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Packagehl7.fhir.us.mcc.r4b
Resource TypeCarePlan
IdCarePlan-MCCCarePlan.json
FHIR VersionR4B

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Narrative

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

Generated Narrative: CarePlan

Resource CarePlan "MCCCarePlan" Version "5" Updated "2022-11-16 23:03:27+0000"

Information Source: #lh8xM5mIbbHVNz84!

Profile: Multiple Chronic Care Condition Care Plan

status: active

intent: plan

category: Care Plan (SNOMED CT#734163000; US Core CarePlan Category Extension Codes#assess-plan)

subject: Patient/cc-pat-pnoelle: Patricia Noelle " NOELLE"

period: 2018-05-01 --> (ongoing)

created: 2019-01-01

author: PractitionerRole/PractitionerRoleMCC2: Nancy Nurse RN

contributor:

careTeam: CareTeam/MCCCareTeamexample: Longitudinal care-coordination focused care team "US-Core MCC example CareTeam"

addresses: Condition/ConditionCKD: Chronic Kidney Disease

supportingInfo:

goal: Goal/WGT-loss: Lose weight, decrease chronic pain with less use of pain medication and improved lab results

activity

outcomeReference: Procedure/Dialysis: Dialysis

progress: Patricia Noelle is measuring her weight daily ( @2019-01-10)

reference: http://example.org/Task/123: Patricia Noelle or cargiver to perform daily weights

activity

outcomeReference:

progress: Patricia Noelle Completed prep for an AV Shunt. She needs the shunt due to the need for diayalis related to the goal to improve her health related to CKD ( @2019-01-10)

reference: http://example.org/Appointment/AVShunt: PreOp Encounter Request For Creation of external arteriovenous shunt (procedure). Relates to overall health improvement goal and encounter requestActivity


Source1

{
  "resourceType": "CarePlan",
  "id": "MCCCarePlan",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "Multiple Chronic Condition Care Plan Example"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "This is an example for the *MCC CarePlan Profile*."
      }
    ],
    "versionId": "5",
    "lastUpdated": "2022-11-16T23:03:27.124+00:00",
    "source": "#lh8xM5mIbbHVNz84",
    "profile": [
      "http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "734163000",
          "display": "Care Plan"
        },
        {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code": "assess-plan"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/cc-pat-pnoelle",
    "display": "Patricia Noelle"
  },
  "period": {
    "start": "2018-05-01"
  },
  "created": "2019-01-01",
  "author": {
    "reference": "PractitionerRole/PractitionerRoleMCC2",
    "display": "Nancy Nurse RN"
  },
  "contributor": [
    {
      "reference": "PractitionerRole/PractitionerRoleMCC1",
      "display": "Henry Levin VII MD Nephrologist"
    },
    {
      "reference": "PractitionerRole/PractitionerRoleMCC2",
      "display": "Nancy Nurse RN"
    },
    {
      "reference": "PractitionerRole/PractitionerRoleMCC3",
      "display": "Peter Primary MD Primary Provider"
    }
  ],
  "careTeam": [
    {
      "reference": "CareTeam/MCCCareTeamexample",
      "display": "Longitudinal care-coordination focused care team"
    }
  ],
  "addresses": [
    {
      "reference": "Condition/ConditionCKD",
      "display": "Chronic Kidney Disease"
    }
  ],
  "supportingInfo": [
    {
      "reference": "Procedure/Dialysis",
      "display": "Chronic Pain"
    },
    {
      "reference": "Observation/bunMCC",
      "display": "BUN 24 mL/min/{1.73_m2}"
    }
  ],
  "goal": [
    {
      "reference": "Goal/WGT-loss",
      "display": "Lose weight, decrease chronic pain with less use of pain medication and improved lab results"
    }
  ],
  "activity": [
    {
      "outcomeReference": [
        {
          "reference": "Procedure/Dialysis",
          "display": "Dialysis"
        }
      ],
      "progress": [
        {
          "time": "2019-01-10",
          "text": "Patricia Noelle is measuring her weight daily"
        }
      ],
      "reference": {
        "reference": "http://example.org/Task/123",
        "display": "Patricia Noelle or cargiver to perform daily weights"
      }
    },
    {
      "outcomeReference": [
        {
          "reference": "http://example.org/Encounter/123",
          "display": "PreOp Encounter For Creation of external arteriovenous shunt (procedure)"
        },
        {
          "reference": "http://example.org/Procedure/upperlimbveinUS",
          "display": "Fluoroscopic venography of bilateral upper limbs Performed. Results: Normal"
        }
      ],
      "progress": [
        {
          "time": "2019-01-10",
          "text": "Patricia Noelle Completed prep for an AV Shunt. She needs the shunt due to the need for diayalis related to the goal to improve her health related to CKD"
        }
      ],
      "reference": {
        "reference": "http://example.org/Appointment/AVShunt",
        "display": "PreOp Encounter Request For Creation of external arteriovenous shunt (procedure). Relates to overall health improvement goal and encounter requestActivity"
      }
    }
  ]
}