{
  "resourceType" : "CarePlan",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan RPMCardiacRehabCarePlanExample</b></p><a name=\"RPMCardiacRehabCarePlanExample\"> </a><a name=\"hcRPMCardiacRehabCarePlanExample\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-RPMCardiacRehabCarePlanTemplate.html\">Template for Remote Monitoring Cardiac Rehab Care Plan</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Plan</p><p><b>subject</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZZZ1234\u00a0(use:\u00a0official,\u00a0)</p><p><b>encounter</b>: <a href=\"Encounter/0eacc1fa-5669-4b77-98e7-d1b9f2d87c01\">Encounter/0eacc1fa-5669-4b77-98e7-d1b9f2d87c01</a></p><p><b>created</b>: 2025-08-20</p><p><b>author</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-hpiProvider.html\" title=\"HPI providers\">HPIProvider</a>/ZZZ6789\u00a0(use:\u00a0official,\u00a0)</p><p><b>goal</b>: <a href=\"#hcRPMCardiacRehabCarePlanExample/goal0\">Goal: lifecycleStatus = proposed; category = ; priority = Medium Priority; description = ; start[x] = ; statusDate = 2022-12-14</a></p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Goal #goal0</b></p><a name=\"RPMCardiacRehabCarePlanExample/goal0\"> </a><a name=\"hcRPMCardiacRehabCarePlanExample/goal0\"> </a><p><b>lifecycleStatus</b>: Proposed</p><p><b>category</b>: <span title=\"Codes:\">Full Recovery</span></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/goal-priority medium-priority}\">Medium Priority</span></p><p><b>description</b>: <span title=\"Codes:\">Activities in the Self Serve COVID-19 Care Plan are intended to monitor progress of a patient who self isolates and self serves as they recover from a COVID-19 infection, to ensure they receive the appropriate level of care throughout (physical, financial, mental, social, family, spiritual).</span></p><p><b>subject</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZXP7823\u00a0(use:\u00a0official,\u00a0)</p><p><b>start</b>: <span title=\"Codes:\">Exposure to coronavirus infection (event)</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td><td><b>Due[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 20564-1}\">Oxygen Saturation</span></td><td>99 percent<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></td><td>No display for Duration  (value: 5; unit: days; system: http://unitsofmeasure.org; code: d)</td></tr></table><p><b>statusDate</b>: 2022-12-14</p><p><b>expressedBy</b>: Identifier: <a href=\"http://fhir.org.nz/ig/base/NamingSystem-nhi.html\" title=\"NHI number\">NHI</a>/ZXP7823\u00a0(use:\u00a0official,\u00a0)</p></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Goal",
    "id" : "goal0",
    "lifecycleStatus" : "proposed",
    "category" : [{
      "text" : "Full Recovery"
    }],
    "priority" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
        "code" : "medium-priority",
        "display" : "Medium Priority"
      }],
      "text" : "Medium Priority"
    },
    "description" : {
      "text" : "Activities in the Self Serve COVID-19 Care Plan are intended to monitor progress of a patient who self isolates and self serves as they recover from a COVID-19 infection, to ensure they receive the appropriate level of care throughout (physical, financial, mental, social, family, spiritual)."
    },
    "subject" : {
      "type" : "Patient",
      "identifier" : {
        "use" : "official",
        "system" : "https://standards.digital.health.nz/ns/nhi-id",
        "value" : "ZXP7823"
      }
    },
    "startCodeableConcept" : {
      "text" : "Exposure to coronavirus infection (event)"
    },
    "target" : [{
      "measure" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "20564-1",
          "display" : "Oxygen saturation in Blood"
        }],
        "text" : "Oxygen Saturation"
      },
      "detailQuantity" : {
        "value" : 99,
        "unit" : "percent",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      },
      "dueDuration" : {
        "value" : 5,
        "unit" : "days",
        "system" : "http://unitsofmeasure.org",
        "code" : "d"
      }
    }],
    "statusDate" : "2022-12-14",
    "expressedBy" : {
      "type" : "Patient",
      "identifier" : {
        "use" : "official",
        "system" : "https://standards.digital.health.nz/ns/nhi-id",
        "value" : "ZXP7823"
      }
    }
  }],
  "instantiatesCanonical" : ["https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/PlanDefinition/RPMCardiacRehabCarePlanTemplate"],
  "status" : "draft",
  "intent" : "plan",
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/nhi-id",
      "value" : "ZZZ1234"
    }
  },
  "encounter" : {
    "reference" : "Encounter/0eacc1fa-5669-4b77-98e7-d1b9f2d87c01"
  },
  "created" : "2025-08-20",
  "author" : {
    "identifier" : {
      "use" : "official",
      "system" : "https://standards.digital.health.nz/ns/hpi-person-id",
      "value" : "ZZZ6789"
    }
  },
  "goal" : [{
    "reference" : "#goal0"
  }]
}