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Source1

{
  "resourceType": "CarePlan",
  "id": "ma-ma-schema-1-CarePlan-14001",
  "meta": {
    "lastUpdated": "2023-12-18T23:07:47Z",
    "source": "urn:telus:emr:ma:ma-schema-1",
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:ma:ma-schema-1:CarePlan",
      "value": "14001"
    }
  ],
  "status": "active",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code": "assess-plan",
          "display": "Assessment and Plan of Treatment"
        }
      ]
    }
  ],
  "title": "Hypertension Management Care Plan",
  "description": "Comprehensive care plan for managing essential hypertension including lifestyle modifications, medication management, and regular monitoring.",
  "subject": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "encounter": {
    "reference": "Encounter/ma-ma-schema-1-Encounter-2001",
    "type": "Encounter"
  },
  "period": {
    "start": "2023-12-18",
    "end": "2024-12-18"
  },
  "created": "2023-12-18T10:40:00Z",
  "author": {
    "reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
    "type": "Practitioner",
    "display": "Dr. Sarah Johnson"
  },
  "careTeam": [
    {
      "reference": "CareTeam/ma-ma-schema-1-CareTeam-14002",
      "type": "CareTeam"
    }
  ],
  "addresses": [
    {
      "reference": "Condition/ma-ma-schema-1-Condition-problem-list-3001",
      "type": "Condition",
      "display": "Essential Hypertension"
    }
  ],
  "supportingInfo": [
    {
      "reference": "Observation/ma-ma-schema-1-Observation-vitals-bp-5001",
      "type": "Observation",
      "display": "Blood Pressure Reading"
    }
  ],
  "goal": [
    {
      "reference": "Goal/ma-ma-schema-1-Goal-14003",
      "type": "Goal"
    }
  ],
  "activity": [
    {
      "outcomeReference": [
        {
          "reference": "MedicationRequest/ma-ma-schema-1-MedicationRequest-8002",
          "type": "MedicationRequest"
        }
      ],
      "detail": {
        "kind": "MedicationRequest",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "182904002",
              "display": "Drug therapy"
            }
          ],
          "text": "Medication Therapy"
        },
        "status": "in-progress",
        "performer": [
          {
            "reference": "Patient/ma-ma-schema-1-Patient-12345",
            "type": "Patient",
            "display": "John Michael Smith"
          }
        ],
        "description": "Continue Amlodipine 5mg once daily for blood pressure control"
      }
    },
    {
      "detail": {
        "kind": "Task",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "386463000",
              "display": "Prescribed activity/exercise education"
            }
          ],
          "text": "Lifestyle Modifications"
        },
        "status": "in-progress",
        "scheduledTiming": {
          "repeat": {
            "frequency": 5,
            "period": 1,
            "periodUnit": "wk"
          }
        },
        "description": "Maintain low-sodium diet (less than 2000mg/day), regular aerobic exercise 30 minutes 5 days per week, maintain healthy weight"
      }
    },
    {
      "detail": {
        "kind": "Task",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "413153004",
              "display": "Blood pressure monitoring"
            }
          ],
          "text": "Home Blood Pressure Monitoring"
        },
        "status": "in-progress",
        "scheduledTiming": {
          "repeat": {
            "frequency": 2,
            "period": 1,
            "periodUnit": "d"
          }
        },
        "description": "Monitor blood pressure at home twice daily (morning and evening). Record readings in log. Bring to follow-up appointments."
      }
    },
    {
      "outcomeReference": [
        {
          "reference": "Appointment/ma-ma-schema-1-Appointment-10001",
          "type": "Appointment"
        }
      ],
      "detail": {
        "kind": "Appointment",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "390906007",
              "display": "Follow-up encounter"
            }
          ],
          "text": "Follow-up Visit"
        },
        "status": "scheduled",
        "scheduledPeriod": {
          "start": "2024-03-18T10:00:00Z",
          "end": "2024-03-18T10:30:00Z"
        },
        "performer": [
          {
            "reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
            "type": "Practitioner",
            "display": "Dr. Sarah Johnson"
          }
        ],
        "description": "Three-month follow-up appointment to assess blood pressure control and medication effectiveness"
      }
    }
  ],
  "note": [
    {
      "text": "Patient motivated and engaged in care. Good understanding of hypertension management. Continue current approach with regular monitoring."
    }
  ]
}