GP Chronic Condition Management Plan
0.1.0 - CI Build
GP Chronic Condition Management Plan, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/gpccmp-fhir-ig/ and changes regularly. See the Directory of published versions
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><article style=\"color-scheme: light; -ms-text-size-adjust: 100%; -webkit-text-size-adjust: 100%; margin: 0; color: #1f2328; background-color: #ffffff; font-family: -apple-system,BlinkMacSystemFont,'Segoe UI','Noto Sans',Helvetica,Arial,sans-serif,'Apple Color Emoji','Segoe UI Emoji'; font-size: 16px; line-height: 1.5; word-wrap: break-word;\"><h1 style=\"margin-top: 0; margin-bottom: .67em; font-weight: 600; padding-bottom: .3em; font-size: 2em; border-bottom: 1px solid #d1d9e0b3;\">\n GP Chronic Condition Management Plan \n </h1><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Patient</strong>: Caterina FOREMAN<br/><strong style=\"font-weight: 600;\">Author</strong>: Dr Peter Primary<br/><strong style=\"font-weight: 600;\">Date Authored</strong>: 25/05/2026 11:39</p><section><h2 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; padding-bottom: 0.3em; font-size: 1.5em; border-bottom: 1px solid #d1d9e0b3;\">Patient details</h2><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Consent</h3><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Consent given to proceed with plan after discussion of the purpose, benefits, process and costs</strong><br/>Yes</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Name</strong><br/>Caterina FOREMAN</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Preferred pronouns</strong><br/>she/her/her/hers/herself</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Date of birth</strong><br/>24/07/1970</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Age</strong><br/>55</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Sex assigned at birth</strong><br/>Female</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Gender identity</strong><br/>Identifies as female gender</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Aboriginal and/or Torres Strait Islander status</strong><br/>Neither Aboriginal nor Torres Strait Islander origin</p></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">My Aged Care</h3><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Registered for My Aged Care</strong><br/>No</p></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">National Disability Insurance Scheme</h3><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Registered for NDIS</strong><br/>No</p></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Medicare card number</h3><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Number</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Reference number</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Expiry</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">3951333701</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">1</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">2028-08</td></tr></tbody></table></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Contact information</h3><div style=\"margin-bottom: 0.5em;\"><strong style=\"font-weight: 600;\">Home phone</strong></div><ul style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; padding-left: 2em;\"><li>0370109077</li></ul><div style=\"margin-bottom: 0.5em;\"><strong style=\"font-weight: 600;\">Mobile phone</strong></div><ul style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; padding-left: 2em;\"><li>0491576801</li></ul><div style=\"margin-bottom: 0.5em;\"><strong style=\"font-weight: 600;\">Email</strong></div><ul style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; padding-left: 2em;\"><li>caterina.foreman@my-own-personal-domain.com</li></ul><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Home address</h4><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Home address</h4><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Street address</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">City</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">State</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Postcode</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">149 Farmer Cnr</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Sunshine</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Victoria</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">3020</td></tr></tbody></table></section></section></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Carers and key contacts</h3><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Preferred contact</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Role</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Name</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Phone</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Email</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Relationship to patient</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Present at appointment</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Yes</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Contact person</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Mia LEANNE BANKS</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">0270107520</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Emergency Contact</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Heather