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Narrative

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Source1

{
  "resourceType": "CarePlan",
  "id": "example-cvd-screening-plan",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Goal",
      "id": "goal-ldl-cvdp",
      "lifecycleStatus": "active",
      "description": {
        "text": "Target LDL Cholesterol < 1.8 mmol/L based on cardiovascular risk group."
      },
      "subject": {
        "reference": "Patient/patient-male-example"
      },
      "target": [
        {
          "measure": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "13457-7",
                "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"
              }
            ]
          },
          "detailQuantity": {
            "value": 1.8,
            "unit": "mmol/L",
            "system": "http://unitsofmeasure.org",
            "code": "mmol/L"
          },
          "dueDate": "2026-10-31"
        }
      ]
    },
    {
      "resourceType": "Goal",
      "id": "goal-bmi-cvdp",
      "lifecycleStatus": "active",
      "description": {
        "text": "Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9)."
      },
      "subject": {
        "reference": "Patient/patient-male-example"
      },
      "target": [
        {
          "measure": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "39156-5",
                "display": "Body mass index (BMI) [Ratio]"
              }
            ]
          },
          "detailQuantity": {
            "value": 22.5,
            "unit": "kg/m2",
            "system": "http://unitsofmeasure.org",
            "code": "kg/m2"
          }
        }
      ]
    },
    {
      "resourceType": "Goal",
      "id": "goal-bp-cvdp",
      "lifecycleStatus": "active",
      "description": {
        "text": "Target BP 120–129/<80 mmHg."
      },
      "subject": {
        "reference": "Patient/patient-male-example"
      },
      "target": [
        {
          "measure": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "85354-9",
                "display": "Blood pressure panel with all children optional"
              }
            ]
          }
        }
      ]
    }
  ],
  "status": "active",
  "intent": "plan",
  "subject": {
    "reference": "Patient/patient-male-example"
  },
  "created": "2025-10-31T10:00:00+02:00",
  "contributor": [
    {
      "reference": "PractitionerRole/practitioner-role-example",
      "display": "Dr. Petras Kazlauskas, Vilniaus miesto ligoninė"
    }
  ],
  "supportingInfo": [
    {
      "display": "Specialist's workstation: Cardiologist"
    },
    {
      "reference": "Observation/observation-risk-group-high-example",
      "display": "Cardiovascular disease risk assessment: 24% (High)"
    }
  ],
  "goal": [
    {
      "reference": "#goal-ldl-cvdp"
    },
    {
      "reference": "#goal-bmi-cvdp"
    },
    {
      "reference": "#goal-bp-cvdp"
    }
  ],
  "activity": [
    {
      "performedActivity": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "702388001",
                "display": "Tobacco use cessation education (procedure)"
              }
            ]
          }
        }
      ],
      "progress": [
        {
          "text": "Pharmacological and behavior change tools selected."
        }
      ]
    },
    {
      "performedActivity": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "370847001",
                "display": "Dietary needs education (procedure)"
              }
            ]
          }
        }
      ],
      "progress": [
        {
          "text": "Dietary recommendations: fruits and vegetables >200 g/day, 35–45 g of fiber (mainly from grains), moderate unsalted nuts (30 g/day), fish 1–2 servings per week (one fatty), limited lean meat, low-fat dairy, and vegetable oils. Saturated fats <10% of total fat intake (replace with polyunsaturated fats), trans fats <1% of total energy (avoid processed foods). Salt <5–6 g/day. Alcohol <100 g per week (<15 g/day). Avoid sugary soft drinks and high-energy foods."
        }
      ]
    },
    {
      "performedActivity": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "819961005",
                "display": "Physical activity guidance (procedure)"
              }
            ]
          }
        }
      ],
      "progress": [
        {
          "text": "30–60 minutes of moderate activity daily."
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Follow-up visit with cardiologist in 3 months."
    }
  ]
}