<?xml version="1.0" encoding="UTF-8"?>

<CarePlan xmlns="http://hl7.org/fhir">
  <id value="f201"/>
  <contained>
    <CareTeam>
      <id value="careteam"/>
      <participant>
        <role>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="425268008"/>
            <display value="Review of care plan"/>
          </coding>
        </role>
        <member>
          <reference value="Practitioner/f201"/>
          <display value="Dokter Bronsig"/>
        </member>
      </participant>
      <participant>
        <role>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="229774002"/>
            <display value="Caregiver occupation"/>
          </coding>
        </role>
        <member>
          <reference value="Practitioner/f204"/>
          <display value="Nurse Carla Espinosa"/>
        </member>
      </participant>
    </CareTeam>
  </contained>
  <contained>
    <Goal>
      <id value="goal"/>
      <lifecycleStatus value="completed"/>
      <achievementStatus>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
          <code value="achieved"/>
          <display value="Achieved"/>
        </coding>
        <text value="Achieved"/>
      </achievementStatus>
      <description>
        <text value="Re-established renal function with at least healthy nutrients."/>
      </description>
      <subject>
        <reference value="Patient/f201"/>
        <display value="Roel"/>
      </subject>
    </Goal>
  </contained>
  <contained>
    <ServiceRequest>
      <id value="activity"/>
      <status value="completed"/>
      <intent value="order"/>
      <code>
        <concept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="306005"/>
            <display value="Echography of kidney"/>
          </coding>
        </concept>
      </code>
      <subject>
        <reference value="Patient/f201"/>
        <display value="Roel"/>
      </subject>
    </ServiceRequest>
  </contained>
  <status value="draft"/>
  <intent value="proposal"/>
  <!-- This careplan is "ended", but was never closed in the EHR, wherefore the status is "planned" -->
  <subject>
    <!-- It entails Roel's careplan -->
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <!-- Period is less than nine days because the careplan requires adjustments after evaluation -->
  <period>
    <start value="2013-03-11"/>
    <end value="2013-03-13"/>
  </period>
  <careTeam>
    <reference value="#careteam"/>
  </careTeam>
  <addresses>
    <reference>
      <reference value="Condition/f204"/>
      <display value="Roel's renal insufficiency"/>
    </reference>
  </addresses>
  <goal>
    <reference value="#goal"/>
  </goal>
  <!--  moved to reference
	<plannedActivityDetail>
      <kind value="NutritionOrder"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="284093001"/>
          <display value="Potassium supplementation"/>
        </coding>
      </code>
      <status value="completed"/>
      <doNotPerform value="false"/>
      <scheduledString value="daily"/>
      <productReference>
        <reference value="Substance/f203"/>
        <display value="Potassium"/>
      </productReference>
      <dailyAmount>
        <value value="80"/>
        <unit value="mmol"/>
        <system value="http://snomed.info/sct"/>
        <code value="258718000"/>
      </dailyAmount>
    </plannedActivityDetail>
   -->
  <activity>
    <!-- Potassium supplement -->
    <plannedActivityReference>
      <reference value="NutritionOrder/renaldiet"/>
    </plannedActivityReference>
  </activity>
  <!--  moved to contained
    <plannedActivityDetail>
      <kind value="ServiceRequest"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="306005"/>
          <display value="Echography of kidney"/>
        </coding>
      </code>
      <status value="completed"/>
      <doNotPerform value="false"/>
    </plannedActivityDetail>
	 -->
  <activity>
    <!-- Echo of the kidney -->
    <plannedActivityReference>
      <reference value="#activity"/>
    </plannedActivityReference>
  </activity>
</CarePlan>