MACKAY</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">0370108075</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr></tbody></table></section></section><section><h2 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; padding-bottom: 0.3em; font-size: 1.5em; border-bottom: 1px solid #d1d9e0b3;\">Practitioner details</h2><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Name</strong><br/>Peter Primary</p><div style=\"margin-bottom: 0.5em;\"><strong style=\"font-weight: 600;\">Phone</strong></div><ul style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; padding-left: 2em;\"><li>(08) 7010 5556</li></ul><div style=\"margin-bottom: 0.5em;\"><strong style=\"font-weight: 600;\">Email</strong></div><ul style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; padding-left: 2em;\"><li>PPP@example.org</li></ul><div style=\"margin-bottom: 0.5em;\"><strong style=\"font-weight: 600;\">Medicare provider number</strong></div><ul style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; padding-left: 2em;\"><li>2426621B</li></ul><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Clinic details</h3><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Name</strong><br/>Quinninup Medical Clinic</p><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Address</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Street address</strong><br/>24 Grande Pl</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">City</strong><br/>Quinninup</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">State</strong><br/>Western Australia</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Postcode</strong><br/>6258</p></section></section></section><section><h2 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; padding-bottom: 0.3em; font-size: 1.5em; border-bottom: 1px solid #d1d9e0b3;\">Clinical details</h2><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Problems/Diagnoses</h3><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Recorded problems/diagnoses</h4><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Condition</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Clinical status</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Onset date</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Abatement date</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Chronic lower back pain</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Active</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">01/01/2021</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Gastro-oesophageal reflux disease</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Active</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">01/08/2013</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr></tbody></table></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">New problems/diagnoses</h4><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Condition</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Onset date</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Comment</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Uncontrolled type 2 diabetes</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">25/01/2026</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Peripheral neuropathy due to diabetes</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">20/02/2026</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Overweight</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">25/11/2025</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr></tbody></table></section></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Adverse reaction risks</h3><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Recorded adverse reaction risks</h4><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Substance</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Status</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Manifestation</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Comment</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Latex</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Active</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Rash</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Has reacted soon after exposure as well as a delayed reaction to latex, with a rash appearing 24 hours after exposure.</td></tr></tbody></table></section></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Medications (current)</h3><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Recorded medications</h4><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Medication</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Status</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Dosage</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Indication</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Comment</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Panadol Osteo 665 mg modified release tablet</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Active</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">2 tabs PRN/TDS</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Chronic lower back pain</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Esomeprazole 20 mg enteric capsule</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Active</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">1 tab daily</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Gastro-oesophageal reflux