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CarePlan/example/_history/spark1 Modified: 9/29/2017 5:39:52 AM +00:00

A simple care plan to indicate a patient taking their weight once a day because of obesity. Some Notes:

CarePlan/f001/_history/spark2 Modified: 9/29/2017 5:39:52 AM +00:00

Generated Narrative with Details

id: f001

contained:

identifier: CP2903 (OFFICIAL)

subject: P. van de Heuvel

status: completed

period: 26/06/2011 --> 27/06/2011

modified: 27/06/2011 9:30:10 AM

addresses: ?????

Participants

- Member
* P. Voigt

goal: id: goal; P. van de Heuvel; description: recovery surgery on heart of patient; status: achieved; Annotation: goal accomplished without complications

activity

Details

- Category Code Status Prohibited Scheduled[x] Performer
* Procedure (Details : {http://hl7.org/fhir/care-plan-activity-category code 'procedure' = 'Procedure) Operation on heart (Details : {SNOMED CT code '64915003' = '64915003', given as 'Operation on heart'}) completed true 2011-06-27T09:30:10+01:00 P. Voigt
CarePlan/f002/_history/spark3 Modified: 9/29/2017 5:39:52 AM +00:00

Generated Narrative with Details

id: f002

contained:

identifier: CP2934 (OFFICIAL)

subject: P. van de Heuvel

status: completed

period: 06/07/2011 --> 07/07/2013

modified: 07/07/2011 9:30:10 AM

addresses: ?????

Participants

- Member
* M.I.M. Versteegh

goal: id: goal; P. van de Heuvel; description: succesful surgery on lung of patient; status: achieved; Annotation: goal accomplished with minor complications

activity

Details

- Category Code Status Prohibited Scheduled[x] Performer
* Procedure (Details : {http://hl7.org/fhir/care-plan-activity-category code 'procedure' = 'Procedure) Partial lobectomy of lung (Details : {SNOMED CT code '359615001' = '359615001', given as 'Partial lobectomy of lung'}) completed true 2011-07-07T09:30:10+01:00 M.I.M. Versteegh
CarePlan/f003/_history/spark4 Modified: 9/29/2017 5:39:52 AM +00:00

Generated Narrative with Details

id: f003

contained:

identifier: CP3953 (OFFICIAL)

subject: P. van de Heuvel

status: completed

period: 08/03/2013 9:00:10 AM --> 08/03/2013 9:30:10 AM

modified: 27/06/2013 9:30:10 AM

addresses: ?????

Participants

- Member
* E.M. van den broek

goal: id: goal; P. van de Heuvel; description: Retropharyngeal abscess removal; status: achieved; Annotation: goal accomplished without complications

activity

Details

- Category Code Status Prohibited Scheduled[x] Performer
* Procedure (Details : {http://hl7.org/fhir/care-plan-activity-category code 'procedure' = 'Procedure) Incision of retropharyngeal abscess (Details : {SNOMED CT code '172960003' = '172960003', given as 'Incision of retropharyngeal abscess'}) completed true 2011-06-27T09:30:10+01:00 E.M. van den broek
CarePlan/f201/_history/spark5 Modified: 9/29/2017 5:39:52 AM +00:00

Generated Narrative with Details

id: f201

contained:

subject: Roel

status: draft

period: 11/03/2013 --> 13/03/2013

modified: 11/03/2013

addresses: Roel's renal insufficiency

participant

role: Review of care plan (Details : {SNOMED CT code '425268008' = '425268008', given as 'Review of care plan'})

member: Dokter Bronsig

participant

role: Carer (Details : {SNOMED CT code '229774002' = '229774002', given as 'Carer'})

member: Nurse Carla Espinosa

goal: id: goal; Roel; description: Re-established renal function with at least healthy nutrients.; status: achieved

activity

Details

- Category Code Status Prohibited Scheduled[x] Product[x] DailyAmount
* Diet (Details : {http://hl7.org/fhir/care-plan-activity-category code 'diet' = 'Diet) Potassium supplementation (Details : {SNOMED CT code '284093001' = '284093001', given as 'Potassium supplementation'}) completed false daily Potassium 80 mmol (Details: SNOMED CT code 258718000 = '258718000')

activity

Details

- Category Code Status Prohibited
* Observation (Details : {http://hl7.org/fhir/care-plan-activity-category code 'observation' = 'Observation) Echography of kidney (Details : {SNOMED CT code '306005' = '306005', given as 'Echography of kidney'}) completed false
CarePlan/f202/_history/spark6 Modified: 9/29/2017 5:39:52 AM +00:00

