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Packagecsiro.fhir.au.gpccmp
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-gpccmp-form-foreman-caterina.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: QuestionnaireResponse gpccmp-form-foreman-caterina

LinkIDTextDefinitionAnswerdoco
.. gpccmp-form-foreman-caterinaQuestionnaire:GP Chronic Condition Management Plan
... container
.... patientPatient details
..... patient-consentConsent
...... patient-consent-consentforplanConsent given to proceed with plan after discussion of the purpose, benefits, process and coststrue
..... patient-nameNameCaterina FOREMAN
..... patient-preferredpronounsPreferred pronounsLOINC: LA29519-8 (she/her/her/hers/herself)
..... patient-dobDate of birth1970-07-24
..... patient-ageAge55
..... patient-sexatbirthSex assigned at birthSNOMED CT: 248152002 (Female)
..... patient-genderidentityGender identitySNOMED CT: 446141000124107 (Identifies as female gender)
..... patient-firstnationsstatusAboriginal and/or Torres Strait Islander statusaustralian-indigenous-status-1: 4 (Neither Aboriginal nor Torres Strait Islander origin)
..... patient-medicareMedicare card number
...... patient-medicare-numberNumber3951333701
...... patient-medicare-referencenumberReference number1
...... patient-medicare-expiryExpiry2028-08
..... patient-contactContact information
...... patient-contact-homephoneHome phone0370109077
...... patient-contact-mobilephoneMobile phone0491576801
...... patient-contact-emailEmailcaterina.foreman@my-own-personal-domain.com
...... patient-contact-homeaddressHome address
....... patient-contact-homeaddress-detailsHome address
........ patient-contact-homeaddress-details-streetaddressStreet address149 Farmer Cnr
........ patient-contact-homeaddress-details-cityCitySunshine
........ patient-contact-homeaddress-details-stateStateaustralian-states-territories-1: VIC (Victoria)
........ patient-contact-homeaddress-details-postcodePostcode3020
.... practitionerPractitioner details
..... practitioner-nameNamePeter Primary
..... practitioner-phonePhone(08) 7010 5556
..... practitioner-emailEmailPPP@example.org
..... practitioner-medicareprovidernumberMedicare provider number2426621B
.... clinicaldetailsClinical details
..... clinicaldetails-problemsdiagnosesProblems/Diagnoses
...... clinicaldetails-problemsdiagnoses-recordedproblemsRecorded problems/diagnoses
....... clinicaldetails-problemsdiagnoses-recordedproblems-conditionConditionSNOMED CT: 278860009 (Chronic lower back pain)
....... clinicaldetails-problemsdiagnoses-recordedproblems-clinicalstatusClinical statusCondition Clinical Status Codes: active (Active)
....... clinicaldetails-problemsdiagnoses-recordedproblems-onsetdateOnset date2021-01-01
...... clinicaldetails-problemsdiagnoses-recordedproblemsRecorded problems/diagnoses
....... clinicaldetails-problemsdiagnoses-recordedproblems-conditionConditionSNOMED CT: 235595009 (Gastro-oesophageal reflux disease)
....... clinicaldetails-problemsdiagnoses-recordedproblems-clinicalstatusClinical statusCondition Clinical Status Codes: active (Active)
....... clinicaldetails-problemsdiagnoses-recordedproblems-onsetdateOnset date2013-08-01
...... clinicaldetails-problemsdiagnoses-newproblemsNew problems/diagnoses
....... clinicaldetails-problemsdiagnoses-newproblems-conditionConditionSNOMED CT: 443694000 (Type 2 diabetes mellitus uncontrolled)
....... clinicaldetails-problemsdiagnoses-newproblems-onsetdateOnset date2026-01-25
...... clinicaldetails-problemsdiagnoses-newproblemsNew problems/diagnoses
....... clinicaldetails-problemsdiagnoses-newproblems-conditionConditionSNOMED CT: 424736006 (Diabetic peripheral neuropathy)
....... clinicaldetails-problemsdiagnoses-newproblems-onsetdateOnset date2026-02-20
...... clinicaldetails-problemsdiagnoses-newproblemsNew problems/diagnoses
....... clinicaldetails-problemsdiagnoses-newproblems-conditionConditionSNOMED CT: 238131007 (Overweight)
....... clinicaldetails-problemsdiagnoses-newproblems-onsetdateOnset date2025-11-25
..... clinicaldetails-allergiesAdverse reaction risks
...... clinicaldetails-allergies-recordedallergiesRecorded adverse reaction risks
....... clinicaldetails-allergies-recordedallergies-substanceSubstanceSNOMED CT: 111088007 (Latex)
....... clinicaldetails-allergies-recordedallergies-statusStatusAllergyIntolerance Clinical Status Codes: active (Active)
....... clinicaldetails-allergies-recordedallergies-manifestationManifestationSNOMED CT: 271807003 (Rash)
....... clinicaldetails-allergies-recordedallergies-commentCommentHas reacted soon after exposure as well as a delayed reaction to latex, with a rash appearing 24 hours after exposure.
