Careplan Goals

Care Plans, Goals, and Service Requests

Care Plan

• Status: draft, active, on-hold, revoked, completed, entered-in-error.
• Intent: proposal, plan, order, option.
• Categories: assess-plan, longitudinal, encounter-specific.
• Include CarePlan.activity with detail (scheduled procedures, medication reviews, referrals).
• Link to Conditions via CarePlan.addresses[].
• Link to Goals via CarePlan.goal[].

Goals

• lifecycleStatus: proposed, planned, accepted, active, on-hold, completed, cancelled.
• achievementStatus: in-progress, improving, worsening, no-change, achieved, not-achieved.
• Include target with detailQuantity, dueDate:
  • HbA1c < 7.0%, BP < 140/90, LDL < 100, BMI < 30, weight loss X lbs by date.
• Priority: high-priority, medium-priority, low-priority.

Service Requests