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 - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "BSJ-TOCComposition"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition>     ] )
  ] ; # 
  fhir:language [ fhir:v "en-US"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.4.823.1.7125"^^xsd:anyURI ] ;
fhir:value [ fhir:v "20130607100315-CCDA-CCD" ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:11490-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11490-0" ] ;
fhir:display [ fhir:v "Physician Discharge summary" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Example-Smith-Johnson-Patient1" ]
  ] ; # 
  fhir:date [ fhir:v "2024-05-10T08:49:58.313-04:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Practitioner/Example-JenCadbury" ]
  ] ) ; # 
  fhir:title [ fhir:v "Transitions of Care Document for Betsy Smith-Johnson"] ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/org-SNF-Happy-Nursing-Facility" ]
  ] ; # 
  fhir:section ( [
fhir:title [ fhir:v "List of allergies for Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies for Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "AllergyIntolerance/BSJ-AllergyACE" ]     ] )
  ] [
fhir:title [ fhir:v "Functional status of Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:54522-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "54522-8" ] ;
fhir:display [ fhir:v "Functional status" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Functional status of Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/BSJ-MDS-Doffing1" ]     ] [
fhir:reference [ fhir:v "Observation/BSJ-MDS-Donning1" ]     ] [
fhir:reference [ fhir:v "Observation/BSJ-MDS-Mobility-PT1" ]     ] [
fhir:reference [ fhir:v "Observation/BSJ-MDS-ShortWalk1" ]     ] [
fhir:reference [ fhir:v "Observation/BSJ-MDS-SitStand1" ]     ] [
fhir:reference [ fhir:v "Observation/BSJ-MDS-SitUp1" ]     ] )
  ] [
fhir:title [ fhir:v "List of medications prescribed for Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:52471-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "52471-0" ] ;
fhir:display [ fhir:v "Medications" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medications prescribed for Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "List/BSJ-SMPMedList" ]     ] )
  ] [
fhir:title [ fhir:v "Discharge care plan for Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:74449-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "74449-0" ] ;
fhir:display [ fhir:v "Patient plan of care - recommended IHE set" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge care plan for Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "CarePlan/BSJ-SNFDischargeCarePlan" ]     ] )
  ] [
fhir:title [ fhir:v "List of problem conditions and observations for Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:46019-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "46019-6" ] ;
fhir:display [ fhir:v "Diseases or conditions Set" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of problem conditions and observations for Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/BSJ-AnemiaDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-ConstipationDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-DepressionDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-DiabetesDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-DressingConcern" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-HeartDiseaseDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-HemiparesisDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-HyperlipidemiaDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-HypertensionDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-KidneyDiseaseDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-NauseaAndVomiting" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-NeuropathyDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-StrokeDiagnosis" ]     ] [
fhir:reference [ fhir:v "Condition/BSJ-UndressingConcern" ]     ] [
fhir:reference [ fhir:v "Condition/OT-ProblemList-Decondition" ]     ] [
fhir:reference [ fhir:v "Condition/OT-ProblemList-RightWeak" ]     ] )
  ] [
fhir:title [ fhir:v "Reason for referring Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:42349-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "42349-1" ] ;
fhir:display [ fhir:v "Reason for referral (narrative)" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reason for referring Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Encounter/BSJ-Encounter" ]     ] )
  ] [
fhir:title [ fhir:v "List of test results for Betsy Smith-Johnson" ] ;
fhir:code [
      ( fhir:coding [
a loinc:19146-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "19146-0" ] ;
fhir:display [ fhir:v "Referral lab test results" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of test results for Betsy Smith-Johnson</div>"^^rdf:XMLLiteral     ]
  ] ) . #