b>contained</b>: , </p><p><b>identifier</b>: CP3953 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>period</b>: Mar 8, 2013 9:00:10 AM --&gt; Mar 8, 2013 9:30:10 AM</p><p><b>careTeam</b>: id: careteam</p><p><b>addresses</b>: <a>?????</a></p><p><b>goal</b>: id: goal; lifecycleStatus: completed; Achieved <span>(Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'})</span>; Retropharyngeal abscess removal <span>(Details )</span>; Annotation: goal accomplished without complications</p><blockquote><p><b>activity</b></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>ServiceRequest</td><td>Incision of retropharyngeal abscess <span>(Details : {SNOMED CT code '172960003' = 'Incision of retropharyngeal abscess', given as 'Incision of retropharyngeal abscess'})</span></td><td>completed</td><td>true</td><td>2011-06-27T09:30:10+01:00</td><td><a>E.M. van den broek</a></td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "member" : {
            "reference" : "Practitioner/f001",
            "display" : "E.M. van den broek"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "completed",
      "achievementStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
            "code" : "achieved",
            "display" : "Achieved"
          }
        ],
        "text" : "Achieved"
      },
      "description" : {
        "text" : "Retropharyngeal abscess removal"
      },
      "subject" : {
        "reference" : "Patient/f001",
        "display" : "P. van de Heuvel"
      },
      "note" : [
        {
          "text" : "goal accomplished without complications"
        }
      ]
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/careplans",
      "value" : "CP3953"
    }
  ],
  "status" : "completed",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "period" : {
    "start" : "2013-03-08T09:00:10+01:00",
    "end" : "2013-03-08T09:30:10+01:00"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "Condition/f201",
      "display" : "?????"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "172960003",
              "display" : "Incision of retropharyngeal abscess"
            }
          ]
        },
        "status" : "completed",
        "doNotPerform" : true,
        "scheduledString" : "2011-06-27T09:30:10+01:00",
        "performer" : [
          {
            "reference" : "Practitioner/f001",
            "display" : "E.M. van den broek"
          }
        ]
      }
    }
  ]
}

CarePlan "f002" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f002

contained: ,

identifier: CP2934 (OFFICIAL)

status: completed

intent: plan

subject: P. van de Heuvel

period: Jul 6, 2011 --> Jul 7, 2013

careTeam: id: careteam

addresses: ?????

goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); succesful surgery on lung of patient (Details ); Annotation: goal accomplished with minor complications

activity

Details

-KindCodeStatusDoNotPerformScheduled[x]Performer
*ServiceRequestPartial lobectomy of lung (Details : {SNOMED CT code '359615001' = 'Partial lobectomy of lung', given as 'Partial lobectomy of lung'})completedtrue2011-07-07T09:30:10+01:00M.I.M. Versteegh

{
  "resourceType" : "CarePlan",
  "id" : "f002",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.583Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f002</p><p><b>contained</b>: , </p><p><b>identifier</b>: CP2934 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>period</b>: Jul 6, 2011 --&gt; Jul 7, 2013</p><p><b>careTeam</b>: id: careteam</p><p><b>addresses</b>: <a>?????</a></p><p><b>goal</b>: id: goal; lifecycleStatus: completed; Achieved <span>(Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'})</span>; succesful surgery on lung of patient <span>(Details )</span>; Annotation: goal accomplished with minor complications</p><blockquote><p><b>activity</b></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>ServiceRequest</td><td>Partial lobectomy of lung <span>(Details : {SNOMED CT code '359615001' = 'Partial lobectomy of lung', given as 'Partial lobectomy of lung'})</span></td><td>completed</td><td>true</td><td>2011-07-07T09:30:10+01:00</td><td><a>M.I.M. Versteegh</a></td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "member" : {
            "reference" : "Practitioner/f003",
            "display" : "M.I.M. Versteegh"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "completed",
      "achievementStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
            "code" : "achieved",
            "display" : "Achieved"
          }
        ],
        "text" : "Achieved"
      },
      "description" : {
        "text" : "succesful surgery on lung of patient"
      },
      "subject" : {
        "reference" : "Patient/f001",
        "display" : "P. van de Heuvel"
      },
      "note" : [
        {
          "text" : "goal accomplished with minor complications"
        }
      ]
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/careplans",
      "value" : "CP2934"
    }
  ],
  "status" : "completed",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "period" : {
    "start" : "2011-07-06",
    "end" : "2013-07-07"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "Condition/f201",
      "display" : "?????"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "359615001",
              "display" : "Partial lobectomy of lung"
            }
          ]
        },
        "status" : "completed",
        "doNotPerform" : true,
        "scheduledString" : "2011-07-07T09:30:10+01:00",
        "performer" : [
          {
            "reference" : "Practitioner/f003",
            "display" : "M.I.M. Versteegh"
          }
        ]
      }
    }
  ]
}

CarePlan "f001" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f001

contained: ,

identifier: CP2903 (OFFICIAL)

status: completed

intent: plan

subject: P. van de Heuvel

period: Jun 26, 2011 --> Jun 27, 2011

careTeam: id: careteam

addresses: ?????

goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); recovery surgery on heart of patient (Details ); Annotation: goal accomplished without complications

activity

Details

-KindCodeStatusDoNotPerformScheduled[x]Performer
*ServiceRequestOperation on heart (Details : {SNOMED CT code '64915003' = 'Operative procedure on heart', given as 'Operation on heart'})completedtrue2011-06-27T09:30:10+01:00P. Voigt

