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Patient Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
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Integrated care plan with multiple goals & conditions (from Mayo)
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/CarePlan/integrate> a fhir:CarePlan; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "integrate"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.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>" ]; fhir:DomainResource.contained [ a fhir:Condition; fhir:index 0; fhir:Resource.id [ fhir:value "p1" ]; fhir:Condition.clinicalStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ]; fhir:Coding.code [ fhir:value "active" ] ] ]; fhir:Condition.verificationStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ]; fhir:Coding.code [ fhir:value "confirmed" ] ] ]; fhir:Condition.code [ fhir:CodeableConcept.text [ fhir:value "GERDS" ] ]; fhir:Condition.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Condition; fhir:index 1; fhir:Resource.id [ fhir:value "p2" ]; fhir:Condition.clinicalStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ]; fhir:Coding.code [ fhir:value "active" ] ] ]; fhir:Condition.verificationStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ]; fhir:Coding.code [ fhir:value "confirmed" ] ] ]; fhir:Condition.code [ fhir:CodeableConcept.text [ fhir:value "Obesity" ] ]; fhir:Condition.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Condition; fhir:index 2; fhir:Resource.id [ fhir:value "p3" ]; fhir:Condition.clinicalStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ]; fhir:Coding.code [ fhir:value "active" ] ] ]; fhir:Condition.verificationStatus [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ]; fhir:Coding.code [ fhir:value "confirmed" ] ] ]; fhir:Condition.code [ fhir:CodeableConcept.text [ fhir:value "Psoriasis" ] ]; fhir:Condition.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Goal; fhir:index 3; fhir:Resource.id [ fhir:value "g1" ]; fhir:Goal.lifecycleStatus [ fhir:value "active" ]; fhir:Goal.description [ fhir:CodeableConcept.text [ fhir:value "Eve will lose weight and reduce her GERDS symptoms by improving her diet" ] ]; fhir:Goal.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Goal; fhir:index 4; fhir:Resource.id [ fhir:value "g2" ]; fhir:Goal.lifecycleStatus [ fhir:value "active" ]; fhir:Goal.description [ fhir:CodeableConcept.text [ fhir:value "Eve will improve her GERDS symptoms" ] ]; fhir:Goal.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Goal; fhir:index 5; fhir:Resource.id [ fhir:value "g3" ]; fhir:Goal.lifecycleStatus [ fhir:value "active" ]; fhir:Goal.description [ fhir:CodeableConcept.text [ fhir:value "Eve will increase her energy by being more active" ] ]; fhir:Goal.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Goal; fhir:index 6; fhir:Resource.id [ fhir:value "g4" ]; fhir:Goal.lifecycleStatus [ fhir:value "active" ]; fhir:Goal.description [ fhir:CodeableConcept.text [ fhir:value "Eve will set up her medications and take as prescribed" ] ]; fhir:Goal.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ], [ a fhir:Goal; fhir:index 7; fhir:Resource.id [ fhir:value "g5" ]; fhir:Goal.lifecycleStatus [ fhir:value "active" ]; fhir:Goal.description [ fhir:CodeableConcept.text [ fhir:value "Eve will restart her light treatments" ] ]; fhir:Goal.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ] ]; fhir:CarePlan.status [ fhir:value "active"]; fhir:CarePlan.intent [ fhir:value "plan"]; fhir:CarePlan.subject [ fhir:link <http://hl7.org/fhir/Patient/1>; fhir:Reference.reference [ fhir:value "Patient/1" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ]; fhir:CarePlan.addresses [ fhir:index 0; fhir:Reference.reference [ fhir:value "#p1" ]; fhir:Reference.display [ fhir:value "GERDS" ] ], [ fhir:index 1; fhir:Reference.reference [ fhir:value "#p2" ]; fhir:Reference.display [ fhir:value "Obesity" ] ], [ fhir:index 2; fhir:Reference.reference [ fhir:value "#p3" ]; fhir:Reference.display [ fhir:value "Psoriasis" ] ]; fhir:CarePlan.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g1" ] ], [ fhir:index 1; fhir:Reference.reference [ fhir:value "#g2" ] ], [ fhir:index 2; fhir:Reference.reference [ fhir:value "#g3" ] ], [ fhir:index 3; fhir:Reference.reference [ fhir:value "#g4" ] ], [ fhir:index 4; fhir:Reference.reference [ fhir:value "#g5" ] ]; fhir:CarePlan.activity [ fhir:index 0; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-09-10"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve eats one meal a day with her parents" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g1" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will review photos of high and low density foods and share with her parents" ] ] ], [ fhir:index 1; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-09-10"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve will sleep in her bed more often than the couch" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.kind [ fhir:value "CommunicationRequest" ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g1" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "not-started" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will ask her dad to asist her to put the head of her bed on blocks" ] ] ], [ fhir:index 2; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g2" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will reduce her intake of coffee and chocolate" ] ] ], [ fhir:index 3; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-08-27"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve would like to try for 5 days a week." ] ], [ fhir:index 1; fhir:Annotation.time [ fhir:value "2012-09-10"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve is still walking the dogs." ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g3" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-08-27"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a week" ] ] ], [ fhir:index 4; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-08-13"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve walked 4 times the last week." ] ], [ fhir:index 1; fhir:Annotation.time [ fhir:value "2012-09-10"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve did not walk to her parents the last week, but has plans to start again" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g3" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will walk 3 blocks to her parents house twice a week" ] ] ], [ fhir:index 5; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-08-13"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g4" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will use a calendar to check off after medications are taken" ] ] ], [ fhir:index 6; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-08-13"^^xsd:date ]; fhir:Annotation.text [ fhir:value "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." ] ], [ fhir:index 1; fhir:Annotation.time [ fhir:value "2012-08-27"^^xsd:date ]; fhir:Annotation.text [ fhir:value "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" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-08-27"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g5" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will use her lights MWF after her shower for 3 minutes" ] ] ], [ fhir:index 7; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-07-23"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve created a chart as a reminer to take the medications that do not fit in her pill box" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-09-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g4" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will use a calendar of a chart to help her remember when to take her medications" ] ] ], [ fhir:index 8; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-07-30"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Will be able to esume exercise." ] ], [ fhir:index 1; fhir:Annotation.time [ fhir:value "2012-08-13"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve prefers to focus on walking at this time" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-08-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g3" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "on-hold" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon" ] ] ], [ fhir:index 9; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-07-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g4" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "completed" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will match a printed medication worksheet with the medication bottles at home" ] ] ], [ fhir:index 10; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-07-16"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve now has some of her medications set up in pill packs by her pharmacist" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-07-16"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g4" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "completed" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-10"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed" ] ] ], [ fhir:index 11; fhir:CarePlan.activity.progress [ fhir:index 0; fhir:Annotation.time [ fhir:value "2012-07-12"^^xsd:date ]; fhir:Annotation.text [ fhir:value "Eve will be able to resume exercise on 7/30/12" ] ], [ fhir:index 1; fhir:Annotation.time [ fhir:value "2012-08-13"^^xsd:date ]; fhir:Annotation.text [ fhir:value "hold until \"less busy\"" ] ]; fhir:CarePlan.activity.detail [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://example.org/fhir/StructureDefinition/RevisionDate" ]; fhir:Extension.valueDate [ fhir:value "2012-08-13"^^xsd:date ] ]; fhir:CarePlan.activity.detail.goal [ fhir:index 0; fhir:Reference.reference [ fhir:value "#g3" ] ]; fhir:CarePlan.activity.detail.status [ fhir:value "on-hold" ]; fhir:CarePlan.activity.detail.doNotPerform [ fhir:value "false"^^xsd:boolean ]; fhir:CarePlan.activity.detail.scheduledPeriod [ fhir:Period.start [ fhir:value "2012-07-23"^^xsd:date ] ]; fhir:CarePlan.activity.detail.description [ fhir:value "Eve will open \"The Firm\" DVD workout package and listen to it" ] ] ]; fhir:CarePlan.note [ fhir:index 0; fhir:Annotation.text [ fhir:value "Patient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future" ] ] . <http://hl7.org/fhir/Patient/1> a fhir:Patient . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/CarePlan/integrate.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/CarePlan/integrate.ttl> . # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.