This page is part of the PACIO Advance Directive Information Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<CarePlan xmlns="http://hl7.org/fhir">
<id value="Example-Smith-Johnson-PreferenceCarePlan2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan"/>
</meta>
<text>
<status value="additional"/>
<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, severe 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="Observation-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="Observation-Example-Smith-Johnson-CareExperiencePreference5.html"><span title="Codes: {http://loinc.org 81364-2}">Religious or cultural 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>
</text>
<status value="active"/>
<intent value="proposal"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="736366004"/>
<display value="Advance care plan"/>
</coding>
</category>
<title value="Care Plan for Permanent, severe brain damage"/>
<subject>🔗
<reference value="Patient/Example-Smith-Johnson-Patient1"/>
</subject>
<addresses>
<display
value="Permanent, severe brain damage and I am unable to recognize my family and friends"/>
</addresses>
<supportingInfo>🔗
<reference
value="Observation/Example-Smith-Johnson-PersonalInterventionPreference3"/>
</supportingInfo>
<supportingInfo>🔗
<reference
value="Observation/Example-Smith-Johnson-CareExperiencePreference5"/>
</supportingInfo>
<goal>🔗
<reference value="Goal/Example-Smith-Johnson-PersonalGoal1"/>
</goal>
</CarePlan>