CarePlan

• Overview
• Terminology Bindings
• Search
  • Authorization Types
  • Parameters
  • Headers
  • Example with RevInclude
  • Authorization Types
  • Example retrieve care plan
  • Errors
• Retrieve by id
  • Authorization Types
  • Headers
  • Example
  • Errors

Overview

The R4 CarePlan resource can be used to represent care plans.

The CarePlan resource describes the intentions of how one or more practitioners plan to deliver care to a specific patient. Care plans are used in a variety of areas and scopes ranging from encounter or visit specific to cross-visits. Care plans are used to group activities, goals and/or practitioners to create context. Care plans are intended to be specific to the patient. It is possible for a planned activity to stand alone without a care plan such as a scheduled appointment.

• The following HL7® FHIR® US Core Implementation Guide STU 4.0.0 Profiles are supported by this resource:

  • US Core CarePlan Profile

The following fields are returned if valued:

• CarePlan Id
• Status
• Intent (plan)
• Category (assess-plan)
• Title
• Subject (Patient Only)
• Encounter
• Effective Period
• Author
  • Reference (Practitioner)

Terminology Bindings

CarePlan.status

Description Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Details: Request Status System: http://hl7.org/fhir/request-status

CarePlan.intent

Description Codes indicating the degree of authority/intentionality associated with a care plan. Currently "plan" is the only status binding which is supported. Details: Request Intent System: http://hl7.org/fhir/R4/codesystem-request-intent.html

CarePlan.category

Description Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Currently "assess-plan" is the only category binding which is supported. Details: Request Category System: http://hl7.org/fhir/us/core/CodeSystem/careplan-category

Search

Search for CarePlans that meet supplied query parameters:

GET /CarePlan?:parameters

Implementation Notes

• The CarePlan.activity element is not supported and will not be returned. This means that the CarePlan.activity.detail.status and CarePlan.activity.detail.prohibited modifier elements will not be returned.

• The description of the CarePlan is included in the CarePlan.text.div element as ASCII text.

Authorization Types

Parameters

Name	Required?	Type	Description
_id	See notes	token	The logical resource id associated with the resource.
date	N	date	Time period plan covers. Example: date=ge2016&date=le2017 (Jan 1, 2016 - Dec 31, 2017) or date=ge2016-08-24T12:00:00.000Z&date=le2017-01-24T12:00:00.000Z
patient	See notes	reference	Who care plan is for. Example: patient=12345
category	See notes	token	The scope of care plan being searched for. Examples: category=assess-plan
_count	N	number	Number of results per page.
_revinclude	No	token	Provenance resource entries to be returned as part of the bundle. Example:_revinclude=Provenance:target

Notes:

• The _id parameter
  • May not be provided with any other parameters.
  • When provided, _count is ignored.
• The date parameter
  • When provided, must use both ge and le prefixes in the same search
    • The lower value must have the ge prefix and the higher value must have the le prefix
    • If date precision must be consistent
  • May be combined with the patient and category parameters.
• The patient parameter
  • This is required when _id is not provided.
• The category parameter
  • Must be provided when _id is not provided.
  • Only supports the code assess-plan.
  • This can be combined with the patient parameter.

• The _revinclude parameter may be provided once with the value Provenance:target. Example: _revinclude=Provenance:target

• The _revinclude parameter may be provided with the _id/patient parameter. Example: _id=178866310&_revinclude=Provenance:target

• When _revinclude is provided in a request to the closed endpoint, the OAuth2 token must include the user/Provenance.read scope. Currently patient/Provenance.read is not supported and hence _revinclude cannot be utilised for patient persona.

Headers

Accept: application/json+fhir
Authorization: <OAuth2 Bearer Token>

Example with RevInclude

Authorization Types

Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?_id=178866310&_revinclude=Provenance:target