Generated Narrative with Details

id: f202

contained: , , , ,

subject: Roel

status: active

addresses: Roel's head-neck tumor

Participants

- Role Member
* Treated with (Details : {SNOMED CT code '28995006' = '28995006', given as 'Treated with'}) Dokter Bronsig

goal: id: goal; Roel; description: Elimination of the spenoid bone tumor; status: in-progress

activity

actionResulting: Roel's Chemotherapy

Details

- Category Code Status Prohibited Product[x]
* Procedure (Details : {http://hl7.org/fhir/care-plan-activity-category code 'procedure' = 'Procedure) Chemotherapy (Details : {SNOMED CT code '367336001' = '367336001', given as 'Chemotherapy'}) in-progress false id: tpf; TPF (Details )
CarePlan/f203/_history/spark7 Modified: 9/29/2017 5:39:52 AM +00:00

Generated Narrative with Details

id: f203

contained:

subject: Roel

status: completed

period: 14/04/2013 --> 21/04/2013

modified: 11/03/2013

addresses: Roel's sepsis

participant

role: Review of care plan (Details : {SNOMED CT code '425268008' = '425268008', given as 'Review of care plan'})

member: Dokter Bronsig

participant

role: Radiographic imaging (Details : {SNOMED CT code '278110001' = '278110001', given as 'Radiographic imaging'})

member: Luigi Maas

goal: id: goal; Roel; description: Check whether further treatment of sepsis/pulmonary abcess is required; status: cancelled

activity

Details

- Category Code Status Prohibited
* Observation (Details : {http://hl7.org/fhir/care-plan-activity-category code 'observation' = 'Observation) High resolution computed tomography of lungs (Details : {SNOMED CT code '241541005' = '241541005', given as 'High resolution computed tomography of lungs'}) not-started false
CarePlan/gpvisit/_history/spark8 Modified: 9/29/2017 5:39:52 AM +00:00

Represents the flow of a patient within a practice. The plan is created when they arrive and represents the 'care' of the patient over the course of that encounter. They first see the nurse for basic observations (BP, pulse, temp) then the doctor for the consultation and finally the nurse again for a tetanus immunization. As the plan is updated (e.g. a new activity added), different versions of the plan exist, and workflow timings for reporting can be gained by examining the plan history. This example is the version after seeing the doctor, and waiting for the nurse.The plan can either be created 'ad hoc' and modified as the parient progresses, or start with a standard template (which can, of course, be altered to suit the patient.

CarePlan/integrate/_history/spark9 Modified: 9/29/2017 5:39:52 AM +00:00

Patient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future

Start Date Goal Action Steps Status Date Last Updated Comments
10 Sep 2012 Eve will lose weight and reduce her GERDS symptoms by improving her diet Eve will review photos of high and low density foods and share with her parents New Goal 10 Sep 2012 9/10/12 Eve eats one meal a day with her parents
10 Sep 2012 Eve will lose weight and reduce her GERDS symptoms by improving her diet Eve will ask her dad to asist her to put the head of her bed on blocks New Goal 10 Sep 2012 9/10/12 Eve will sleep in her bed more often than the couch
10 Sep 2012 Eve will improve her GERDS symptoms Eve will reduce her intake of coffee and chocolate In Process 10 Sep 2012
27 Aug 2012 Eve will increase her energy by being more active Eve will walk her friend's dog up and down a big hill 15-30 minutes 3 days a week In Process 10 Sep 2012 8/27/12 Eve would like to try for 5 days a week. 9/10/12 Eve is still walking the dogs.
23 Jul 2012 Eve will increase her energy by being more active Eve will walk 3 blocks to her parents house twice a week In Process 10 Sep 2012 8/13/12 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
23 Jul 2012 Eve will set up her medications and take as prescribed Eve will us a calendar to check off after medications are taken In Process 13 Aug 2012
23 Jul 2012 Eve will restart her light treatments Eve will use her lights MWF after her shower for 3 minutes In Process 27 Aug 2012 8/13/12 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
10 Jul 2012 Eve will set up her medications and take as prescribed Eve will use a calendar of a chart to help her remember when to take her medications In Process 10 Sep 2012 7/23/12 Eve created a chart as a reminer to take the medications that do not fit in her pill box
23 Jul 2012 Eve will increase her energy by being more active Eve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon On-Hold 23 Aug 2012 7/30/12 will be able to esume exercise. 8/13/12 Eve prefers to focus on walking at this time
10 Jul 2012 Eve will set up her medications and take as prescribed Eve will match a printed medication worksheet with the medication bottles at home Completed 23 Jul 2012
10 Jul 2012 Eve will set up her medications and take as prescribed Eve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed Completed 16 Jul 2012 7/16/12 Eve now has some of her medications set up in pill packs by her pharmacist
23 Jul 2012 Eve will increase her energy by being more active Eve will open "The Firm" DVD workout package and listen to it Discontinued 13 Aug 2012 7/30/12 Eve will be able to resume exercise on 7/30/12. 8/13/12 -hold until "less busy"
CarePlan/preg/_history/spark10 Modified: 9/29/2017 5:39:52 AM +00:00

A maternity care plan (for a pregnant woman).

LMP is 1st Jan, 2013 (a greaat new years party!) The plan has a scheduled first antenatal, and 'placeholders' for the second antenatal and delivery (there would be lots of others of course)

Note that where is a proposed 'status' element against each activity