Care plan to address renal insufficiency

{
  "resourceType" : "CarePlan",
  "id" : "f201",
  "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"
    }
  },
  {
    "resourceType" : "ServiceRequest",
    "id" : "activity",
    "status" : "completed",
    "intent" : "order",
    "code" : {
      "concept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "306005",
          "display" : "Echography of kidney"
        }]
      }
    },
    "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" : {
      "reference" : "Condition/f204",
      "display" : "Roel's renal insufficiency"
    }
  }],
  "goal" : [{
    "reference" : "#goal"
  }],
  "activity" : [{
    "plannedActivityReference" : {
      "reference" : "NutritionOrder/renaldiet"
    }
  },
  {
    "plannedActivityReference" : {
      "reference" : "#activity"
    }
  }]
}