..... clinicaldetails-medicationsMedications (current)
...... clinicaldetails-medications-recordedmedicationsRecorded medications
....... clinicaldetails-medications-recordedmedications-medicationMedicationSNOMED CT: 5848011000036106 (Panadol Osteo 665 mg modified release tablet)
....... clinicaldetails-medications-recordedmedications-statusStatusMedicationStatement Status Codes: active (Active)
....... clinicaldetails-medications-recordedmedications-dosageDosage2 tabs PRN/TDS
....... clinicaldetails-medications-recordedmedications-indicationIndicationSNOMED CT: 278860009 (Chronic lower back pain)
...... clinicaldetails-medications-recordedmedicationsRecorded medications
....... clinicaldetails-medications-recordedmedications-medicationMedicationSNOMED CT: 5848011000036106 (Panadol Osteo 665 mg modified release tablet)
....... clinicaldetails-medications-recordedmedications-statusStatusMedicationStatement Status Codes: active (Active)
....... clinicaldetails-medications-recordedmedications-dosageDosage2 tabs PRN/TDS
....... clinicaldetails-medications-recordedmedications-indicationIndicationSNOMED CT: 278860009 (Chronic lower back pain)
...... clinicaldetails-medications-recordedmedicationsRecorded medications
....... clinicaldetails-medications-recordedmedications-medicationMedicationSNOMED CT: 682641000168107 (Esomeprazole 20 mg enteric capsule)
....... clinicaldetails-medications-recordedmedications-statusStatusMedicationStatement Status Codes: active (Active)
....... clinicaldetails-medications-recordedmedications-dosageDosage1 tab daily
....... clinicaldetails-medications-recordedmedications-indicationIndicationSNOMED CT: 235595009 (Gastro-oesophageal reflux disease)
....... clinicaldetails-medications-recordedmedications-commentCommentGastroscopy 2013 - mild reflux esophagitis, H pylori negative
...... clinicaldetails-medications-newmedicationsNew medications
....... clinicaldetails-medications-newmedications-medicationMedicationSNOMED CT: 23358011000036102 (Metformin hydrochloride 500 mg tablet)
....... clinicaldetails-medications-newmedications-dosageDosage1 tab BD
....... clinicaldetails-medications-newmedications-indicationIndicationSNOMED CT: 443694000 (Type 2 diabetes mellitus uncontrolled)
...... clinicaldetails-medications-newmedicationsNew medications
....... clinicaldetails-medications-newmedications-medicationMedicationSNOMED CT: 77436011000036106 (Fish oil)
....... clinicaldetails-medications-newmedications-dosageDosage2 caps daily
....... clinicaldetails-medications-newmedications-commentCommentSelf-initiated for heart health
..... clinicaldetails-observationsObservations
...... clinicaldetails-observations-maingridObservations
....... clinicaldetails-observations-maingrid-heightHeight
........ clinicaldetails-observations-maingrid-height-lastresultvalue165
........ clinicaldetails-observations-maingrid-height-lastresultdate2025-11-25
........ clinicaldetails-observations-maingrid-height-newresultvalueNew result165
........ clinicaldetails-observations-maingrid-height-newresultdateNew result date2026-03-09
....... clinicaldetails-observations-maingrid-weightWeight
........ clinicaldetails-observations-maingrid-weight-lastresultvalue74
........ clinicaldetails-observations-maingrid-weight-lastresultdate2025-11-25
........ clinicaldetails-observations-maingrid-weight-newresultvalueNew result75.2
........ clinicaldetails-observations-maingrid-weight-newresultdateNew result date2026-03-09
....... clinicaldetails-observations-maingrid-bmiBMI (calculated)
