CarePlan

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 fields are returned if valued:

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. Current;y "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 for CarePlans that meet supplied query parameters:

GET /CarePlan?:parameters

Implementation Notes

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:

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": "&lt;div xmlns="http://www.w3.org/1999/xhtml"&gt;&lt;p&gt;&lt;b&gt;Care Plan&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Patient&lt;/b&gt;: Houde, Harry Potter&lt;/p&gt;&lt;p&gt;&lt;b&gt;Title&lt;/b&gt;: History and Physical Note&lt;/p&gt;&lt;p&gt;&lt;b&gt;Description&lt;/b&gt;: Chief Complaint&amp;#10;History of Present Illness&amp;#10;Review of Systems&amp;#10;Medical History&amp;#10;Ongoing&amp;#10;Active silicosis&amp;#10;Allergy testing - no reaction&amp;#10;Breast wound&amp;#10;hidden display as&amp;#10;Housebound&amp;#10;Locking knee&amp;#10;Minimal shared activities&amp;#10;No significant medical problems&amp;#10;Preop testing&amp;#10;pTX stage&amp;#10;Pyogenic Arthritis Involving Multiple Sites&amp;#10;Reality testing&amp;#10;something spooky&amp;#10;T activation syndrome&amp;#10;Taste-blindness&amp;#10;Test diet&amp;#10;Test distance for visual acuity&amp;#10;Testicular failure&amp;#10;Toe Flexion&amp;#10;Visual testing normal&amp;#10;Vitamin D deficiency&amp;#10;Water slide activities&amp;#10;Resolved&amp;#10;Active labor&amp;#10;Inconsistent results on voice testing&amp;#10;Marital problems&amp;#10;O/E - tuning fork testing&amp;#10;Z deformity of thumb&amp;#10;Surgical History&amp;#10;Tone deafness (2006),  Tonsil biopsy sample (Week of 05/17/1989),  ADA - Adenosine deaminase (1989).&amp;#10;Family History&amp;#10;Patient was adopted&amp;#10;Social History&amp;#10;Alcohol&amp;#10;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.&amp;#10;Employment/School&amp;#10;Employed, Work/School description: Desk Job. Activity level: Desk/Office. Operates hazardous equipment: No.&amp;#10;Exercise&amp;#10;Exercise duration: 30. Exercise frequency: 3-4 times/week. Self assessment: Fair condition. Exercise type: Walking, Swimming.&amp;#10;Home/Environment - Low Risk&amp;#10;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.&amp;#10;Nutrition/Health&amp;#10;Type of diet: Generl. Wants to lose weight: No. Sleeping concerns: No. Feels highly stressed: Yes.&amp;#10;Sexual&amp;#10;Sexually active: No. History of sexual abuse: No.&amp;#10;Substance Abuse - Medium Risk&amp;#10;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.&amp;#10;Tobacco&amp;#10;Current every day smoker, Cigars, hand, Household tobacco concerns: Yes&amp;#10;Allergies&amp;#10;oxyCODONE&amp;#10;Peanuts&amp;#10;sulfa drugs&amp;#65533;&amp;#65533;(Anaphylactic reaction)&amp;#10;uranium&amp;#10;iodine&amp;#65533;&amp;#65533;(Hives, Sneezing)&amp;#10;penicillin V potassium&amp;#65533;&amp;#65533;(Hives)&amp;#10;skin test antigens, multiple&amp;#10;Home Medication List&amp;#10;Aceon 2 mg oral tablet, 1 tab(s), Oral, Daily, 11 refills&amp;#10;acetaminophen-tramadol&amp;#10;Physical Exam&amp;#10;Vitals &amp;amp; Measurements&amp;#10;Lab Results&amp;#10;Radiology Results&amp;#10;Assessment/Plan&lt;/p&gt;&lt;p&gt;&lt;b&gt;Status&lt;/b&gt;: Active&lt;/p&gt;&lt;p&gt;&lt;b&gt;Intent&lt;/b&gt;: Plan&lt;/p&gt;&lt;p&gt;&lt;b&gt;Category&lt;/b&gt;: Assessment and Plan of Treatment&lt;/p&gt;&lt;p&gt;&lt;b&gt;Author&lt;/b&gt;: Shaik, Faiz Ahmed&lt;/p&gt;&lt;p&gt;&lt;b&gt;Effective Period&lt;/b&gt;: Mar 10, 2016  7:43 P.M. UTC&lt;/p&gt;&lt;/div&gt;"
