{
  "resourceType": "CarePlan",
  "id": "esempio-CarePlan-Progetto-Individuale",
  "meta": {
    "lastUpdated": "2023-01-11T07:32:56+00:00",
    "profile": [
      "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale"
    ],
    "versionId": "1"
  },
  "identifier": [
    {
      "system": "https://fhir.siss.regione.lombardia.it/sid/identificativoUnivocoPI",
      "value": "PI-2023000000001"
    }
  ],
  "status": "active",
  "intent": "order",
  "subject": {
    "reference": "Patient/b7807e00-9745-11ed-a8fc-0242ac120002",
    "display": "Mario Rossi"
  },
  "encounter": {
    "reference": "Encounter/c559333c-974f-11ed-a8fc-0242ac120002",
    "display": "Accesso"
  },
  "period": {
    "start": "2023-01-15T07:32:56+00:00"
  },
  "created": "2023-01-11T07:32:56+00:00",
  "author": {
    "reference": "Organization/c8f77b34-974f-11ed-a8fc-0242ac120002",
    "display": "ASST DELLA BRIANZA"
  },
  "contributor": [
    {
      "reference": "PractitionerRole/d711fc58-974f-11ed-a8fc-0242ac120002",
      "display": "Infermiere"
    }
  ],
  "addresses": [
    {
      "reference": "Condition/e243606c-974f-11ed-a8fc-0242ac120002",
      "display": "Patologia Primaria"
    },
    {
      "reference": "Condition/e028bc4c-b134-11ed-afa1-0242ac120002",
      "display": "Patologia Secondara"
    }
  ],
  "supportingInfo": [
    {
      "reference": "Observation/bnm18194-974f-11ed-a8fc-0242ac120002",
      "display": "Esito Valutazione"
    }
  ],
  "goal": [
    {
      "reference": "Goal/eaa18194-974f-11ed-a8fc-0242ac120002",
      "display": "Obiettivi Salute"
    }
  ],
  "activity": [
    {
      "reference": {
        "reference": "MedicationRequest/088c489c-9750-11ed-a8fc-0242ac120002",
        "display": "Terapia farmacologica"
      }
    },
    {
      "reference": {
        "reference": "ServiceRequest/14aec1c2-9750-11ed-a8fc-0242ac120002",
        "display": "Servizi Socio Assistenziali"
      }
    }
  ],
  "note": [
    {
      "text": "Monitorare il soddisfacimento dell'obiettivo di salute almeno una volta al mese"
    }
  ],
  "extension": [
    {
      "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanVersionePAI",
      "valueUnsignedInt": 1
    }
  ]
}