disease</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Gastroscopy 2013 - mild reflux esophagitis, H pylori negative</td></tr></tbody></table></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">New medications</h4><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Medication</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Dosage</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Indication</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Comment</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Metformin hydrochloride 500 mg tablet</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">1 tab BD</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Uncontrolled type 2 diabetes</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Fish oil</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">2 caps daily</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Self-initiated for heart health</td></tr></tbody></table></section></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Observations</h3><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Observations</h4><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Height</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>165</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result date</strong><br/>25/05/2026</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Weight</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>75.2</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result date</strong><br/>25/05/2026</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">BMI (calculated)</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>27.6</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Waist circumference</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>82.5</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result date</strong><br/>25/05/2026</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Pulse rate</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>76</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result date</strong><br/>25/05/2026</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Pulse rhythm</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>Pulse regular</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result date</strong><br/>25/05/2026</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Oxygen saturation</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result</strong><br/>98</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New result date</strong><br/>25/05/2026</p></section></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Blood pressure</h4><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Blood pressure</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Systolic</strong><br/>130</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Diastolic</strong><br/>72</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Date performed</strong><br/>25/05/2026</p></section></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Substance use</h4><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Smoking status</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New status date</strong><br/></p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Comment</strong><br/>20 cigarettes per day since 17yo</p></section><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Alcohol consumption status</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New status date</strong><br/></p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Comment</strong><br/>2 drinks, 2 days per week (on weekends)</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Additional information</strong><br/>Family history: Mother - diabetes, stroke; Father - heart attack, depression; Paternal grandmother - breast cancer\nWork: Receptionist in building business</p></section></section></section></section><section><h2 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; padding-bottom: 0.3em; font-size: 1.5em; border-bottom: 1px solid #d1d9e0b3;\">Plan</h2><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">New plan or a review of an existing plan?</strong><br/>New</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Incomplete draft plan already exists?</strong><br/>Yes</p><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Conditions addressed</h3><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Condition</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Onset date</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Comments</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Uncontrolled type 2 diabetes</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">25/01/2026</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Chronic lower back pain</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">01/01/2021</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Gastro-oesophageal reflux disease</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">01/08/2013</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Overweight</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">25/11/2025</td><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\"/></tr></tbody></table></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Goals and tasks</h3><table style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400; border-spacing: 0; border-collapse: collapse; display: block; width: max-content; max-width: 100%; overflow: auto; font-variant: tabular-nums;\"><thead><tr style=\"background-color: #f6f8fa; border-top: 1px solid #d1d9e0b3;\"><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Problems/Needs</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Goal setting</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Interventions and actions</th><th style=\"padding: 6px 13px; border: 1px solid #d1d9e0; font-weight: 600;\">Services and treatments</th></tr></thead><tbody><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Uncontrolled type 2 diabetes</td><td colspan=\"1\" style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Nested repeat groups not supported in narrative</td><td colspan=\"7\" style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Nested repeat groups not supported in narrative</td><td colspan=\"9\" style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Nested repeat groups not supported in narrative</td></tr><tr style=\"background-color: #fff; border-top: 1px solid #d1d9e0b3;\"><td style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Uncontrolled type 2 diabetes</td><td colspan=\"2\" style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Nested repeat groups not supported in narrative</td><td colspan=\"7\" style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Nested repeat groups not supported in narrative</td><td colspan=\"4\" style=\"padding: 6px 13px; border: 1px solid #d1d9e0;\">Nested repeat groups not supported in narrative</td></tr></tbody></table></section><section><h3 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1.25em;\">Completion</h3><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Consent given for sharing of information with relevant healthcare providers</strong><br/>Yes</p><section><h4 style=\"margin-top: 1.5rem; margin-bottom: 1rem; font-weight: 600; line-height: 1.25; font-size: 1em;\">Review</h4><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Appointment status</strong><br/>Proposed</p><p style=\"margin-top: 0; margin-bottom: 1rem; font-weight: 400;\"><strong style=\"font-weight: 600;\">Date</strong><br/>20/05/2027</p></section></section></section></article></div>"
},
"questionnaire" : "http://www.health.gov.au/assessments/GPChronicConditionManagementPlan|0.1.0",
"_questionnaire" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/display",
"valueString" : "GP Chronic Condition Management Plan"
}
]
},
"status" : "in-progress",
"subject" : {
🔗 "reference" : "Patient/foreman-caterina",
"type" : "Patient",
"display" : "Caterina FOREMAN"
},
"authored" : "2026-05-25T14:50:52+10:00",
"author" : {
🔗 "reference" : "Practitioner/primary-peter",
"type" : "Practitioner",
"display" : "Dr Peter Primary"
},
"item" : [
{
"linkId" : "container",
"item" : [
{
"linkId" : "patient",
"text" : "Patient details",
"item" : [
{
"linkId" : "patient-consent",
"text" : "Consent",
"item" : [
{
"linkId" : "patient-consent-consentforplan",
"text" : "Consent given to proceed with plan after discussion of the purpose, benefits, process and costs",
"answer" : [
{
"valueBoolean" : true
}
]
}
]
},
{
"linkId" : "patient-name",
"text" : "Name",
"answer" : [
{
"valueString" : "Caterina FOREMAN"
}
]
},
{
"linkId" : "patient-preferredpronouns",
"text" : "Preferred pronouns",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA29519-8",
"display" : "she/her/her/hers/herself"
}
}
]
},
{
"linkId" : "patient-dob",
"text" : "Date of birth",
"answer" : [
{
"valueDate" : "1970-07-24"
}
]
},
{
"linkId" : "patient-age",
"text" : "Age",
"answer" : [
{
"valueInteger" : 55
}
]
},
{
"linkId" : "patient-sexatbirth",
"text" : "Sex assigned at birth",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "248152002",
"display" : "Female"
}
}
]
},
{
"linkId" : "patient-genderidentity",
"text" : "Gender identity",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "446141000124107",
"display" : "Identifies as female gender"
}
}
]
},
{
"linkId" : "patient-firstnationsstatus",
"text" : "Aboriginal and/or Torres Strait Islander status",
"answer" : [
{
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
"code" : "4",
"display" : "Neither Aboriginal nor Torres Strait Islander origin"
}
}
]
},
{
"linkId" : "patient-myagedcare",
"text" : "My Aged Care",
"item" : [
{
"linkId" : "patient-myagedcare-registered",
"text" : "Registered for My Aged Care",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
"code" : "N",
"display" : "No"
}
}
]
}
]
},
{
"linkId" : "patient-ndis",
"text" : "National Disability Insurance Scheme",
"item" : [
{
"linkId" : "patient-ndis-registered",
"text" : "Registered for NDIS",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
"code" : "N",
"display" : "No"
}
}
]
}
]
},
{
"linkId" : "patient-medicare",
"text" : "Medicare card number",
"item" : [
{
"linkId" : "patient-medicare-number",
"text" : "Number",
"answer" : [
{
"valueString" : "3951333701"
}
]
},
{
"linkId" : "patient-medicare-referencenumber",
"text" : "Reference number",
"answer" : [
{
"valueString" : "1"
}
]
},
{
"linkId" : "patient-medicare-expiry",
"text" : "Expiry",
"answer" : [
{
"valueString" : "2028-08"
}
]
}
]
},
{
"linkId" : "patient-contact",
"text" : "Contact information",
"item" : [
{
"linkId" : "patient-contact-homephone",
"text" : "Home phone",
"answer" : [
{
"valueString" : "0370109077"
}
]
},
{
"linkId" : "patient-contact-mobilephone",
"text" : "Mobile phone",
"answer" : [
{
"valueString" : "0491576801"
}
]
},
{
