{
  "resourceType": "CarePlan",
  "id": "Example-Smith-Johnson-PreferenceCarePlan2",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan"
    ]
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 736366004}\">Advance care plan</span></p><p><b>subject</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Betsy Smith-Johnson</a> ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15</p><p><b>addresses</b>: <span>Permanent, sever brain damage and I am unable to recognize my family and friends</span></p><p><b>goal</b>:</p><ul><li><a href=\"Goal-Example-Smith-Johnson-PersonalGoal1.html\"><span title=\"Codes: {http://loinc.org 81378-2}\">Goals, preferences, and priorities under certain health conditions [Reported]</span></a>; <span title=\"Codes: \">If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home</span></li><li><a href=\"Goal-Example-Smith-Johnson-PersonalInterventionPreference3.html\"><span title=\"Codes: {http://loinc.org 75778-1}\">Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive [Reported]</span></a>; <span title=\"Codes: \">If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently.</span></li><li><a href=\"Goal-Example-Smith-Johnson-CareExperiencePreference5.html\"><span title=\"Codes: {http://loinc.org 81364-2}\">Religious beliefs [Reported]</span></a>; <span title=\"Codes: \">If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest.</span></li></ul></div>"
  },
  "status": "active",
  "intent": "proposal",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "736366004",
          "display": "Advance care plan"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/Example-Smith-Johnson-Patient1"
  },
  "addresses": [
    {
      "display": "Permanent, sever brain damage and I am unable to recognize my family and friends"
    }
  ],
  "goal": [
    {
      "reference": "Goal/Example-Smith-Johnson-PersonalGoal1"
    },
    {
      "reference": "Goal/Example-Smith-Johnson-PersonalInterventionPreference3"
    },
    {
      "reference": "Goal/Example-Smith-Johnson-CareExperiencePreference5"
    }
  ]
}