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Narrative

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Source1

{
  "resourceType": "Goal",
  "id": "ma-ma-schema-1-Goal-14003",
  "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:Goal",
      "value": "14003"
    }
  ],
  "lifecycleStatus": "active",
  "achievementStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code": "in-progress",
        "display": "In Progress"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/goal-category",
          "code": "physiotherapy",
          "display": "Physiotherapy"
        }
      ]
    }
  ],
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code": "high-priority",
        "display": "High Priority"
      }
    ]
  },
  "description": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "135840009",
        "display": "Blood pressure control"
      }
    ],
    "text": "Achieve and maintain blood pressure below 130/80 mmHg"
  },
  "subject": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "startDate": "2023-12-18",
  "target": [
    {
      "measure": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8480-6",
            "display": "Systolic blood pressure"
          }
        ],
        "text": "Systolic BP"
      },
      "detailQuantity": {
        "value": 130,
        "comparator": "<",
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      },
      "dueDate": "2024-03-18"
    },
    {
      "measure": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8462-4",
            "display": "Diastolic blood pressure"
          }
        ],
        "text": "Diastolic BP"
      },
      "detailQuantity": {
        "value": 80,
        "comparator": "<",
        "unit": "mmHg",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
      },
      "dueDate": "2024-03-18"
    }
  ],
  "statusDate": "2023-12-18",
  "statusReason": "Patient actively working toward goal with medication and lifestyle modifications",
  "expressedBy": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "addresses": [
    {
      "reference": "Condition/ma-ma-schema-1-Condition-problem-list-3001",
      "type": "Condition",
      "display": "Essential Hypertension"
    }
  ],
  "note": [
    {
      "text": "Patient understands importance of blood pressure control. Motivated to achieve target through medication adherence and lifestyle changes including diet and exercise."
    }
  ],
  "outcomeCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "268910001",
          "display": "Patient's condition improved"
        }
      ]
    }
  ],
  "outcomeReference": [
    {
      "reference": "Observation/ma-ma-schema-1-Observation-vitals-bp-5001",
      "type": "Observation",
      "display": "Blood Pressure: 120/80 mmHg"
    }
  ]
}