PACIO Transitions of Care Implementation Guide
1.0.0-ballot - STU 1 Ballot United States of America flag

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 - XML Representation

Page standards status: Informative

Raw xml | Download


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