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "627a14f6-0eda-42ab-ad21-e860f5780a20",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?_id=178866310&_revinclude=Provenance%3Atarget"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/178866310",
      "resource": {
        "resourceType": "CarePlan",
        "id": "178866310",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-02-03T19:37:47.000Z"
        },
        "text": {
          "status": "additional",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Care Plan</b></p><p><b>Patient\n              </b>: SMITH, MORGAN</p><p><b>Description</b>: unknown</p><p><b>Status</b>: Active</p><p>\n              <b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p>\n              <p><b>Effective Period</b>: Feb  3, 2020  7:39 P.M. UTC</p></div>"
        },
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan",
                "display": "Assessment and Plan of Treatment"
              }
            ],
            "text": "Assessment and Plan of Treatment"
          }
        ],
        "subject": {
          "reference": "Patient/725944",
          "display": "SMITH, MORGAN"
        },
        "encounter": {
          "reference": "Encounter/953887"
        },
        "period": {
          "start": "2020-02-03T19:39:33.000Z"
        }
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Provenance/INT.doc-178866310",
      "resource": {
        "resourceType": "Provenance",
        "id": "INT.doc-178866310",
        "meta": {
          "versionId": "178866310",
          "lastUpdated": "2020-02-03T19:39:31Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Provenance</b></p>\n              <p><b>Target</b>:</p><ul><li>CarePlan/178866310</li></ul><p>\n              <b>Recorded</b>: Feb  3, 2020  1:39 P.M. CST</p>\n              <p><b>Agents</b>:</p><dl><dt>DEVENG-DEFAULT-PROV</dt><dd>\n              <b>Agent Type</b>: Author</dd><dd><b>Agent Role</b>: Source</dd></dl></div>"
        },
        "target": [
          {
            "reference": "CarePlan/178866310"
          }
        ],
        "recorded": "2020-02-03T19:39:31Z",
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "author"
                }
              ],
              "text": "Author"
            },
            "role": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
                    "code": "SOURCE"
                  }
                ],
                "text": "Source"
              }
            ],
            "who": {
              "reference": "Organization/57535538",
              "display": "DEVENG-DEFAULT-PROV"
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Example retrieve care plan

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?patient=12742400&category=assess-plan

