{"resourceType":"Bundle","id":"7c9834ea-79c6-492a-b659-f3c6bc6e8fc3","type":"searchset","total":11,"link":[{"relation":"self","url":"https://spark.incendi.no/fhir/_snapshot?id=a5ab661e-9bbb-45da-88c0-47a28f366fd6&_offset=0"},{"relation":"first","url":"https://spark.incendi.no/fhir/_snapshot?id=a5ab661e-9bbb-45da-88c0-47a28f366fd6&_offset=0"},{"relation":"last","url":"https://spark.incendi.no/fhir/_snapshot?id=a5ab661e-9bbb-45da-88c0-47a28f366fd6&_offset=0"}],"entry":[{"fullUrl":"https://spark.incendi.no/fhir/CarePlan/example/_history/1","resource":{"resourceType":"CarePlan","id":"example","meta":{"versionId":"1","lastUpdated":"2023-12-05T15:41:12.864+00:00","security":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"HTEST","display":"test health data"}]},"text":{"status":"additional","div":"
A simple care plan to indicate a patient taking their weight once a day because of obesity.
\n\n Generated Narrative with Details\n
\n\n id: f001
\n\n contained: ,
\n\n identifier: CP2903 (OFFICIAL)
\n\n status: completed
\n\n intent: plan
\n\n subject: P. van de Heuvel
\n\n period: 26/06/2011 --> 27/06/2011
\n\n careTeam: id: careteam
\n\n addresses: ?????
\n\n goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); recovery surgery on heart of patient (Details ); Annotation: goal accomplished without complications
\n\n\n\n activity\n
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n Scheduled[x]\n \n\n Performer\n \n\n \n* \nServiceRequest \nOperation on heart (Details : {SNOMED CT code '64915003' = 'Operative procedure on heart', given as 'Operation on heart'}) \ncompleted \ntrue \n2011-06-27T09:30:10+01:00 \n\n P. Voigt\n \n
\n Generated Narrative with Details\n
\n\n id: f002
\n\n contained: ,
\n\n identifier: CP2934 (OFFICIAL)
\n\n status: completed
\n\n intent: plan
\n\n subject: P. van de Heuvel
\n\n period: 06/07/2011 --> 07/07/2013
\n\n careTeam: id: careteam
\n\n addresses: ?????
\n\n goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); succesful surgery on lung of patient (Details ); Annotation: goal accomplished with minor complications
\n\n\n\n activity\n
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n Scheduled[x]\n \n\n Performer\n \n\n \n* \nServiceRequest \nPartial lobectomy of lung (Details : {SNOMED CT code '359615001' = 'Partial lobectomy of lung', given as 'Partial lobectomy of lung'}) \ncompleted \ntrue \n2011-07-07T09:30:10+01:00 \n\n M.I.M. Versteegh\n \n
\n Generated Narrative with Details\n
\n\n id: f003
\n\n contained: ,
\n\n identifier: CP3953 (OFFICIAL)
\n\n status: completed
\n\n intent: plan
\n\n subject: P. van de Heuvel
\n\n period: 08/03/2013 9:00:10 AM --> 08/03/2013 9:30:10 AM
\n\n careTeam: id: careteam
\n\n addresses: ?????
\n\n goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); Retropharyngeal abscess removal (Details ); Annotation: goal accomplished without complications
\n\n\n\n activity\n
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n Scheduled[x]\n \n\n Performer\n \n\n \n* \nServiceRequest \nIncision of retropharyngeal abscess (Details : {SNOMED CT code '172960003' = 'Incision of retropharyngeal abscess', given as 'Incision of retropharyngeal abscess'}) \ncompleted \ntrue \n2011-06-27T09:30:10+01:00 \n\n E.M. van den broek\n \n
\n Generated Narrative with Details\n
\n\n id: f201
\n\n contained: ,
\n\n status: draft
\n\n intent: proposal
\n\n subject: Roel
\n\n period: 11/03/2013 --> 13/03/2013
\n\n careTeam: id: careteam
\n\n addresses: Roel's renal insufficiency
\n\n goal: id: goal; lifecycleStatus: completed; Achieved (Details : {http://terminology.hl7.org/CodeSystem/goal-achievement code 'achieved' = 'Achieved', given as 'Achieved'}); Re-established renal function with at least healthy nutrients. (Details )
\n\n\n\n activity\n
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n Scheduled[x]\n \n\n Product[x]\n \n\n DailyAmount\n \n\n \n* \nNutritionOrder \nPotassium supplementation (Details : {SNOMED CT code '284093001' = 'Potassium supplementation', given as 'Potassium supplementation'}) \ncompleted \nfalse \ndaily \n\n Potassium\n \n80 mmol (Details: SNOMED CT code 258718000 = 'millimole') \n
\n\n\n activity\n
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n \n* \nServiceRequest \nEchography of kidney (Details : {SNOMED CT code '306005' = 'Echography of kidney', given as 'Echography of kidney'}) \ncompleted \nfalse \n
\n Generated Narrative with Details\n
\n\n id: f202
\n\n contained: , , , , ,
\n\n status: active
\n\n intent: plan
\n\n subject: Roel
\n\n careTeam: id: careteam
\n\n addresses: Roel's head-neck tumor
\n\n goal: id: goal; lifecycleStatus: active; Elimination of the spenoid bone tumor (Details )
\n\n\n\n activity\n
\n\n outcomeReference: Roel's Chemotherapy
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n Product[x]\n \n\n \n* \nServiceRequest \nChemotherapy (Details : {SNOMED CT code '367336001' = 'Chemotherapy', given as 'Chemotherapy'}) \nin-progress \nfalse \nid: tpf; TPF (Details ) \n
\n Generated Narrative with Details\n
\n\n id: f203
\n\n contained: ,
\n\n status: completed
\n\n intent: plan
\n\n subject: Roel
