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 - XML Representation

Page standards status: Informative

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="BSJ-SNFDischargeCarePlan"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="active"/>
  <intent value="plan"/>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
      <code value="assess-plan"/>
      <display value="Assessment and Plan of Treatment"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/Example-Smith-Johnson-Patient1"/>
  </subject>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-PCPFollowUp"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeCallOrder"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeCallOTRefer"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeCallSLPRefer"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeDietProtein"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeDietSalt"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeLabOrderBMP"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargeLabOrderCBC"/>
    </reference>
  </activity>
  <activity>
    <reference>🔗 
      <reference value="ServiceRequest/BSJ-SNFDischargePTRefer"/>
    </reference>
  </activity>
</CarePlan>