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "8c34294c-ba46-492d-bb8e-9937db0ddd5b",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?patient=1316020&category=assess-plan"
    },
    {
      "relation": "next",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?patient=1316020&category=assess-plan&-pageContext=eNqdU21r2zAQ_isrGfvkiJNfE0Mhjq0OQ2cbWwnbvhgjq5nAloLslHX0x09OM9Y2dKwBgXS6e-7R6e5hqkeMa8k16od7hlgnpGBNx--5HFHTN7-URPtmJ-QORUeraHY8VnLkP8fZ6or9E98qduinA9Ni5Fo0qOSjFsa5fiBTRMXH-OS6Ws0OWoZPycJetCHXPdpzPSgZtlO-HRJ7ZE4nPsnHEDvYBxsMFi8DmAM2iwKEx4UA4Ltx2SZiDv7cDih4oeOGLkYL_-jCcE7LlOZIq47vtboTHX-TnF7fWmlyjU0Keeg6s62jKo3riNIyXW8oqcwVubkhMU23pE4iSszFXdMN_II9ansxDELJD5ka-bz48TAIJho5cXwp6Lf6Nq3oy2qYak3f3ny_cfPQgU-z1Tsx9vL9GMe7AONegMEX1ONN_2u6lGd1UebbNCHl6299YYz6MLXEzH9CqphkSZp9_n8xnFR1LoXcTHszmhZ_fJLaecQkvr_8GflK63hTVvn0XHthgweB5S0wmIm3sLN0F7br2EYGYMGzUSpKsk3zTXWOxYHrO663tLDrBb6zBGz_AZv6HmeP8BuKWGNn&-pageDirection=NEXT"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/17463459",
      "resource": {
        "resourceType": "CarePlan",
        "id": "17463459",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2016-03-10T13:43:45.000-06:00"
        },
        "text": {
          "status": "additional",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Care Plan</b></p><p><b>Patient</b>: Houde, Harry Potter</p><p><b>Title</b>: History and Physical Note</p><p><b>Description</b>: Chief Complaint
History of Present Illness
Review of Systems
Medical History
Ongoing
Active silicosis
Allergy testing - no reaction
Breast wound
hidden display as
Housebound
Locking knee
Minimal shared activities
No significant medical problems
Preop testing
pTX stage
Pyogenic Arthritis Involving Multiple Sites
Reality testing
something spooky
T activation syndrome
Taste-blindness
Test diet
Test distance for visual acuity
Testicular failure
Toe Flexion
Visual testing normal
Vitamin D deficiency
Water slide activities
Resolved
Active labor
Inconsistent results on voice testing
Marital problems
O/E - tuning fork testing
Z deformity of thumb
Surgical History
Tone deafness (2006),  Tonsil biopsy sample (Week of 05/17/1989),  ADA - Adenosine deaminase (1989).
Family History
Patient was adopted
Social History
Alcohol
Current, Beer, Wine, Liquor, Home made hard stuff, Several times per day, 5 drinks/episode average. 10 drinks/episode maximum. Started age 8 Years. Previous treatment: None. Alcohol use interferes with work or home: Yes. Drinks more than intended: Yes. Others hurt by drinking: No. Ready to change: No. Household alcohol concerns: No.
Employment/School
Employed, Work/School description: Desk Job. Activity level: Desk/Office. Operates hazardous equipment: No.
Exercise
Exercise duration: 30. Exercise frequency: 3-4 times/week. Self assessment: Fair condition. Exercise type: Walking, Swimming.
Home/Environment - Low Risk
Lives with Alone. Living situation: Home/Independent. Alcohol abuse in household: Yes. Substance abuse in household: Yes. Smoker in household: No. Injuries/Abuse/Neglect in household: No. Feels unsafe at home: No. Safe place to go: Yes. Agency(s)/Others notified: No. Family/Friends available for support: Yes. Concern for family members at home: No. Major illness in household: No. Financial concerns: No. TV/Computer concerns: No. Risks in environment: Does not wear helmet, Pets/Animal exposure, Stairs.
Nutrition/Health
Type of diet: Generl. Wants to lose weight: No. Sleeping concerns: No. Feels highly stressed: Yes.
Sexual
Sexually active: No. History of sexual abuse: No.
Substance Abuse - Medium Risk
Current, Amphetamines, Cocaine, Ecstasy, Hallucinogens/LSD, Heroin, Inhalants/Glues/Solvents, Marijuana, Methamphetamines, Prescription medications, Daily, Previous treatment: Treatment center, Inpatient, Outpatient. Started age 8 Years. IV drug use: Yes. Drug use interferes with work/home: Yes. Ready to change: No. Household substance abuse concerns: No.
Tobacco
Current every day smoker, Cigars, hand, Household tobacco concerns: Yes
Allergies
oxyCODONE
Peanuts
sulfa drugs��(Anaphylactic reaction)
uranium
iodine��(Hives, Sneezing)
penicillin V potassium��(Hives)
skin test antigens, multiple
Home Medication List
Aceon 2 mg oral tablet, 1 tab(s), Oral, Daily, 11 refills
acetaminophen-tramadol
Physical Exam
Vitals & Measurements
Lab Results
Radiology Results
Assessment/Plan</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p><p><b>Author</b>: Shaik, Faiz Ahmed</p><p><b>Effective Period</b>: Mar 10, 2016  7:43 P.M. UTC</p></div>"
        },
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan",
                "display": "Assessment and Plan of Treatment"
              }
            ],
            "text": "Assessment and Plan of Treatment"
          }
        ],
        "title": "History and Physical Note",
        "subject": {
          "reference": "Patient/1316020",
          "display": "Houde, Harry Potter"
        },
        "encounter": {
          "reference": "Encounter/1721945"
        },
        "period": {
          "start": "2016-03-10T13:43:32.000-06:00"
        },
        "author": {
          "reference": "Practitioner/1830018",
          "display": "Shaik, Faiz Ahmed"
        }
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/13435120",
      "resource": {
        "resourceType": "CarePlan",
        "id": "13435120",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2015-10-23T10:28:03.000-05:00"
        },
        "text": {
          "status": "additional",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Care Plan</b></p><p><b>Patient</b>: Houde, Harry Potter</p><p><b>Title</b>: Admission H &amp;amp; P</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p><p><b>Author</b>: Koester, Oliver</p><p><b>Effective Period</b>: Oct 23, 2015  3:25 P.M. UTC</p></div>"
        },
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan",
                "display": "Assessment and Plan of Treatment"
              }
            ],
            "text": "Assessment and Plan of Treatment"
          }
        ],
        "title": "Admission H & P",
        "subject": {
          "reference": "Patient/1316020",
          "display": "Houde, Harry Potter"
        },
        "encounter": {
          "reference": "Encounter/1693915"
        },
        "period": {
          "start": "2015-10-23T10:25:00.000-05:00"
        },
        "author": {
          "reference": "Practitioner/1830030",
          "display": "Koester, Oliver"
        }
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?patient=12724066&category=assess-plan

