Generated Narrative: CarePlan

status: active

intent: plan

category: Care Plan (SNOMED CT#734163000)

subject: Patient/dan-harry " DAN"

period: 2018-05-01 --> (ongoing)

created: 2019-01-01

author: PractitionerRole/np-nurse-nancy: Nancy Nurse RN

contributor:

• PractitionerRole/nephrologist-levin-henry: Henry Levin VII MD Nephrologist
• PractitionerRole/np-nurse-nancy: Nancy Nurse RN
• PractitionerRole/gp-primary-peter: Peter Primary MD Primary Provider

careTeam: CareTeam/mcc: Longitudinal care-coordination focused care team "Example Multiple Chronic Condition Care Team"

addresses: Condition/ckd: Chronic Kidney Disease

supportingInfo:

• Procedure/dialysis: Chronic Pain
• Observation/bun-mcc: BUN 24 mL/min/{1.73_m2}

goal: Goal/wgt-loss: Lose weight, decrease chronic pain with less use of pain medication and improved lab results

activity

outcomeReference: Procedure/dialysis: Dialysis

progress: Harry Dan is measuring weight daily ( @2019-01-10)

reference: http://example.org/Task/123: Harry Dan or caregiver to perform daily weights

activity

outcomeReference:

• http://example.org/Encounter/123: PreOp Encounter For Creation of external arteriovenous shunt (procedure)
• http://example.org/Procedure/upperlimbveinUS: Fluoroscopic venography of bilateral upper limbs Performed. Results: Normal

progress: Harry Dan Completed prep for an AV Shunt. Harry needs the shunt due to the need for dialysis related to the goal to improve Harry's health related to CKD ( @2019-01-10)

reference: http://example.org/Appointment/AVShunt: PreOp Encounter Request For Creation of external arteriovenous shunt (procedure). Relates to overall health improvement goal and encounter requestActivity