........ clinicaldetails-observations-maingrid-bmi-lastresultvalue27.2
........ clinicaldetails-observations-maingrid-bmi-newresultvalueNew result27.6
....... clinicaldetails-observations-maingrid-waistcircumferenceWaist circumference
........ clinicaldetails-observations-maingrid-waistcircumference-lastresultvalue82
........ clinicaldetails-observations-maingrid-waistcircumference-lastresultdate2025-11-25
........ clinicaldetails-observations-maingrid-waistcircumference-newresultvalueNew result82.5
........ clinicaldetails-observations-maingrid-waistcircumference-newdateNew result date2026-03-09
....... clinicaldetails-observations-maingrid-pulseratePulse rate
........ clinicaldetails-observations-maingrid-pulserate-lastresultvalue74
........ clinicaldetails-observations-maingrid-pulserate-lastresultdate2025-11-25
........ clinicaldetails-observations-maingrid-pulserate-newresultvalueNew result76
........ clinicaldetails-observations-maingrid-pulserate-newresultdateNew result date2026-03-09
....... clinicaldetails-observations-maingrid-pulserhythmPulse rhythm
........ clinicaldetails-observations-maingrid-pulserhythm-lastresultvalueSNOMED CT: 271636001 (Pulse regular)
........ clinicaldetails-observations-maingrid-pulserhythm-lastresultdate2025-11-25
........ clinicaldetails-observations-maingrid-pulserhythm-newresultvalueNew resultSNOMED CT: 271636001 (Pulse regular)
........ clinicaldetails-observations-maingrid-pulserhythm-newresultdateNew result date2026-03-09
....... clinicaldetails-observations-maingrid-oxygensaturationOxygen saturation
........ clinicaldetails-observations-maingrid-oxygensaturation-lastresultvalue98
........ clinicaldetails-observations-maingrid-oxygensaturation-lastresultdate2026-06-20
........ clinicaldetails-observations-maingrid-oxygensaturation-newresultvalueNew result98
........ clinicaldetails-observations-maingrid-oxygensaturation-newresultdateNew result date2026-03-09
...... clinicaldetails-observations-bpgridBlood pressure
....... clinicaldetails-observations-bpgrid-bpBlood pressure
........ clinicaldetails-observations-bpgrid-bp-lastresultvaluesystolic128
........ clinicaldetails-observations-bpgrid-bp-lastresultvaluediastolic72
........ clinicaldetails-observations-bpgrid-bp-lastresultdate2025-11-25
........ clinicaldetails-observations-bpgrid-bp-newresultsystolicSystolic130
........ clinicaldetails-observations-bpgrid-bp-newresultdiastolicDiastolic72
........ clinicaldetails-observations-bpgrid-bp-newresultdateDate performed2026-03-09
...... clinicaldetails-observations-substanceusegridSubstance use
....... clinicaldetails-observations-substanceusegrid-smokingstatusSmoking status
........ clinicaldetails-observations-substanceusegrid-smokingstatus-lastresultvalueSNOMED CT: 77176002 (Current smoker)
........ clinicaldetails-observations-substanceusegrid-smokingstatus-lastresultdate2026-02-20
........ clinicaldetails-observations-substanceusegrid-smokingstatus-newresultdateNew status datenull!
........ clinicaldetails-observations-smokingstatusgrid-smokingstatus-newresultcommentCommentSmoking - 20 cigarettes per day since 17yo
....... clinicaldetails-observations-substanceusegrid-alcoholstatusAlcohol consumption status
........ clinicaldetails-observations-substanceusegrid-alcoholstatus-lastresultvalueSNOMED CT: 219006 (Current drinker)
........ clinicaldetails-observations-substanceusegrid-alcoholstatus-lastresultdate2026-02-20
........ clinicaldetails-observations-substanceusegrid-alcoholstatus-newresultdateNew status datenull!