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "013ed260-cdd4-4ffc-947e-aeadb699d3d4",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan?patient=12724066&category=assess-plan"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/197375407",
      "resource": {
        "resourceType": "CarePlan",
        "id": "197286315",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-04-05T04:00:46.000Z"
        },
        "text": {
          "status": "additional",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Care Plan</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Title</b>: Pregnancy Summary Document</p><p><b>Description</b>: SMART, NANCY\nDOB: 08/11/1980\tAge: 39 Years\tMRN: 00000006930\n------------------------------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nPregnancy Summary (Date of Report: 04/04/20)\n\nG 1 P 0 (0,0,0,0)\nGestation: --\tLMP (from pt. history): --\nEDD: --\tEDD/EGA Method: Date of Conception\tEGA: --\n\n-------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nAntepartum Note\n\n\tNo antepartum notes have been documented\n\n-------------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nProblems (Active Problems Only)\nGestational diabetes mellitus, class A&gt;1&lt; (Related to Pregnant problem) (SNOMED CT: 124602011, Onset: 03/05/20)\n\tComment: Problem added by Discern Expert (SYSTEM, SYSTEM Cerner on 03/05/20)\n\nGestational hypertension (Related to Pregnant problem) (SNOMED CT: 495022012, Onset: 03/05/20)\n\tComment: Problem added by Discern Expert (SYSTEM, SYSTEM Cerner on 03/05/20)\n\nPregnant (SNOMED CT: 191073013, Onset: 06/12/19)\n\n-----------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nRisk Factors and Genetic Screening\nRisk Factors (Current Pregnancy)\nRisk Factors: Diabetes, gestational, type A1, Gestational hypertension\nRisk Factors Comments: --\n\nEthnic Screening\n***** END OF REPORT *****</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p><p><b>Author</b>: SYSTEM, SYSTEM Cerner</p><p><b>Effective Period</b>: Apr  5, 2020  4:00 A.M. UTC</p></div>"
        },
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan",
                "display": "Assessment and Plan of Treatment"
              }
            ],
            "text": "Assessment and Plan of Treatment"
          }
        ],
        "title": "Pregnancy Summary Document",
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "period": {
          "start": "2020-04-05T04:00:45.000Z"
        },
        "author": {
          "reference": "Practitioner/1",
          "display": "SYSTEM, SYSTEM Cerner"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/197286315",
      "resource": {
        "resourceType": "CarePlan",
        "id": "197286315",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-04-05T04:00:46.000Z"
        },
        "text": {
          "status": "additional",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Care Plan</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Title</b>: Pregnancy Summary Document</p><p><b>Description</b>: SMART, NANCY\nDOB: 08/11/1980\tAge: 39 Years\tMRN: 00000006930\n------------------------------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nPregnancy Summary (Date of Report: 04/04/20)\n\nG 1 P 0 (0,0,0,0)\nGestation: --\tLMP (from pt. history): --\nEDD: --\tEDD/EGA Method: Date of Conception\tEGA: --\n\n-------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nAntepartum Note\n\n\tNo antepartum notes have been documented\n\n-------------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nProblems (Active Problems Only)\nGestational diabetes mellitus, class A&gt;1&lt; (Related to Pregnant problem) (SNOMED CT: 124602011, Onset: 03/05/20)\n\tComment: Problem added by Discern Expert (SYSTEM, SYSTEM Cerner on 03/05/20)\n\nGestational hypertension (Related to Pregnant problem) (SNOMED CT: 495022012, Onset: 03/05/20)\n\tComment: Problem added by Discern Expert (SYSTEM, SYSTEM Cerner on 03/05/20)\n\nPregnant (SNOMED CT: 191073013, Onset: 06/12/19)\n\n-----------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nRisk Factors and Genetic Screening\nRisk Factors (Current Pregnancy)\nRisk Factors: Diabetes, gestational, type A1, Gestational hypertension\nRisk Factors Comments: --\n\nEthnic Screening\n***** END OF REPORT *****</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p><p><b>Author</b>: SYSTEM, SYSTEM Cerner</p><p><b>Effective Period</b>: Apr  5, 2020  4:00 A.M. UTC</p></div>"
        },
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
                "code": "assess-plan",
                "display": "Assessment and Plan of Treatment"
              }
            ],
            "text": "Assessment and Plan of Treatment"
          }
        ],
        "title": "Pregnancy Summary Document",
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "period": {
          "start": "2020-04-05T04:00:45.000Z"
        },
        "author": {
          "reference": "Practitioner/1",
          "display": "SYSTEM, SYSTEM Cerner"
        }
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.

