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{"resourceType":"CarePlan","id":"integrate","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n \u003cp\u003ePatient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future\u003c/p\u003e\n \u003ctable\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth\u003eStart Date\u003c/th\u003e\n \u003cth\u003eGoal\u003c/th\u003e\n \u003cth\u003eAction Steps\u003c/th\u003e\n \u003cth\u003eStatus\u003c/th\u003e\n \u003cth\u003eDate Last Updated\u003c/th\u003e\n \u003cth\u003eComments\u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003eEve will lose weight and reduce her GERDS symptoms by improving her diet\u003c/td\u003e\n \u003ctd\u003eEve will review photos of high and low density foods and share with her parents\u003c/td\u003e\n \u003ctd\u003eNew Goal\u003c/td\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003e9/10/12 Eve eats one meal a day with her parents\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003eEve will lose weight and reduce her GERDS symptoms by improving her diet\u003c/td\u003e\n \u003ctd\u003eEve will ask her dad to asist her to put the head of her bed on blocks\u003c/td\u003e\n \u003ctd\u003eNew Goal\u003c/td\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003e9/10/12 Eve will sleep in her bed more often than the couch\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003eEve will improve her GERDS symptoms\u003c/td\u003e\n \u003ctd\u003eEve will reduce her intake of coffee and chocolate\u003c/td\u003e\n \u003ctd\u003eIn Process\u003c/td\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd/\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e27 Aug 2012\u003c/td\u003e\n \u003ctd\u003eEve will increase her energy by being more active\u003c/td\u003e\n \u003ctd\u003eEve will walk her friend\u0027s dog up and down a big hill 15-30 minutes 3 days a week\u003c/td\u003e\n \u003ctd\u003eIn Process\u003c/td\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003e8/27/12 Eve would like to try for 5 days a week. 9/10/12 Eve is still walking the dogs.\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e23 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will increase her energy by being more active\u003c/td\u003e\n \u003ctd\u003eEve will walk 3 blocks to her parents house twice a week\u003c/td\u003e\n \u003ctd\u003eIn Process\u003c/td\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003e8/13/12 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\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e23 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will set up her medications and take as prescribed\u003c/td\u003e\n \u003ctd\u003eEve will us a calendar to check off after medications are taken\u003c/td\u003e\n \u003ctd\u003eIn Process\u003c/td\u003e\n \u003ctd\u003e13 Aug 2012\u003c/td\u003e\n \u003ctd/\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e23 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will restart her light treatments\u003c/td\u003e\n \u003ctd\u003eEve will use her lights MWF after her shower for 3 minutes\u003c/td\u003e\n \u003ctd\u003eIn Process\u003c/td\u003e\n \u003ctd\u003e27 Aug 2012\u003c/td\u003e\n \u003ctd\u003e8/13/12 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\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e10 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will set up her medications and take as prescribed\u003c/td\u003e\n \u003ctd\u003eEve will use a calendar of a chart to help her remember when to take her medications\u003c/td\u003e\n \u003ctd\u003eIn Process\u003c/td\u003e\n \u003ctd\u003e10 Sep 2012\u003c/td\u003e\n \u003ctd\u003e7/23/12 Eve created a chart as a reminer to take the medications that do not fit in her pill box\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e23 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will increase her energy by being more active\u003c/td\u003e\n \u003ctd\u003eEve will start using stretch bands and one step 2 days a week Mon/Wed 6-7am and maybe Friday afternoon\u003c/td\u003e\n \u003ctd\u003eOn-Hold\u003c/td\u003e\n \u003ctd\u003e23 Aug 2012\u003c/td\u003e\n \u003ctd\u003e7/30/12 will be able to esume exercise. 8/13/12 Eve prefers to focus on walking at this time\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e10 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will set up her medications and take as prescribed\u003c/td\u003e\n \u003ctd\u003eEve will match a printed medication worksheet with the medication bottles at home\u003c/td\u003e\n \u003ctd\u003eCompleted\u003c/td\u003e\n \u003ctd\u003e23 Jul 2012\u003c/td\u003e\n \u003ctd/\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e10 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will set up her medications and take as prescribed\u003c/td\u003e\n \u003ctd\u003eEve will get a medication box to sort her pills. She will have one for scheduled medications and one for as needed\u003c/td\u003e\n \u003ctd\u003eCompleted\u003c/td\u003e\n \u003ctd\u003e16 Jul 2012\u003c/td\u003e\n \u003ctd\u003e7/16/12 Eve now has some of her medications set up in pill packs by her pharmacist\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd\u003e23 Jul 2012\u003c/td\u003e\n \u003ctd\u003eEve will increase her energy by being more active\u003c/td\u003e\n \u003ctd\u003eEve will open \u0026quot;The Firm\u0026quot; DVD workout package and listen to it\u003c/td\u003e\n \u003ctd\u003eDiscontinued\u003c/td\u003e\n \u003ctd\u003e13 Aug 2012\u003c/td\u003e\n \u003ctd\u003e7/30/12 Eve will be able to resume exercise on 7/30/12. 