........ clinicaldetails-observations-substanceusegrid-alcoholstatus-newresultcommentComment2 drinks, 2 days per week (on weekends
.... planPlan
..... plandetails-inprogressIncomplete draft plan already exists?true
..... plan-conditionsConditions addressed
...... plan-conditions-conditionConditionSNOMED CT: 443694000 (Type 2 diabetes mellitus uncontrolled)
...... plan-conditions-onsetdateOnset date2026-01-25
..... plan-conditionsConditions addressed
...... plan-conditions-conditionConditionSNOMED CT: 278860009 (Chronic lower back pain)
...... plan-conditions-onsetdateOnset date2021-01-01
..... plan-conditionsConditions addressed
...... plan-conditions-conditionConditionSNOMED CT: 235595009 (Gastro-oesophageal reflux disease)
...... plan-conditions-onsetdateOnset date2013-08-01
..... plan-conditionsConditions addressed
...... plan-conditions-conditionConditionSNOMED CT: 238131007 (Overweight)
...... plan-conditions-onsetdateOnset date2025-11-25
..... plan-goalstasksGoals and tasks
...... plan-goalstasks-problemneedProblems/Needs
...... plan-goalstasks-details-goalsettingGoal setting
....... plan-goalstasks-details-goalsetting-goalsGoals5-10% weight loss (target weight 73.8-77.9kg) and decrease waist circumference (long term target <80cm)
....... plan-goalstasks-details-goalsetting-initiatorInitiatorGP
....... plan-goalstasks-details-goalsetting-targetdateTarget date2027-02-24
....... plan-goalstasks-details-goalsetting-statusStatusGoal Lifecycle Status: active (active)
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/ActionsSNOMED CT: 183065007 (Low carbohydrate diet education)
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina, dietitian
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-05-24
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/ActionsReduce ratio of carbohydrates in each meal - ¼ plate carbs, ¼ plate protein, ½ plate vegetables/salad
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-05-24
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/ActionsSubstitute high GI for low GI carbohydrates where possible
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-05-24
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/ActionsPhysical activity guidance
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina, exercise physiologist
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-08-24
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/ActionsAim for 150 mins of aerobic activity per week
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-08-24
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/Actions2-3 sessions of resistance exercise per week
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-08-24
...... plan-goalstasks-details-interventionsactionsInterventions and actions
....... plan-goalstasks-details-interventionsactions-interventionsactionsInterventions/ActionsManagement of impulse control
....... plan-goalstasks-details-interventionsactions-ownerOwnerCaterina
....... plan-goalstasks-details-interventionsactions-duedateDue date2026-08-24
....... plan-goalstasks-details-interventionsactions-commentCommentManage impulsivity/desire to eat when not actually hungry. Consider psychology input in future.
...... plan-goalstasks-details-servicestreatmentsServices and treatments
....... plan-goalstasks-details-servicestreatments-servicestreatmentsRequired services and treatmentsSNOMED CT: 310090003 (Dietetics service)
....... plan-goalstasks-details-servicestreatments-activityActivitySNOMED CT: 103699006 (Referral to dietitian)
....... plan-goalstasks-details-servicestreatments-providerProviderDietitian
...... plan-goalstasks-details-servicestreatmentsServices and treatments
....... plan-goalstasks-details-servicestreatments-servicestreatmentsRequired services and treatmentsSNOMED CT: 310090003 (Dietetics service)
....... plan-goalstasks-details-servicestreatments-activityActivitySNOMED CT: 11816003 (Diet education)
....... plan-goalstasks-details-servicestreatments-providerProviderDietitian
...... plan-goalstasks-details-servicestreatmentsServices and treatments
....... plan-goalstasks-details-servicestreatments-servicestreatmentsRequired services and treatmentsExercise physiologist
....... plan-goalstasks-details-servicestreatments-activityActivitySNOMED CT: 1100681000168103 (Referral to exercise physiologist)
....... plan-goalstasks-details-servicestreatments-providerProviderExercise physiologist
...... plan-goalstasks-details-servicestreatmentsServices and treatments
....... plan-goalstasks-details-servicestreatments-servicestreatmentsRequired services and treatmentsExercise physiologist
....... plan-goalstasks-details-servicestreatments-activityActivitySNOMED CT: 229080003 (Exercise regime)
....... plan-goalstasks-details-servicestreatments-providerProviderExercise physiologist
..... plan-goalstasksGoals and tasks
...... plan-goalstasks-problemneedProblems/Needs
...... plan-goalstasks-details-goalsettingGoal setting
....... plan-goalstasks-details-goalsetting-goalsGoalsComfortably wear dress purchased for niece’s wedding next year
....... plan-goalstasks-details-goalsetting-initiatorInitiatorCaterina
....... plan-goalstasks-details-goalsetting-targetdateTarget date2027-02-24
....... plan-goalstasks-details-goalsetting-statusStatusGoal Lifecycle Status: active (active)
..... completionCompletion
...... completion-consentforsharingConsent given for sharing of information with relevant healthcare providerstrue
...... completion-reviewReview
....... completion-review-appointmentstatusAppointment statusAppointment Status: proposed (Proposed)
....... completion-review-dateDate2027-03-09
...... completion-copyofferedPatient has been offered a copy of this planYes, copy provided

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "gpccmp-form-foreman-caterina",
  "meta": {
    "profile": [
      "https://gpccmp.csiro.au/ig/StructureDefinition/GPCCMPQuestionnaireResponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://www.health.gov.au/assessments/GPChronicConditionManagementPlan",
  "status": "in-progress",
  "subject": {
    "reference": "Patient/foreman-caterina",
    "type": "Patient",
    "display": "Caterina FOREMAN"
  },
  "authored": "2026-03-09T13:10:27+10:00",
  "author": {
    "reference": "Practitioner/primary-peter",
    "type": "Practitioner",
    "display": "Dr Peter Primary"
  },
  "item": [
    {
      "linkId": "container",
      "item": [
        {
          "linkId": "patient",
          "text": "Patient details",
          "item": [
            {
              "linkId": "patient-consent",
              "text": "Consent",
              "item": [
                {
                  "linkId": "patient-consent-consentforplan",
                  "text": "Consent given to proceed with plan after discussion of the purpose, benefits, process and costs",
                  "answer": [
                    {
                      "valueBoolean": true