        },
        "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": "&lt;div xmlns="http://www.w3.org/1999/xhtml"&gt;&lt;p&gt;&lt;b&gt;Care Plan&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Patient&lt;/b&gt;: Houde, Harry Potter&lt;/p&gt;&lt;p&gt;&lt;b&gt;Title&lt;/b&gt;: History and Physical Note&lt;/p&gt;&lt;p&gt;&lt;b&gt;Description&lt;/b&gt;: Chief Complaint&amp;#10;History of Present Illness&amp;#10;Review of Systems&amp;#10;Medical History&amp;#10;Ongoing&amp;#10;Active silicosis&amp;#10;Allergy testing - no reaction&amp;#10;Breast wound&amp;#10;hidden display as&amp;#10;Housebound&amp;#10;Locking knee&amp;#10;Minimal shared activities&amp;#10;No significant medical problems&amp;#10;Preop testing&amp;#10;pTX stage&amp;#10;Pyogenic Arthritis Involving Multiple Sites&amp;#10;Reality testing&amp;#10;something spooky&amp;#10;T activation syndrome&amp;#10;Taste-blindness&amp;#10;Test diet&amp;#10;Test distance for visual acuity&amp;#10;Testicular failure&amp;#10;Toe Flexion&amp;#10;Visual testing normal&amp;#10;Vitamin D deficiency&amp;#10;Water slide activities&amp;#10;Resolved&amp;#10;Active labor&amp;#10;Inconsistent results on voice testing&amp;#10;Marital problems&amp;#10;O/E - tuning fork testing&amp;#10;Z deformity of thumb&amp;#10;Surgical History&amp;#10;Tone deafness (2006),  Tonsil biopsy sample (Week of 05/17/1989),  ADA - Adenosine deaminase (1989).&amp;#10;Family History&amp;#10;Patient was adopted&amp;#10;Social History&amp;#10;Alcohol&amp;#10;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.&amp;#10;Employment/School&amp;#10;Employed, Work/School description: Desk Job. Activity level: Desk/Office. Operates hazardous equipment: No.&amp;#10;Exercise&amp;#10;Exercise duration: 30. Exercise frequency: 3-4 times/week. Self assessment: Fair condition. Exercise type: Walking, Swimming.&amp;#10;Home/Environment - Low Risk&amp;#10;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.&amp;#10;Nutrition/Health&amp;#10;Type of diet: Generl. Wants to lose weight: No. Sleeping concerns: No. Feels highly stressed: Yes.&amp;#10;Sexual&amp;#10;Sexually active: No. History of sexual abuse: No.&amp;#10;Substance Abuse - Medium Risk&amp;#10;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.&amp;#10;Tobacco&amp;#10;Current every day smoker, Cigars, hand, Household tobacco concerns: Yes&amp;#10;Allergies&amp;#10;oxyCODONE&amp;#10;Peanuts&amp;#10;sulfa drugs&amp;#65533;&amp;#65533;(Anaphylactic reaction)&amp;#10;uranium&amp;#10;iodine&amp;#65533;&amp;#65533;(Hives, Sneezing)&amp;#10;penicillin V potassium&amp;#65533;&amp;#65533;(Hives)&amp;#10;skin test antigens, multiple&amp;#10;Home Medication List&amp;#10;Aceon 2 mg oral tablet, 1 tab(s), Oral, Daily, 11 refills&amp;#10;acetaminophen-tramadol&amp;#10;Physical Exam&amp;#10;Vitals &amp;amp; Measurements&amp;#10;Lab Results&amp;#10;Radiology Results&amp;#10;Assessment/Plan&lt;/p&gt;&lt;p&gt;&lt;b&gt;Status&lt;/b&gt;: Active&lt;/p&gt;&lt;p&gt;&lt;b&gt;Intent&lt;/b&gt;: Plan&lt;/p&gt;&lt;p&gt;&lt;b&gt;Category&lt;/b&gt;: Assessment and Plan of Treatment&lt;/p&gt;&lt;p&gt;&lt;b&gt;Author&lt;/b&gt;: Shaik, Faiz Ahmed&lt;/p&gt;&lt;p&gt;&lt;b&gt;Effective Period&lt;/b&gt;: Mar 10, 2016  7:43 P.M. UTC&lt;/p&gt;&lt;/div&gt;"
  },
  "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.