"linkId" : "patient-contact-email",
"text" : "Email",
"answer" : [
{
"valueString" : "caterina.foreman@my-own-personal-domain.com"
}
]
},
{
"linkId" : "patient-contact-homeaddress",
"text" : "Home address",
"item" : [
{
"linkId" : "patient-contact-homeaddress-details",
"text" : "Home address",
"item" : [
{
"linkId" : "patient-contact-homeaddress-details-streetaddress",
"text" : "Street address",
"answer" : [
{
"valueString" : "149 Farmer Cnr"
}
]
},
{
"linkId" : "patient-contact-homeaddress-details-city",
"text" : "City",
"answer" : [
{
"valueString" : "Sunshine"
}
]
},
{
"linkId" : "patient-contact-homeaddress-details-state",
"text" : "State",
"answer" : [
{
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1",
"code" : "VIC",
"display" : "Victoria"
}
}
]
},
{
"linkId" : "patient-contact-homeaddress-details-postcode",
"text" : "Postcode",
"answer" : [
{
"valueString" : "3020"
}
]
}
]
}
]
}
]
},
{
"linkId" : "patient-contacts",
"text" : "Carers and key contacts",
"item" : [
{
"linkId" : "patient-contacts-role",
"text" : "Role",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "CP",
"display" : "Contact person"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Carer"
}
}
]
},
{
"linkId" : "patient-contacts-name",
"text" : "Name",
"answer" : [
{
"valueString" : "Mia LEANNE BANKS"
}
]
},
{
"linkId" : "patient-contacts-phone",
"text" : "Phone",
"answer" : [
{
"valueString" : "0270107520"
},
{
"valueString" : "0491574632"
},
{
"valueString" : "0270102724"
}
]
}
]
},
{
"linkId" : "patient-contacts",
"text" : "Carers and key contacts",
"item" : [
{
"linkId" : "patient-contacts-role",
"text" : "Role",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "C",
"display" : "Emergency Contact"
}
}
]
},
{
"linkId" : "patient-contacts-name",
"text" : "Name",
"answer" : [
{
"valueString" : "Heather MACKAY"
}
]
},
{
"linkId" : "patient-contacts-phone",
"text" : "Phone",
"answer" : [
{
"valueString" : "0370108075"
},
{
"valueString" : "0491578148"
},
{
"valueString" : "0370103228"
}
]
}
]
}
]
},
{
"linkId" : "practitioner",
"text" : "Practitioner details",
"item" : [
{
"linkId" : "practitioner-name",
"text" : "Name",
"answer" : [
{
"id" : "practitioner-name-calculatedExpression-8D3FBElCUrLv1_eC5UV27",
"valueString" : "Peter Primary"
}
]
},
{
"linkId" : "practitioner-phone",
"text" : "Phone",
"answer" : [
{
"id" : "practitioner-phone-calculatedExpression-pXL5hXh_jQ7qb7uht3Tnc",
"valueString" : "(08) 7010 5556"
}
]
},
{
"linkId" : "practitioner-email",
"text" : "Email",
"answer" : [
{
"id" : "practitioner-email-calculatedExpression-iKT3aoXLu-MAQjlKbIJav",
"valueString" : "PPP@example.org"
}
]
},
{
"linkId" : "practitioner-medicareprovidernumber",
"text" : "Medicare provider number",
"answer" : [
{
"id" : "practitioner-medicareprovidernumber-calculatedExpression-NbVRyrfUcRerVxYxg8kS7",
"valueString" : "2426621B"
}
]
},
{
"linkId" : "practitioner-clinicdetails",
"text" : "Clinic details",
"item" : [
{
"linkId" : "practitioner-clinicdetails-name",
"text" : "Name",
"answer" : [
{
"valueString" : "Quinninup Medical Clinic"
}
]
},
{
"linkId" : "practitioner-clinicdetails-address",
"text" : "Address",
"item" : [
{
"linkId" : "practitioner-clinicdetails-address-streetaddress",
"text" : "Street address",
"answer" : [
{
"valueString" : "24 Grande Pl"
}
]
},
{
"linkId" : "practitioner-clinicdetails-address-city",
"text" : "City",
"answer" : [
{
"valueString" : "Quinninup"
}
]
},
{
"linkId" : "practitioner-clinicdetails-address-state",
"text" : "State",
"answer" : [
{
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1",
"code" : "WA",
"display" : "Western Australia"
}
}
]
},
{
"linkId" : "practitioner-clinicdetails-address-postcode",
"text" : "Postcode",
"answer" : [
{
"valueString" : "6258"
}
]
}
]
}
]
}
]
},
{
"linkId" : "clinicaldetails",
"text" : "Clinical details",
"item" : [
{
"linkId" : "clinicaldetails-problemsdiagnoses",
"text" : "Problems/Diagnoses",
"item" : [
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems",
"text" : "Recorded problems/diagnoses",
"item" : [
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems-condition",
"text" : "Condition",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "278860009",
"display" : "Chronic lower back pain"
}
}
]
},
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems-clinicalstatus",
"text" : "Clinical status",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
}
]
},
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems-onsetdate",
"text" : "Onset date",
"answer" : [
{
"valueDate" : "2021-01-01"
}
]
}
]
},
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems",
"text" : "Recorded problems/diagnoses",
"item" : [
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems-condition",
"text" : "Condition",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "235595009",
"display" : "Gastro-oesophageal reflux disease"
}
}
]
},
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems-clinicalstatus",
"text" : "Clinical status",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
}
]
},
{
"linkId" : "clinicaldetails-problemsdiagnoses-recordedproblems-onsetdate",
"text" : "Onset date",
"answer" : [
{
"valueDate" : "2013-08-01"
}
]
}
]
},
{
"linkId" : "clinicaldetails-problemsdiagnoses-newproblems",
"text" : "New problems/diagnoses",
"item" : [
{
"linkId" : "clinicaldetails-problemsdiagnoses-newproblems-condition",
"text" : "Condition",
"answer" : [
{
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