8/13/12 -hold until \u0026quot;less busy\u0026quot;\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e"},"contained":[{"resourceType":"Condition","id":"p1","clinicalStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"active"}]},"verificationStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-ver-status","code":"confirmed"}]},"code":{"text":"GERDS"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Condition","id":"p2","clinicalStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"active"}]},"verificationStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-ver-status","code":"confirmed"}]},"code":{"text":"Obesity"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Condition","id":"p3","clinicalStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"active"}]},"verificationStatus":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-ver-status","code":"confirmed"}]},"code":{"text":"Psoriasis"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Goal","id":"g1","lifecycleStatus":"active","description":{"text":"Eve will lose weight and reduce her GERDS symptoms by improving her diet"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Goal","id":"g2","lifecycleStatus":"active","description":{"text":"Eve will improve her GERDS symptoms"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Goal","id":"g3","lifecycleStatus":"active","description":{"text":"Eve will increase her energy by being more active"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Goal","id":"g4","lifecycleStatus":"active","description":{"text":"Eve will set up her medications and take as prescribed"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}},{"resourceType":"Goal","id":"g5","lifecycleStatus":"active","description":{"text":"Eve will restart her light treatments"},"subject":{"reference":"Patient/1","display":"Eve Everywoman"}}],"status":"active","intent":"plan","subject":{"reference":"Patient/1","display":"Eve Everywoman"},"addresses":[{"reference":{"reference":"#p1","display":"GERDS"}},{"reference":{"reference":"#p2","display":"Obesity"}},{"reference":{"reference":"#p3","display":"Psoriasis"}}],"goal":[{"reference":"#g1"},{"reference":"#g2"},{"reference":"#g3"},{"reference":"#g4"},{"reference":"#g5"}],"activity":[{"progress":[{"time":"2012-09-10","text":"Eve eats one meal a day with her parents"}],"plannedActivityReference":{"reference":"ServiceRequest/activity-1"}},{"plannedActivityReference":{"reference":"ServiceRequest/activity-2"}},{"plannedActivityReference":{"reference":"NutritionOrder/activity-3"}},{"progress":[{"time":"2012-08-27","text":"Eve would like to try for 5 days a week."},{"time":"2012-09-10","text":"Eve is still walking the dogs."}],"plannedActivityReference":{"reference":"ServiceRequest/activity-4"}},{"progress":[{"time":"2012-08-13","text":"Eve walked 4 times the last week."},{"time":"2012-09-10","text":"Eve did not walk to her parents the last week, but has plans to start again"}],"plannedActivityReference":{"reference":"ServiceRequest/activity-5"}},{"plannedActivityReference":{"reference":"ServiceRequest/activity-6"}},{"progress":[{"time":"2012-08-13","text":"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."},{"time":"2012-08-27","text":"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"}],"plannedActivityReference":{"reference":"ServiceRequest/activity-7"}},{"progress":[{"time":"2012-07-23","text":"Eve created a chart as a reminer to take the medications that do not fit in her pill box"}],"plannedActivityReference":{"reference":"ServiceRequest/activity-8"}},{"progress":[{"time":"2012-07-30","text":"Will be able to esume exercise."},{"time":"2012-08-13","text":"Eve prefers to focus on walking at this time"}],"plannedActivityReference":{"reference":"ServiceRequest/activity-9"}},{"plannedActivityReference":{"reference":"ServiceRequest/activity-10"}},{"progress":[{"time":"2012-07-16","text":"Eve now has some of her medications set up in pill packs by her pharmacist"}],"plannedActivityReference":{"reference":"ServiceRequest/activity-11"}},{"progress":[{"time":"2012-07-12","text":"Eve will be able to resume exercise on 7/30/12"},{"time":"2012-08-13","text":"hold until \"less busy\""}],"plannedActivityReference":{"reference":"ServiceRequest/activity-12"}}],"note":[{"text":"Patient family is not ready to commit to goal setting at this time. Goal setting will be addressed in the future"}],"meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"HTEST","display":"test health data"}]}}