\n\n period: 14/04/2013 --> 21/04/2013
\n\n careTeam: id: careteam
\n\n addresses: Roel's sepsis
\n\n goal: id: goal; lifecycleStatus: cancelled; Check whether further treatment of sepsis/pulmonary abcess is required (Details )
\n\n\n\n activity\n
\nDetails
\n\n
\n\n \n- \n\n Kind\n \n\n Code\n \n\n Status\n \n\n DoNotPerform\n \n\n \n* \nServiceRequest \nHigh resolution computed tomography of lungs (Details : {SNOMED CT code '241541005' = 'High resolution CT of lungs', given as 'High resolution computed tomography of lungs'}) \nnot-started \nfalse \n
Represents the flow of a patient within a practice. The plan is created when\n they arrive and represents the 'care' of the patient over the course of that encounter.\n They first see the nurse for basic observations (BP, pulse, temp) then the doctor for\n the consultation and finally the nurse again for a tetanus immunization. As the plan is\n updated (e.g. a new activity added), different versions of the plan exist, and workflow timings\n for reporting can be gained by examining the plan history. This example is the version after\n seeing the doctor, and waiting for the nurse.The plan can either be created 'ad hoc' and modified as\n the parient progresses, or start with a standard template (which can, of course, be altered to suit the patient.
\nPatient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future
\nStart Date | \nGoal | \nAction Steps | \nStatus | \nDate Last Updated | \nComments | \n
---|---|---|---|---|---|
10 Sep 2012 | \nEve will lose weight and reduce her GERDS symptoms by improving her diet | \nEve will review photos of high and low density foods and share with her parents | \nNew Goal | \n10 Sep 2012 | \n9/10/12 Eve eats one meal a day with her parents | \n
10 Sep 2012 | \nEve will lose weight and reduce her GERDS symptoms by improving her diet | \nEve will ask her dad to asist her to put the head of her bed on blocks | \nNew Goal | \n10 Sep 2012 | \n9/10/12 Eve will sleep in her bed more often than the couch | \n
10 Sep 2012 | \nEve will improve her GERDS symptoms | \nEve will reduce her intake of coffee and chocolate | \nIn Process | \n10 Sep 2012 | \n\n |
27 Aug 2012 | \nEve will increase her energy by being more active | \nEve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a week | \nIn Process | \n10 Sep 2012 | \n8/27/12 Eve would like to try for 5 days a week. 9/10/12 Eve is still walking the dogs. | \n
23 Jul 2012 | \nEve will increase her energy by being more active | \nEve will walk 3 blocks to her parents house twice a week | \nIn Process | \n10 Sep 2012 | \n8/13/12 Eve walked 4 times the last week. 9/10/12 Eve did not walk to her parents the last week, but has plans to start again | \n
23 Jul 2012 | \nEve will set up her medications and take as prescribed | \nEve will us a calendar to check off after medications are taken | \nIn Process | \n13 Aug 2012 | \n\n |
23 Jul 2012 | \nEve will restart her light treatments | \nEve will use her lights MWF after her shower for 3 minutes | \nIn Process | \n27 Aug 2012 | \n8/13/12 After restarting the vinegar soaks the psoriasis is improved and Eve plans to treat the remainder with light treatments. She plans to start this week. 8/27/12 Since her skin is improved Eve has not been using the light treatment as often, maybe once a week. She would like to increase to 3 times a week again | \n
10 Jul 2012 | \nEve will set up her medications and take as prescribed | \nEve will use a calendar of a chart to help her remember when to take her medications | \nIn Process | \n10 Sep 2012 | \n7/23/12 Eve created a chart as a reminer to take the medications that do not fit in her pill box | \n
23 Jul 2012 | \nEve will increase her energy by being more active | \nEve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon | \nOn-Hold | \n23 Aug 2012 | \n7/30/12 will be able to esume exercise. 8/13/12 Eve prefers to focus on walking at this time | \n
10 Jul 2012 | \nEve will set up her medications and take as prescribed | \nEve will match a printed medication worksheet with the medication bottles at home | \nCompleted | \n23 Jul 2012 | \n\n |
10 Jul 2012 | \nEve will set up her medications and take as prescribed | \nEve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed | \nCompleted | \n16 Jul 2012 | \n7/16/12 Eve now has some of her medications set up in pill packs by her pharmacist | \n
23 Jul 2012 | \nEve will increase her energy by being more active | \nEve will open \"The Firm\" DVD workout package and listen to it | \nDiscontinued | \n13 Aug 2012 | \n7/30/12 Eve will be able to resume exercise on 7/30/12. 8/13/12 -hold until \"less busy\" | \n
Care plan to address obesity. Goal is a target weight of 160 to 180 lbs. Activities include diet and exercise.
\nA maternity care plan (for a pregnant woman).
\nLMP is 1st Jan, 2013 (a great new years party!) The plan has activities to take prenatal vitamins, schedule first antenatal,\n and 'placeholders' for the second antenatal and delivery (there would be lots of others of course)
\nNote that where is a proposed 'status' element against each activity
\n