inputSchema: type: object properties: title: Care Plan Meeting Template pages: - id: 1 name: patient_full_name label: Patient Full Name hint: null type: text options: [] required: true - id: 2 name: medical_record_number label: Medical Record Number hint: null type: text options: [] required: true - id: 3 name: date_of_birth label: Date of Birth hint: null type: date options: [] required: true - id: 4 name: meeting_date label: Meeting Date hint: null type: date options: [] required: true - id: 5 name: meeting_time label: Meeting Time hint: null type: time options: [] required: true - id: 6 name: meeting_location label: Meeting Location hint: Room number or virtual link type: text options: [] required: true - id: 7 name: meeting_type label: Meeting Type hint: null type: select_one options: - Initial care plan - Quarterly review - Annual review - Discharge planning - Care transition - Emergency review - Family conference required: true - id: 8 name: attending_physician label: Attending Physicians hint: List all attending physicians type: text options: [] required: true - id: 9 name: attending_nurses label: Attending Nursing Staff hint: Names and roles type: text options: [] required: true - id: 10 name: other_healthcare_providers label: Other Healthcare Providers Present hint: Select all that apply type: select_multiple options: - Physical therapist - Occupational therapist - Speech therapist - Respiratory therapist - Dietitian or nutritionist - Social worker - Case manager - Pharmacist - Psychologist or psychiatrist - Chaplain - Home health representative - None required: true - id: 11 name: family_members_present label: Family Members Present hint: Names and relationships type: text options: [] required: false - id: 12 name: patient_advocate_present label: Patient Advocate Present hint: null type: select_one options: - 'True' - 'False' required: true - id: 13 name: primary_diagnosis label: Primary Diagnosis hint: Main medical condition type: text options: [] required: true - id: 14 name: secondary_diagnoses label: Secondary Diagnoses hint: List all comorbidities type: text options: [] required: true - id: 15 name: current_health_status label: Current Health Status hint: Brief summary type: text options: [] required: true - id: 16 name: functional_status label: Functional Status hint: Ability to perform daily activities type: select_one options: - Independent - Requires minimal assistance - Requires moderate assistance - Requires maximum assistance - Dependent required: true - id: 17 name: cognitive_status label: Cognitive Status hint: null type: select_one options: - Alert and oriented - Mild impairment - Moderate impairment - Severe impairment - Unable to assess required: true - id: 18 name: patient_goals label: Patient-Stated Goals hint: What does the patient hope to achieve type: text options: [] required: false - id: 19 name: family_goals label: Family Goals or Concerns hint: If applicable type: text options: [] required: false - id: 20 name: short_term_goals label: Short-Term Care Goals hint: Next 30 days type: text options: [] required: true - id: 21 name: long_term_goals label: Long-Term Care Goals hint: Next 90 days or more type: text options: [] required: true - id: 22 name: medication_review label: Medication Review Summary hint: Changes or concerns type: text options: [] required: true - id: 23 name: treatment_plan_changes label: Treatment Plan Changes hint: List any modifications type: text options: [] required: false - id: 24 name: therapy_services label: Therapy Services Ordered hint: Select all that apply type: select_multiple options: - Physical therapy - Occupational therapy - Speech therapy - Respiratory therapy - Recreational therapy - Music therapy - None required: true - id: 25 name: therapy_frequency label: Therapy Frequency hint: Sessions per week type: text options: [] required: false - id: 26 name: nutritional_needs label: Nutritional Needs and Diet Orders hint: null type: text options: [] required: true - id: 27 name: social_services_needs label: Social Services Needs hint: Select all that apply type: select_multiple options: - Discharge planning - Financial assistance - Housing assistance - Transportation - Caregiver support - Community resources - Counseling - None required: true - id: 28 name: equipment_needs label: Durable Medical Equipment Needs hint: Select all that apply type: select_multiple options: - Wheelchair - Walker or cane - Hospital bed - Oxygen equipment - Commode - Shower chair - Lift equipment - Monitoring devices - None required: true - id: 29 name: follow_up_appointments label: Follow-up Appointments Scheduled hint: List appointments and dates type: text options: [] required: true - id: 30 name: next_meeting_date label: Next Care Plan Meeting Date hint: null type: date options: [] required: false - id: 31 name: action_items label: Action Items and Responsibilities hint: Who will do what by when type: text options: [] required: true - id: 32 name: patient_consent label: Patient Consents to Care Plan hint: null type: select_one options: - 'True' - 'False' - Unable to consent - Consent by proxy required: true - id: 33 name: additional_notes label: Additional Notes hint: Any other relevant information type: text options: [] required: false - id: 34 name: meeting_facilitator label: Meeting Facilitator hint: Name and title type: text options: [] required: true - id: 35 name: documentation_completed_by label: Documentation Completed By hint: null type: text options: [] required: true