{
  "resourceType" : "CarePlan",
  "id" : "f001",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.489Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>contained</b>: , </p><p><b>identifier</b>: CP2903 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>period</b>: Jun 26, 2011 --&gt; Jun 27, 2011</p><p><b>careTeam</b>: id: careteam</p><p><b>addresses</b>: <a>?????</a></p><p><b>goal</b>: id: goal; lifecycleStatus: completed; Achieved <span>(Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'})</span>; recovery surgery on heart of patient <span>(Details )</span>; Annotation: goal accomplished without complications</p><blockquote><p><b>activity</b></p><h3>Details</h3><table><tr><td>-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>DoNotPerform</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>ServiceRequest</td><td>Operation on heart <span>(Details : {SNOMED CT code '64915003' = 'Operative procedure on heart', given as 'Operation on heart'})</span></td><td>completed</td><td>true</td><td>2011-06-27T09:30:10+01:00</td><td><a>P. Voigt</a></td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "CareTeam",
      "id" : "careteam",
      "participant" : [
        {
          "member" : {
            "reference" : "Practitioner/f002",
            "display" : "P. Voigt"
          }
        }
      ]
    },
    {
      "resourceType" : "Goal",
      "id" : "goal",
      "lifecycleStatus" : "completed",
      "achievementStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
            "code" : "achieved",
            "display" : "Achieved"
          }
        ],
        "text" : "Achieved"
      },
      "description" : {
        "text" : "recovery surgery on heart of patient"
      },
      "subject" : {
        "reference" : "Patient/f001",
        "display" : "P. van de Heuvel"
      },
      "note" : [
        {
          "text" : "goal accomplished without complications"
        }
      ]
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://www.bmc.nl/zorgportal/identifiers/careplans",
      "value" : "CP2903"
    }
  ],
  "status" : "completed",
  "intent" : "plan",
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "period" : {
    "start" : "2011-06-26",
    "end" : "2011-06-27"
  },
  "careTeam" : [
    {
      "reference" : "#careteam"
    }
  ],
  "addresses" : [
    {
      "reference" : "Condition/f201",
      "display" : "?????"
    }
  ],
  "goal" : [
    {
      "reference" : "#goal"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "kind" : "ServiceRequest",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "64915003",
              "display" : "Operation on heart"
            }
          ]
        },
        "status" : "completed",
        "doNotPerform" : true,
        "scheduledString" : "2011-06-27T09:30:10+01:00",
        "performer" : [
          {
            "reference" : "Practitioner/f002",
            "display" : "P. Voigt"
          }
        ]
      }
    }
  ]
}

CarePlan "example" Version "1"

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A simple care plan to indicate a patient taking their weight once a day because of obesity.


{
  "resourceType" : "CarePlan",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:01:32.426Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p> A simple care plan to indicate a patient taking their weight once a day because of obesity.</p>\n </div>"
  },
  "contained" : [
    {
      "resourceType" : "Condition",
      "id" : "p1",
      "clinicalStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }
        ]
      },
      "verificationStatus" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code" : "confirmed"
          }
        ]
      },
      "code" : {
        "text" : "Obesity"
      },
      "subject" : {
        "reference" : "Patient/example",
        "display" : "Peter James Chalmers"
      }
    }
  ],
  "identifier" : [
    {
      "value" : "12345"
    }
  ],
  "instantiatesUri" : [
    "http://example.org/protocol-for-obesity"
  ],
  "basedOn" : [
    {
      "display" : "Management of Type 2 Diabetes"
    }
  ],
  "replaces" : [
    {
      "display" : "Plan from urgent care clinic"
    }
  ],
  "partOf" : [
    {
      "display" : "Overall wellness plan"
    }
  ],
  "status" : "active",
  "intent" : "plan",
  "category" : [
    {
      "text" : "Weight management plan"
    }
  ],
  "description" : "Manage obesity and weight loss",
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "encounter" : {
    "reference" : "Encounter/home"
  },
  "period" : {
    "end" : "2017-06-01"
  },
  "created" : "2016-01-01",
  "author" : {
    "reference" : "Practitioner/example",
    "display" : "Dr Adam Careful"
  },
  "careTeam" : [
    {
      "reference" : "CareTeam/example"
    }
  ],
  "addresses" : [
    {
      "reference" : "#p1",
      "display" : "obesity"
    }
  ],
  "goal" : [
    {
      "reference" : "Goal/example"
    }
  ],
  "activity" : [
    {
      "outcomeCodeableConcept" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "161832001",
              "display" : "Progressive weight loss"
            }
          ]
        }
      ],
      "outcomeReference" : [
        {
          "reference" : "Observation/example",
          "display" : "Weight Measured"
        }
      ],
      "detail" : {
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "3141-9",
              "display" : "Weight Measured"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "27113001",
              "display" : "Body weight"
            }
          ]
        },
        "status" : "completed",
        "statusReason" : {
          "text" : "Achieved weight loss to mitigate diabetes risk."
        },
        "doNotPerform" : false,
        "scheduledTiming" : {
          "repeat" : {
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"
          }
        },
        "location" : {
          "display" : "Patient's home"
        },
        "performer" : [
          {
            "reference" : "Patient/example",
            "display" : "Peter James Chalmers"
          }
        ]
      }
    }
  ]
}