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

: Transitions of Care Clinical Document - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Composition",
  "id" : "BSJ-TOCComposition",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p class=\"res-header-id\"><b>Generated Narrative: Composition BSJ-TOCComposition</b></p><a name=\"BSJ-TOCComposition\"> </a><a name=\"hcBSJ-TOCComposition\"> </a><a name=\"BSJ-TOCComposition-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\">Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-TOC-Composition.html\">Transition of Care Composition</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.823.1.7125</code>/20130607100315-CCDA-CCD</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11490-0}\">Physician Discharge summary</span></p><p><b>date</b>: 2024-05-10 08:49:58-0400</p><p><b>author</b>: <a href=\"Practitioner-Example-JenCadbury.html\">Practitioner Jen Cadbury</a></p><p><b>title</b>: Transitions of Care Document for Betsy Smith-Johnson</p><p><b>custodian</b>: <a href=\"Organization-org-SNF-Happy-Nursing-Facility.html\">Organization Happy Nursing Facility</a></p></div>"
  },
  "identifier" : {
    "system" : "urn:oid:2.16.840.1.113883.4.823.1.7125",
    "value" : "20130607100315-CCDA-CCD"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11490-0",
        "display" : "Physician Discharge summary"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "date" : "2024-05-10T08:49:58.313-04:00",
  "author" : [
    {
      🔗 "reference" : "Practitioner/Example-JenCadbury"
    }
  ],
  "title" : "Transitions of Care Document for Betsy Smith-Johnson",
  "custodian" : {
    🔗 "reference" : "Organization/org-SNF-Happy-Nursing-Facility"
  },
  "section" : [
    {
      "title" : "List of allergies for Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions Document"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies for Betsy Smith-Johnson</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "AllergyIntolerance/BSJ-AllergyACE"
        }
      ]
    },
    {
      "title" : "Functional status of Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "54522-8",
            "display" : "Functional status"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Functional status of Betsy Smith-Johnson</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/BSJ-MDS-Doffing1"
        },
        {
          🔗 "reference" : "Observation/BSJ-MDS-Donning1"
        },
        {
          🔗 "reference" : "Observation/BSJ-MDS-Mobility-PT1"
        },
        {
          🔗 "reference" : "Observation/BSJ-MDS-ShortWalk1"
        },
        {
          🔗 "reference" : "Observation/BSJ-MDS-SitStand1"
        },
        {
          🔗 "reference" : "Observation/BSJ-MDS-SitUp1"
        }
      ]
    },
    {
      "title" : "List of medications prescribed for Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "52471-0",
            "display" : "Medications"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medications prescribed for Betsy Smith-Johnson</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "List/BSJ-SMPMedList"
        }
      ]
    },
    {
      "title" : "Discharge care plan for Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "74449-0",
            "display" : "Patient plan of care - recommended IHE set"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge care plan for Betsy Smith-Johnson</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "CarePlan/BSJ-SNFDischargeCarePlan"
        }
      ]
    },
    {
      "title" : "List of problem conditions and observations for Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "46019-6",
            "display" : "Diseases or conditions Set"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of problem conditions and observations for Betsy Smith-Johnson</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/BSJ-AnemiaDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-ConstipationDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-DepressionDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-DiabetesDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-DressingConcern"
        },
        {
          🔗 "reference" : "Condition/BSJ-HeartDiseaseDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-HemiparesisDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-HyperlipidemiaDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-HypertensionDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-KidneyDiseaseDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-NauseaAndVomiting"
        },
        {
          🔗 "reference" : "Condition/BSJ-NeuropathyDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-StrokeDiagnosis"
        },
        {
          🔗 "reference" : "Condition/BSJ-UndressingConcern"
        },
        {
          🔗 "reference" : "Condition/OT-ProblemList-Decondition"
        },
        {
          🔗 "reference" : "Condition/OT-ProblemList-RightWeak"
        }
      ]
    },
    {
      "title" : "Reason for referring Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "42349-1",
            "display" : "Reason for referral (narrative)"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reason for referring Betsy Smith-Johnson</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Encounter/BSJ-Encounter"
        }
      ]
    },
    {
      "title" : "List of test results for Betsy Smith-Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "19146-0",
            "display" : "Referral lab test results"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of test results for Betsy Smith-Johnson</div>"
      }
    }
  ]
}