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Goal "cc-goal-betsy-exercise" Version "1"

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Exercise at least 30 minutes per day

{
  "resourceType" : "Goal",
  "id" : "cc-goal-betsy-exercise",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-03-22T21:35:41.405Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/Goal"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Exercise at least 30 minutes per day</div>"
  },
  "lifecycleStatus" : "active",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "in-progress",
        "display" : "In Progress"
      }
    ],
    "text" : "In Progress"
  },
  "description" : {
    "text" : "Exercise at least 30 minutes per day"
  },
  "subject" : {
    "reference" : "Patient/cc-pat-betsy"
  },
  "startDate" : "2017-12-07",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "226029000",
            "display" : "Exercises"
          }
        ],
        "text" : "Exercises"
      }
    }
  ],
  "expressedBy" : {
    "reference" : "Practitioner/cc-prac-carlson-john",
    "display" : "Dr. John Carlson, MD"
  },
  "addresses" : [
    {
      "reference" : "Condition/cc-cond-betsy-ckd",
      "display" : "Chronic kidney disease"
    },
    {
      "reference" : "Condition/cc-cond-betsy-diabetes",
      "display" : "Type 2 diabetes mellitus"
    }
  ]
}

Goal "cc-goal-betsy-lab-phos" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Phosphorus between 2.5 and 4.5 mg/dL

{
  "resourceType" : "Goal",
  "id" : "cc-goal-betsy-lab-phos",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-03-22T21:35:41.030Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/Goal"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Phosphorus between 2.5 and 4.5 mg/dL</div>"
  },
  "lifecycleStatus" : "active",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "in-progress",
        "display" : "In Progress"
      }
    ],
    "text" : "In Progress"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code" : "high-priority",
        "display" : "High Priority"
      }
    ],
    "text" : "high"
  },
  "description" : {
    "text" : "Phosphorus in blood"
  },
  "subject" : {
    "reference" : "Patient/cc-pat-betsy"
  },
  "startDate" : "2018-02-20",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "2777-1",
            "display" : "Phosphate [Mass/volume] in Serum or Plasma"
          }
        ],
        "text" : "Serum phosphorus"
      },
      "detailRange" : {
        "low" : {
          "value" : 2.5,
          "unit" : "mg/dL",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg/dL"
        },
        "high" : {
          "value" : 4.5,
          "unit" : "mg/dL",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg/dL"
        }
      }
    }
  ],
  "expressedBy" : {
    "reference" : "Practitioner/cc-prac-jones-vince",
    "display" : "Dr. Vince Jones, MD"
  },
  "addresses" : [
    {
      "reference" : "Condition/cc-cond-betsy-ckd"
    }
  ],
  "note" : [
    {
      "text" : "Normal working kidneys can remove extra phosphorus in your blood. When you have chronic kidney disease (CKD), your kidneys cannot remove phosphorus very well. High phosphorus levels can cause damage to your body. Extra phosphorus causes body changes that pull calcium out of your bones, making them weak. High phosphorus and calcium levels also lead to dangerous calcium deposits in blood vessels, lungs, eyes, and heart. Phosphorus and calcium control are very important for your overall health."
    },
    {
      "text" : "Source https://www.kidney.org/atoz/content/phosphorus"
    }
  ]
}

Goal "cc-goal-betsy-bp-diastolic" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Diastolic BP below 80

{
  "resourceType" : "Goal",
  "id" : "cc-goal-betsy-bp-diastolic",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-03-22T21:35:40.515Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/Goal"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Diastolic BP below 80</div>"
  },
  "lifecycleStatus" : "active",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "in-progress",
        "display" : "In Progress"
      }
    ],
    "text" : "In Progress"
  },
  "description" : {
    "text" : "Diastolic blood pressure"
  },
  "subject" : {
    "reference" : "Patient/cc-pat-betsy"
  },
  "startDate" : "2019-01-12",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8462-4",
            "display" : "Diastolic blood pressure"
          }
        ],
        "text" : "Diastolic blood pressure"
      },
      "detailQuantity" : {
        "value" : 80,
        "comparator" : "<",
        "unit" : "mmHg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      }
    }
  ],
  "expressedBy" : {
    "reference" : "Practitioner/cc-prac-carlson-john",
    "display" : "Dr. John Carlson, MD"
  },
  "addresses" : [
    {
      "reference" : "Condition/cc-cond-betsy-ckd",
      "display" : "Chronic kidney disease"
    }
  ]
}

Goal "cc-goal-betsy-bp-systolic" Version "1"

