Careplan-example-f201-renal.xml

Care plan to address renal insufficiency (id = "f201")

<?xml version="1.0" encoding="UTF-8"?>

<CarePlan xmlns="http://hl7.org/fhir">
  <id value="f201"/> 
    <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> status</b> : draft</p> <p> <b> intent</b> : proposal</p> <p> <b> subject</b> : <a> Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active;
           Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13;
           <span> Legally married</span> ; </a> </p> <p> <b> period</b> : 2013-03-11 --&gt; 2013-03-13</p> <p> <b> careTeam</b> : <a>  </a> </p> <blockquote> <blockquote> <p> <b> participant</b> </p> <p> <b> role</b> : <span> Review of care plan</span> </p> <p> <b> member</b> : <a> Dokter Bronsig. Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter
               Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24</a> </p> </blockquote> <blockquote> <p> <b> participant</b> </p> <p> <b> role</b> : <span> Carer</span> </p> <p> <b> member</b> : <a> Nurse Carla Espinosa. Generated Summary: UZI-nummer: 12345678904 (OFFICIAL); Carla Espinosa;
               Phone: +31715262169; gender: female; birthDate: 1967-11-05</a> </p> </blockquote> </blockquote> <h3> Addresses</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> goal</b> : <a>  </a> </p> <blockquote> <p> <b> lifecycleStatus</b> : completed</p> <p> <b> achievementStatus</b> : <span> Achieved</span> </p> <p> <b> description</b> : <span> Re-established renal function with at least healthy nutrients.</span> </p> <p> <b> subject</b> : <a> Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active;
             Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13;
             <span> Legally married</span> ; </a> </p> </blockquote> <blockquote> <p> <b> activity</b> </p> <h3> PlannedActivityDetails</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> <span> Potassium supplementation</span> </td> <td> completed</td> <td> false</td> <td> daily</td> <td> <a> Potassium. Generated Summary: id: 1234; <span> Chemical</span> </a> </td> <td> 80 mmol</td> </tr> </table> </blockquote> <blockquote> <p> <b> activity</b> </p> <h3> PlannedActivityDetails</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> <span> Echography of kidney</span> </td> <td> completed</td> <td> false</td> </tr> </table> </blockquote> </div> </text> <contained> 
    <CareTeam> 
        <id value="careteam"/> 
        <participant> 
          <role> 
          <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="425268008"/> 
              <display value="Review of care plan"/> 
          </coding> 
          </role> 
          <member> 
              <reference value="Practitioner/f201"/> 
              <display value="Dokter Bronsig"/> 
          </member> 
        </participant> 
    <participant> 
          <role> 
          <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="229774002"/> 
              <display value="Carer"/> 
          </coding> 
          </role> 
          <member> 
          <reference value="Practitioner/f204"/> 
          <display value="Nurse Carla Espinosa"/> 
          </member> 
    </participant> 
    </CareTeam> 
  </contained> 
  <contained> 
    <Goal> 
      <id value="goal"/> 
      <lifecycleStatus value="completed"/> 
    <achievementStatus> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/> 
      <code value="achieved"/> 
      <display value="Achieved"/> 
    </coding> 
    <text value="Achieved"/> 
    </achievementStatus> 
      <description> 
        <text value="Re-established renal function with at least healthy nutrients."/> 
      </description> 
      <subject> 
        <reference value="Patient/f201"/> 
        <display value="Roel"/> 
      </subject>       
    </Goal> 
  </contained> 
  <status value="draft"/> 
  <intent value="proposal"/> 
  <!--   This careplan is "ended", but was never closed in the EHR, wherefore the status is "planned"
     -->
  <subject> 
    <!--   It entails Roel's careplan   -->
    <reference value="Patient/f201"/> 
    <display value="Roel"/> 
  </subject> 
  <period> 
    <start value="2013-03-11"/> 
    <end value="2013-03-13"/> 
    <!--   Period is less than nine days because the careplan requires adjustments after evaluation
       -->
  </period> 
  <careTeam> 
    <reference value="#careteam"/> 
  </careTeam> 
  <addresses> 
    <reference> 
      <reference value="Condition/f204"/> 
      <display value="Roel's renal insufficiency"/> 
    </reference> 
  </addresses> 
  <goal> 
    <reference value="#goal"/> 
  </goal> 
  <activity> 
    <!--   Potassium supplement   -->
    <plannedActivityDetail> 
      <kind value="NutritionOrder"/> 
      <code> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="284093001"/> 
          <display value="Potassium supplementation"/> 
        </coding> 
      </code> 
      <status value="completed"/> 
      <doNotPerform value="false"/> 
      <scheduledString value="daily"/> 
      <!--   TODO Isn't <performer> redundant when considering <participant> that was defined before?
         -->
      <productReference> 
        <reference value="Substance/f203"/> 
        <display value="Potassium"/> 
      </productReference> 
      <dailyAmount> 
        <value value="80"/> 
        <unit value="mmol"/> 
        <system value="http://snomed.info/sct"/> 
        <code value="258718000"/> 
      </dailyAmount> 
    </plannedActivityDetail> 
  </activity> 
  <activity> 
    <!--   Echo of the kidney   -->
    <plannedActivityDetail> 
      <kind value="ServiceRequest"/> 
      <code> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="306005"/> 
          <display value="Echography of kidney"/> 
        </coding> 
      </code> 
      <status value="completed"/> 
      <doNotPerform value="false"/> 
    </plannedActivityDetail> 
  </activity> 
</CarePlan>