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "patient-name",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Caterina FOREMAN"
                }
              ]
            },
            {
              "linkId": "patient-preferredpronouns",
              "text": "Preferred pronouns",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA29519-8",
                    "display": "she/her/her/hers/herself"
                  }
                }
              ]
            },
            {
              "linkId": "patient-dob",
              "text": "Date of birth",
              "answer": [
                {
                  "valueDate": "1970-07-24"
                }
              ]
            },
            {
              "linkId": "patient-age",
              "text": "Age",
              "answer": [
                {
                  "valueInteger": 55
                }
              ]
            },
            {
              "linkId": "patient-sexatbirth",
              "text": "Sex assigned at birth",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "248152002",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "patient-genderidentity",
              "text": "Gender identity",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "446141000124107",
                    "display": "Identifies as female gender"
                  }
                }
              ]
            },
            {
              "linkId": "patient-firstnationsstatus",
              "text": "Aboriginal and/or Torres Strait Islander status",
              "answer": [
                {
                  "valueCoding": {
                    "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
                    "code": "4",
                    "display": "Neither Aboriginal nor Torres Strait Islander origin"
                  }
                }
              ]
            },
            {
              "linkId": "patient-medicare",
              "text": "Medicare card number",
              "item": [
                {
                  "linkId": "patient-medicare-number",
                  "text": "Number",
                  "answer": [
                    {
                      "valueString": "3951333701"
                    }
                  ]
                },
                {
                  "linkId": "patient-medicare-referencenumber",
                  "text": "Reference number",
                  "answer": [
                    {
                      "valueString": "1"
                    }
                  ]
                },
                {
                  "linkId": "patient-medicare-expiry",
                  "text": "Expiry",
                  "answer": [
                    {
                      "valueString": "2028-08"
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "patient-contact",
              "text": "Contact information",
              "item": [
                {
                  "linkId": "patient-contact-homephone",
                  "text": "Home phone",
                  "answer": [
                    {
                      "valueString": "0370109077"
                    }
                  ]
                },
                {
                  "linkId": "patient-contact-mobilephone",
                  "text": "Mobile phone",
                  "answer": [
                    {
                      "valueString": "0491576801"
                    }
                  ]
                },
                {
                  "linkId": "patient-contact-email",
                  "text": "Email",
                  "answer": [
                    {
                      "valueString": "caterina.foreman@my-own-personal-domain.com"
                    }
                  ]
                },
                {
                  "linkId": "patient-contact-homeaddress",
                  "text": "Home address",
                  "item": [
                    {
                      "linkId": "patient-contact-homeaddress-details",
                      "text": "Home address",
                      "item": [
                        {
                          "linkId": "patient-contact-homeaddress-details-streetaddress",
                          "text": "Street address",
                          "answer": [
                            {
                              "valueString": "149 Farmer Cnr"
                            }
                          ]
                        },
                        {
                          "linkId": "patient-contact-homeaddress-details-city",
                          "text": "City",
                          "answer": [
                            {
                              "valueString": "Sunshine"
                            }
                          ]
                        },
                        {
                          "linkId": "patient-contact-homeaddress-details-state",
                          "text": "State",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1",
                                "code": "VIC",
                                "display": "Victoria"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "patient-contact-homeaddress-details-postcode",
                          "text": "Postcode",
                          "answer": [
                            {
                              "valueString": "3020"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId": "practitioner",
          "text": "Practitioner details",
          "item": [
            {
              "linkId": "practitioner-name",
              "text": "Name",
              "answer": [
                {
                  "id": "practitioner-name-calculatedExpression-F2BRILo92ml4xZ6O1o6HH",
                  "valueString": "Peter Primary"
                }
              ]
            },
            {
              "linkId": "practitioner-phone",
              "text": "Phone",
              "answer": [
                {
                  "id": "practitioner-phone-calculatedExpression-L59yX9cO6DYFpwoE04nY4",
                  "valueString": "(08) 7010 5556"
                }
              ]
            },
            {
              "linkId": "practitioner-email",
              "text": "Email",
              "answer": [
                {
                  "id": "practitioner-email-calculatedExpression-fy4tkkhIaG8QQMNcC99JL",
                  "valueString": "PPP@example.org"
                }
              ]
            },
            {
              "linkId": "practitioner-medicareprovidernumber",
              "text": "Medicare provider number",
              "answer": [
                {
                  "id": "practitioner-medicareprovidernumber-calculatedExpression-hb_z1zBKlCoth4P5mbZkJ",
                  "valueString": "2426621B"
                }
              ]
            }
          ]