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Updated: by

Systolic BP below 140

{
  "resourceType" : "Goal",
  "id" : "cc-goal-betsy-bp-systolic",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-03-22T21:35:40.327Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/Goal"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Systolic BP below 140</div>"
  },
  "lifecycleStatus" : "active",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "in-progress",
        "display" : "In Progress"
      }
    ],
    "text" : "In Progress"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code" : "medium-priority",
        "display" : "Medium Priority"
      }
    ],
    "text" : "medium"
  },
  "description" : {
    "text" : "Systolic blood pressure"
  },
  "subject" : {
    "reference" : "Patient/cc-pat-betsy"
  },
  "startDate" : "2017-06-30",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8480-6",
            "display" : "Systolic blood pressure"
          }
        ],
        "text" : "Systolic blood pressure"
      },
      "detailQuantity" : {
        "value" : 140,
        "comparator" : "<",
        "unit" : "mmHg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      }
    }
  ],
  "expressedBy" : {
    "reference" : "Practitioner/cc-prac-carlson-john",
    "display" : "Dr. John Carlson, MD"
  },
  "addresses" : [
    {
      "reference" : "Condition/cc-cond-betsy-ckd",
      "display" : "Chronic kidney disease"
    }
  ]
}

Goal "cc-goal-betsy-a1c" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Stabilize Hemoglobin A1c

{
  "resourceType" : "Goal",
  "id" : "cc-goal-betsy-a1c",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-03-22T21:35:39.812Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/Goal"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Stabilize Hemoglobin A1c</div>"
  },
  "lifecycleStatus" : "active",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "in-progress",
        "display" : "In Progress"
      }
    ],
    "text" : "In Progress"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code" : "high-priority",
        "display" : "High Priority"
      }
    ],
    "text" : "high"
  },
  "description" : {
    "text" : "Stabilize Hemoglobin A1c"
  },
  "subject" : {
    "reference" : "Patient/cc-pat-betsy"
  },
  "startDate" : "2016-11-30",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "4548-4",
            "display" : "Hemoglobin A1c/Hemoglobin.total in Blood"
          }
        ],
        "text" : "Hemoglobin A1c total in Blood"
      },
      "detailQuantity" : {
        "value" : 7,
        "comparator" : "<",
        "unit" : "%",
        "system" : "http://unitsofmeasure.org/",
        "code" : "%"
      }
    }
  ],
  "expressedBy" : {
    "reference" : "Practitioner/cc-prac-carlson-john",
    "display" : "Dr. John Carlson, MD"
  },
  "addresses" : [
    {
      "reference" : "Condition/cc-cond-betsy-diabetes",
      "display" : "Type 2 diabetes mellitus"
    }
  ],
  "note" : [
    {
      "text" : "Regularly monitor A1C levels toward overall goal of 6.0."
    }
  ]
}

Goal "stop-smoking" Version "1"

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Updated: by

A simple care goal for a patient to stop smoking.


{
  "resourceType" : "Goal",
  "id" : "stop-smoking",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:22.031Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#9;&#9;&#9;<p> A simple care goal for a patient to stop smoking.</p>\n&#9;&#9;</div>"
  },
  "identifier" : [
    {
      "value" : "123"
    }
  ],
  "lifecycleStatus" : "completed",
  "achievementStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-achievement",
        "code" : "achieved",
        "display" : "Achieved"
      }
    ],
    "text" : "Achieved"
  },
  "description" : {
    "text" : "Stop smoking"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "startDate" : "2015-04-05",
  "outcomeCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "8517006",
          "display" : "Ex-smoker (finding)"
        }
      ],
      "text" : "Former smoker"
    }
  ]
}

Goal "example" Version "1"

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A simple care goal for a patient to lose weight due to obesity.


{
  "resourceType" : "Goal",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:21.984Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#9;&#9;&#9;<p> A simple care goal for a patient to lose weight due to obesity.</p>\n&#9;&#9;</div>"
  },
  "identifier" : [
    {
      "value" : "123"
    }
  ],
  "lifecycleStatus" : "on-hold",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/goal-category",
          "code" : "dietary"
        }
      ]
    }
  ],
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code" : "high-priority",
        "display" : "High Priority"
      }
    ],
    "text" : "high"
  },
  "description" : {
    "text" : "Target weight is 160 to 180 lbs."
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "startDate" : "2015-04-05",
  "target" : [
    {
      "measure" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "3141-9",
            "display" : "Weight Measured"
          }
        ]
      },
      "detailRange" : {
        "low" : {
          "value" : 160,
          "unit" : "lbs",
          "system" : "http://unitsofmeasure.org",
          "code" : "[lb_av]"
        },
        "high" : {
          "value" : 180,
          "unit" : "lbs",
          "system" : "http://unitsofmeasure.org",
          "code" : "[lb_av]"
        }
      },
      "dueDate" : "2016-04-05"
    }
  ],
  "statusDate" : "2016-02-14",
  "statusReason" : "Patient wants to defer weight loss until after honeymoon.",
  "expressedBy" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "addresses" : [
    {
      "display" : "obesity condition"
    }
  ],
  "outcomeReference" : [
    {
      "reference" : "Observation/example",
      "display" : "Body Weight Measured"
    }
  ]
}