Retrieve by id

List an individual CarePlan by its id:

GET /CarePlan/:id

Authorization Types

Headers

Accept: application/json+fhir
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/17463459

Response

Status: 200 OK

{
  "resourceType": "CarePlan",
  "id": "17463459",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2016-03-10T13:43:45.000-06:00"
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Care Plan</b></p><p><b>Patient</b>: Houde, Harry Potter</p><p><b>Title</b>: History and Physical Note</p><p><b>Description</b>: Chief Complaint
History of Present Illness
Review of Systems
Medical History
Ongoing
Active silicosis
Allergy testing - no reaction
Breast wound
hidden display as
Housebound
Locking knee
Minimal shared activities
No significant medical problems
Preop testing
pTX stage
Pyogenic Arthritis Involving Multiple Sites
Reality testing
something spooky
T activation syndrome
Taste-blindness
Test diet
Test distance for visual acuity
Testicular failure
Toe Flexion
Visual testing normal
Vitamin D deficiency
Water slide activities
Resolved
Active labor
Inconsistent results on voice testing
Marital problems
O/E - tuning fork testing
Z deformity of thumb
Surgical History
Tone deafness (2006),  Tonsil biopsy sample (Week of 05/17/1989),  ADA - Adenosine deaminase (1989).
Family History
Patient was adopted
Social History
Alcohol
Current, Beer, Wine, Liquor, Home made hard stuff, Several times per day, 5 drinks/episode average. 10 drinks/episode maximum. Started age 8 Years. Previous treatment: None. Alcohol use interferes with work or home: Yes. Drinks more than intended: Yes. Others hurt by drinking: No. Ready to change: No. Household alcohol concerns: No.
Employment/School
Employed, Work/School description: Desk Job. Activity level: Desk/Office. Operates hazardous equipment: No.
Exercise
Exercise duration: 30. Exercise frequency: 3-4 times/week. Self assessment: Fair condition. Exercise type: Walking, Swimming.
Home/Environment - Low Risk
Lives with Alone. Living situation: Home/Independent. Alcohol abuse in household: Yes. Substance abuse in household: Yes. Smoker in household: No. Injuries/Abuse/Neglect in household: No. Feels unsafe at home: No. Safe place to go: Yes. Agency(s)/Others notified: No. Family/Friends available for support: Yes. Concern for family members at home: No. Major illness in household: No. Financial concerns: No. TV/Computer concerns: No. Risks in environment: Does not wear helmet, Pets/Animal exposure, Stairs.
Nutrition/Health
Type of diet: Generl. Wants to lose weight: No. Sleeping concerns: No. Feels highly stressed: Yes.
Sexual
Sexually active: No. History of sexual abuse: No.
Substance Abuse - Medium Risk
Current, Amphetamines, Cocaine, Ecstasy, Hallucinogens/LSD, Heroin, Inhalants/Glues/Solvents, Marijuana, Methamphetamines, Prescription medications, Daily, Previous treatment: Treatment center, Inpatient, Outpatient. Started age 8 Years. IV drug use: Yes. Drug use interferes with work/home: Yes. Ready to change: No. Household substance abuse concerns: No.
Tobacco
Current every day smoker, Cigars, hand, Household tobacco concerns: Yes
Allergies
oxyCODONE
Peanuts
sulfa drugs��(Anaphylactic reaction)
uranium
iodine��(Hives, Sneezing)
penicillin V potassium��(Hives)
skin test antigens, multiple
Home Medication List
Aceon 2 mg oral tablet, 1 tab(s), Oral, Daily, 11 refills
acetaminophen-tramadol
Physical Exam
Vitals & Measurements
Lab Results
Radiology Results
Assessment/Plan</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p><p><b>Author</b>: Shaik, Faiz Ahmed</p><p><b>Effective Period</b>: Mar 10, 2016  7:43 P.M. UTC</p></div>"
  },
  "status": "active",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code": "assess-plan",
          "display": "Assessment and Plan of Treatment"
        }
      ],
      "text": "Assessment and Plan of Treatment"
    }
  ],
  "title": "History and Physical Note",
  "subject": {
    "reference": "Patient/1316020",
    "display": "Houde, Harry Potter"
  },
  "encounter": {
    "reference": "Encounter/1721945"
  },
  "period": {
    "start": "2016-03-10T13:43:32.000-06:00"
  },
  "author": {
    "reference": "Practitioner/1830018",
    "display": "Shaik, Faiz Ahmed"
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/197286315