        },
        {
          "linkId": "clinicaldetails",
          "text": "Clinical details",
          "item": [
            {
              "linkId": "clinicaldetails-problemsdiagnoses",
              "text": "Problems/Diagnoses",
              "item": [
                {
                  "linkId": "clinicaldetails-problemsdiagnoses-recordedproblems",
                  "text": "Recorded problems/diagnoses",
                  "item": [
                    {
                      "linkId": "clinicaldetails-problemsdiagnoses-recordedproblems-condition",
                      "text": "Condition",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://snomed.info/sct",
                            "code": "278860009",
                            "display": "Chronic lower back pain"
                          }
                        }
                      ]
                    },
                    {
                      "linkId": "clinicaldetails-problemsdiagnoses-recordedproblems-clinicalstatus",
                      "text": "Clinical status",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active",
                            "display": "Active"
                          }
                        }
                      ]
                    },
                    {
                      "linkId": "clinicaldetails-problemsdiagnoses-recordedproblems-onsetdate",
                      "text": "Onset date",
                      "answer": [
                        {
                          "valueDate": "2021-01-01"
                        }
                      ]
                    }
                  ]
                },
                {
                  "linkId": "clinicaldetails-problemsdiagnoses-recordedproblems",
                  "text": "Recorded problems/diagnoses",
                  "item": [
                    {
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                        {
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                      ]
                    },
                    {
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                          "linkId": "clinicaldetails-observations-substanceusegrid-alcoholstatus-newresultcomment",
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                          "answer": [
                            {
                              "valueString": "2 drinks, 2 days per week (on weekends"
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                    }
                  ]
                }
              ]
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          ]
        },
        {
          "linkId": "plan",
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          "item": [
            {
              "linkId": "plandetails-inprogress",
              "text": "Incomplete draft plan already exists?",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "plan-conditions",
              "text": "Conditions addressed",
              "item": [
                {
                  "linkId": "plan-conditions-condition",
                  "text": "Condition",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "443694000",
                        "display": "Type 2 diabetes mellitus uncontrolled"
                      }
                    }
                  ]
                },
                {
                  "linkId": "plan-conditions-onsetdate",
                  "text": "Onset date",
                  "answer": [
                    {
                      "valueDate": "2026-01-25"
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                }
              ]
            },
            {
              "linkId": "plan-conditions",
              "text": "Conditions addressed",
              "item": [
                {
                  "linkId": "plan-conditions-condition",
                  "text": "Condition",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "278860009",
                        "display": "Chronic lower back pain"
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                    }
                  ]
                },
                {
                  "linkId": "plan-conditions-onsetdate",
                  "text": "Onset date",
                  "answer": [
                    {
                      "valueDate": "2021-01-01"
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                }
              ]
            },
            {
              "linkId": "plan-conditions",
              "text": "Conditions addressed",
              "item": [
                {
                  "linkId": "plan-conditions-condition",
                  "text": "Condition",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "235595009",
                        "display": "Gastro-oesophageal reflux disease"
                      }
                    }
                  ]
                },
                {
                  "linkId": "plan-conditions-onsetdate",
                  "text": "Onset date",
                  "answer": [
                    {
                      "valueDate": "2013-08-01"
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                }
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            {
              "linkId": "plan-conditions",
              "text": "Conditions addressed",
              "item": [
                {
                  "linkId": "plan-conditions-condition",
                  "text": "Condition",
                  "answer": [
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                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "238131007",
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                },
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                  "linkId": "plan-conditions-onsetdate",
                  "text": "Onset date",
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                }
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            },
            {
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                      "id": "plan-goalstasks-problemneed-repeat-WUTBR95itEuICchXC1O5q",
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                    },
                    {
                      "id": "plan-goalstasks-problemneed-repeat-QQBgCwz6cWxNViIgZR2Uh",
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                        "code": "235595009",
                        "display": "Gastro-oesophageal reflux disease"
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                    {
                      "id": "plan-goalstasks-problemneed-repeat-ObUstinPvtEK7Jzk9Rmz3",
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                        "display": "Chronic lower back pain"
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                        "code": "238131007",
