{ "resourceType": "CarePlan", "id": "core-examples-CarePlan-example10", "meta": { "versionId": "4", "lastUpdated": "2016-09-08T12:21:35.498+00:00" }, "text": { "status": "generated", "div": "

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

Start DateGoalAction StepsStatusDate Last UpdatedComments
10 Sep 2012Eve will lose weight and reduce her GERDS symptoms by improving her dietEve will review photos of high and low density foods and share with her parentsNew Goal10 Sep 20129/10/12 Eve eats one meal a day with her parents
10 Sep 2012Eve will lose weight and reduce her GERDS symptoms by improving her dietEve will ask her dad to asist her to put the head of her bed on blocksNew Goal10 Sep 20129/10/12 Eve will sleep in her bed more often than the couch
10 Sep 2012Eve will improve her GERDS symptomsEve will reduce her intake of coffee and chocolateIn Process10 Sep 2012
27 Aug 2012Eve will increase her energy by being more activeEve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a weekIn Process10 Sep 20128/27/12 Eve would like to try for 5 days a week. 9/10/12 Eve is still walking the dogs.
23 Jul 2012Eve will increase her energy by being more activeEve will walk 3 blocks to her parents house twice a weekIn Process10 Sep 20128/13/12 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 2012Eve will set up her medications and take as prescribedEve will us a calendar to check off after medications are takenIn Process13 Aug 2012
23 Jul 2012Eve will restart her light treatmentsEve will use her lights MWF after her shower for 3 minutesIn Process27 Aug 20128/13/12 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 2012Eve will set up her medications and take as prescribedEve will use a calendar of a chart to help her remember when to take her medicationsIn Process10 Sep 20127/23/12 Eve created a chart as a reminer to take the medications that do not fit in her pill box
23 Jul 2012Eve will increase her energy by being more activeEve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoonOn-Hold23 Aug 20127/30/12 will be able to esume exercise. 8/13/12 Eve prefers to focus on walking at this time
10 Jul 2012Eve will set up her medications and take as prescribedEve will match a printed medication worksheet with the medication bottles at homeCompleted23 Jul 2012
10 Jul 2012Eve will set up her medications and take as prescribedEve will get a medication box to sort her pills. She will have one for scheduled medications and one for as neededCompleted16 Jul 20127/16/12 Eve now has some of her medications set up in pill packs by her pharmacist
23 Jul 2012Eve will increase her energy by being more activeEve will open \"The Firm\" DVD workout package and listen to itDiscontinued13 Aug 20127/30/12 Eve will be able to resume exercise on 7/30/12. 8/13/12 -hold until \"less busy\"
" }, "contained": [ { "resourceType": "Condition", "id": "p1", "patient": { "reference": "Patient/1", "display": "Eve Everywoman" }, "code": { "text": "GERDS" }, "verificationStatus": "confirmed" }, { "resourceType": "Condition", "id": "p2", "patient": { "reference": "Patient/1", "display": "Eve Everywoman" }, "code": { "text": "Obesity" }, "verificationStatus": "confirmed" }, { "resourceType": "Condition", "id": "p3", "patient": { "reference": "Patient/1", "display": "Eve Everywoman" }, "code": { "text": "Psoriasis" }, "verificationStatus": "confirmed" }, { "resourceType": "Goal", "id": "g1", "subject": { "reference": "Patient/1", "display": "Eve Everywoman" }, "description": "Eve will lose weight and reduce her GERDS symptoms by improving her diet", "status": "in-progress" }, { "resourceType": "Goal", "id": "g2", "subject": { "reference": "Patient/1", "display": "Eve Everywoman" }, "description": "Eve will improve her GERDS symptoms", "status": "in-progress" }, { "resourceType": "Goal", "id": "g3", "subject": { "reference": "Patient/1", "display": "Eve Everywoman" }, "description": "Eve will increase her energy by being more active", "status": "in-progress" }, { "resourceType": "Goal", "id": "g4", "subject": { "reference": "Patient/1", "display": "Eve Everywoman" }, "description": "Eve will set up her medications and take as prescribed", "status": "in-progress" }, { "resourceType": "Goal", "id": "g5", "subject": { "reference": "Patient/1", "display": "Eve Everywoman" }, "description": "Eve will restart her light treatments", "status": "in-progress" } ], "subject": { "reference": "Patient/1", "display": "Eve Everywoman" }, "status": "active", "modified": "2012-09-10", "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/DoNotUse/StructureDefinition/RevisionDate", "valueDate": "2012-09-10" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g1" } ], "status": "not-started", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-09-10" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g1" } ], "status": "not-started", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-09-10" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g2" } ], "status": "in-progress", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-09-10" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g3" } ], "status": "in-progress", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-09-10" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g3" } ], "status": "in-progress", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-08-13" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g4" } ], "status": "in-progress", "prohibited": false, "scheduledPeriod": { "start": "2012-07-23" }, "description": "Eve will us 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/DoNotUse/General/RevisionDate", "valueDate": "2012-08-27" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g5" } ], "status": "in-progress", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-09-10" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g4" } ], "status": "in-progress", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-08-23" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g3" } ], "status": "on-hold", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-07-23" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g4" } ], "status": "completed", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-07-16" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g4" } ], "status": "completed", "prohibited": 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/DoNotUse/General/RevisionDate", "valueDate": "2012-08-13" } ], "category": { "coding": [ { "system": "http://hl7.org/fhir/care-plan-activity-category", "code": "other" } ] }, "goal": [ { "reference": "#g3" } ], "status": "on-hold", "prohibited": 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" } }