Response

Status: 200 OK

{
  "resourceType": "CarePlan",
  "id": "197286315",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-04-05T04:00:46.000Z"
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Care Plan</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Title</b>: Pregnancy Summary Document</p><p><b>Description</b>: SMART, NANCY\nDOB: 08/11/1980\tAge: 39 Years\tMRN: 00000006930\n------------------------------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nPregnancy Summary (Date of Report: 04/04/20)\n\nG 1 P 0 (0,0,0,0)\nGestation: --\tLMP (from pt. history): --\nEDD: --\tEDD/EGA Method: Date of Conception\tEGA: --\n\n-------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nAntepartum Note\n\n\tNo antepartum notes have been documented\n\n-------------------------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nProblems (Active Problems Only)\nGestational diabetes mellitus, class A&gt;1&lt; (Related to Pregnant problem) (SNOMED CT: 124602011, Onset: 03/05/20)\n\tComment: Problem added by Discern Expert (SYSTEM, SYSTEM Cerner on 03/05/20)\n\nGestational hypertension (Related to Pregnant problem) (SNOMED CT: 495022012, Onset: 03/05/20)\n\tComment: Problem added by Discern Expert (SYSTEM, SYSTEM Cerner on 03/05/20)\n\nPregnant (SNOMED CT: 191073013, Onset: 06/12/19)\n\n-----------------------\n\t\t\t\tSMART, NANCY DOB: 08/11/80\nRisk Factors and Genetic Screening\nRisk Factors (Current Pregnancy)\nRisk Factors: Diabetes, gestational, type A1, Gestational hypertension\nRisk Factors Comments: --\n\nEthnic Screening\n***** END OF REPORT *****</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p><p><b>Author</b>: SYSTEM, SYSTEM Cerner</p><p><b>Effective Period</b>: Apr  5, 2020  4:00 A.M. UTC</p></div>"
  },
  "status": "active",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code": "assess-plan",
          "display": "Assessment and Plan of Treatment"
        }
      ],
      "text": "Assessment and Plan of Treatment"
    }
  ],
  "title": "Pregnancy Summary Document",
  "subject": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "period": {
    "start": "2020-04-05T04:00:45.000Z"
  },
  "author": {
    "reference": "Practitioner/1",
    "display": "SYSTEM, SYSTEM Cerner"
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request For Entered in Error Status

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/5814234

Response

Status: 200 OK

{
  "resourceType": "CarePlan",
  "id": "5814234",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2014-03-18T20:34:50.000Z"
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Care Plan</b></p><p><b>Patient</b>: Houde, Harry Potter</p><p><b>Description</b>: well, Addendum added</p><p><b>Status</b>: Entered in Error</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p></div>"
  },
  "status": "entered-in-error",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code": "assess-plan",
          "display": "Assessment and Plan of Treatment"
        }
      ],
      "text": "Assessment and Plan of Treatment"
    }
  ],
  "subject": {
    "reference": "Patient/1316020",
    "display": "Houde, Harry Potter"
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request For Unknown Status

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/CarePlan/5814234

Response

Status: 200 OK

{
  "resourceType": "CarePlan",
  "id": "5814234",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2014-03-18T20:34:50.000Z"
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Care Plan</b></p><p><b>Patient</b>: Houde, Harry Potter</p><p><b>Description</b>: well, Addendum added</p><p><b>Status</b>: Unknown</p><p><b>Intent</b>: Plan</p><p><b>Category</b>: Assessment and Plan of Treatment</p></div>"
  },
  "status": "unknown",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code": "assess-plan",
          "display": "Assessment and Plan of Treatment"
        }
      ],
      "text": "Assessment and Plan of Treatment"
    }
  ],
  "subject": {
    "reference": "Patient/1316020",
    "display": "Houde, Harry Potter"
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.