                        "display": "Overweight"
                      }
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-goalsetting",
                  "text": "Goal setting",
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                      "linkId": "plan-goalstasks-details-goalsetting-goals",
                      "text": "Goals",
                      "answer": [
                        {
                          "valueString": "5-10% weight loss (target weight 73.8-77.9kg) and decrease waist circumference (long term target <80cm)"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-goalsetting-initiator",
                      "text": "Initiator",
                      "answer": [
                        {
                          "valueString": "GP"
                        }
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                    },
                    {
                      "linkId": "plan-goalstasks-details-goalsetting-targetdate",
                      "text": "Target date",
                      "answer": [
                        {
                          "valueDate": "2027-02-24"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-goalsetting-status",
                      "text": "Status",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://hl7.org/fhir/goal-status",
                            "code": "active",
                            "display": "active"
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                      ]
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
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                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://snomed.info/sct",
                            "code": "183065007",
                            "display": "Low carbohydrate diet education"
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                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
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                        {
                          "valueString": "Caterina, dietitian"
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                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
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                          "valueDate": "2026-05-24"
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                    }
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                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
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                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueString": "Reduce ratio of carbohydrates in each meal - ¼ plate carbs, ¼ plate protein, ½ plate vegetables/salad"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
                      "answer": [
                        {
                          "valueString": "Caterina"
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                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
                      "answer": [
                        {
                          "valueDate": "2026-05-24"
                        }
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                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
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                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueString": "Substitute high GI for low GI carbohydrates where possible"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
                      "answer": [
                        {
                          "valueString": "Caterina"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
                      "answer": [
                        {
                          "valueDate": "2026-05-24"
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                      ]
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueString": "Physical activity guidance"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
                      "answer": [
                        {
                          "valueString": "Caterina, exercise physiologist"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
                      "answer": [
                        {
                          "valueDate": "2026-08-24"
                        }
                      ]
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueString": "Aim for 150 mins of aerobic activity per week"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
                      "answer": [
                        {
                          "valueString": "Caterina"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
                      "answer": [
                        {
                          "valueDate": "2026-08-24"
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                      ]
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
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                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueString": "2-3 sessions of resistance exercise per week"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
                      "answer": [
                        {
                          "valueString": "Caterina"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
                      "answer": [
                        {
                          "valueDate": "2026-08-24"
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                      ]
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-interventionsactions",
                  "text": "Interventions and actions",
                  "item": [
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                      "linkId": "plan-goalstasks-details-interventionsactions-interventionsactions",
                      "text": "Interventions/Actions",
                      "answer": [
                        {
                          "valueString": "Management of impulse control"
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                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-owner",
                      "text": "Owner",
                      "answer": [
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                          "valueString": "Caterina"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-duedate",
                      "text": "Due date",
                      "answer": [
                        {
                          "valueDate": "2026-08-24"
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-interventionsactions-comment",
                      "text": "Comment",
                      "answer": [
                        {
                          "valueString": "Manage impulsivity/desire to eat when not actually hungry. Consider psychology input in future."
