PACIO Transitions of Care Implementation Guide
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This page is part of the PACIO Transitions of Care Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

: Discharge Care Plan - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "CarePlan",
  "id" : "BSJ-SNFDischargeCarePlan",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan BSJ-SNFDischargeCarePlan</b></p><a name=\"BSJ-SNFDischargeCarePlan\"> </a><a name=\"hcBSJ-SNFDischargeCarePlan\"> </a><a name=\"BSJ-SNFDischargeCarePlan-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-careplan.html\">US Core CarePlan Profileversion: null6.1.0)</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}\">Assessment and Plan of Treatment</span></p><p><b>subject</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600)</a></p><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-PCPFollowUp.html\">ServiceRequest Follow-up visit (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallOrder.html\">ServiceRequest Informing doctor (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallOTRefer.html\">ServiceRequest Occupational therapy assessment (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallSLPRefer.html\">ServiceRequest Speech therapy assessment (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeDietProtein.html\">ServiceRequest Decreased protein and/or protein derivative diet (regime/therapy)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeDietSalt.html\">ServiceRequest Decreased sodium diet (regime/therapy)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeLabOrderBMP.html\">ServiceRequest Blood chemistry (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeLabOrderCBC.html\">ServiceRequest Complete blood count without differential (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargePTRefer.html\">ServiceRequest Physical therapy assessment (procedure)</a></p></blockquote></div>"
  },
  "status" : "active",
  "intent" : "plan",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
          "code" : "assess-plan",
          "display" : "Assessment and Plan of Treatment"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "activity" : [
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-PCPFollowUp"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeCallOrder"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeCallOTRefer"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeCallSLPRefer"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeDietProtein"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeDietSalt"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeLabOrderBMP"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeLabOrderCBC"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "ServiceRequest/BSJ-SNFDischargePTRefer"
      }
    }
  ]
}