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 - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CarePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "BSJ-SNFDischargeCarePlan"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "plan"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/careplan-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assess-plan" ] ;
fhir:display [ fhir:v "Assessment and Plan of Treatment" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Example-Smith-Johnson-Patient1" ]
  ] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-PCPFollowUp" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeCallOrder" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeCallOTRefer" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeCallSLPRefer" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeDietProtein" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeDietSalt" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeLabOrderBMP" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargeLabOrderCBC" ]     ]
  ] [
fhir:reference [
fhir:reference [ fhir:v "ServiceRequest/BSJ-SNFDischargePTRefer" ]     ]
  ] ) . #