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                      ]
                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-servicestreatments",
                  "text": "Services and treatments",
                  "item": [
                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-servicestreatments",
                      "text": "Required services and treatments",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://snomed.info/sct",
                            "code": "310090003",
                            "display": "Dietetics service"
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                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-activity",
                      "text": "Activity",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://snomed.info/sct",
                            "code": "103699006",
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                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-provider",
                      "text": "Provider",
                      "answer": [
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                          "valueString": "Dietitian"
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                    }
                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-servicestreatments",
                  "text": "Services and treatments",
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                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-servicestreatments",
                      "text": "Required services and treatments",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://snomed.info/sct",
                            "code": "310090003",
                            "display": "Dietetics service"
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                    },
                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-activity",
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                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://snomed.info/sct",
                            "code": "11816003",
                            "display": "Diet education"
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                    },
                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-provider",
                      "text": "Provider",
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                          "valueString": "Dietitian"
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                  ]
                },
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                  "linkId": "plan-goalstasks-details-servicestreatments",
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                    {
                      "linkId": "plan-goalstasks-details-servicestreatments-activity",
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                            "system": "http://snomed.info/sct",
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                }
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            },
            {
              "linkId": "plan-goalstasks",
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                  ]
                },
                {
                  "linkId": "plan-goalstasks-details-goalsetting",
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                      "linkId": "plan-goalstasks-details-goalsetting-goals",
                      "text": "Goals",
                      "answer": [
                        {
                          "valueString": "Comfortably wear dress purchased for niece’s wedding next year"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-goalsetting-initiator",
                      "text": "Initiator",
                      "answer": [
                        {
                          "valueString": "Caterina"
                        }
                      ]
                    },
                    {
                      "linkId": "plan-goalstasks-details-goalsetting-targetdate",
                      "text": "Target date",
                      "answer": [
                        {
                          "valueDate": "2027-02-24"
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                    },
                    {
                      "linkId": "plan-goalstasks-details-goalsetting-status",
                      "text": "Status",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://hl7.org/fhir/goal-status",
                            "code": "active",
                            "display": "active"
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                  ]
                }
              ]
            },
            {
              "linkId": "completion",
              "text": "Completion",
              "item": [
                {
                  "linkId": "completion-consentforsharing",
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                  "answer": [
                    {
                      "valueBoolean": true
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                  ]
                },
                {
                  "linkId": "completion-review",
                  "text": "Review",
                  "item": [
                    {
                      "linkId": "completion-review-appointmentstatus",
                      "text": "Appointment status",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://hl7.org/fhir/appointmentstatus",
                            "code": "proposed",
                            "display": "Proposed"
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                        }
                      ]
                    },
                    {
                      "linkId": "completion-review-date",
                      "text": "Date",
                      "answer": [
                        {
                          "valueDate": "2027-03-09"
                        }
                      ]
                    }
                  ]
                },
                {
                  "linkId": "completion-copyoffered",
                  "text": "Patient has been offered a copy of this plan",
                  "answer": [
                    {
                      "valueString": "Yes, copy provided"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}