Example-Smith-Johnson-TOCBundle
type: Bundle
node role: treeRoot
id:
  v: Example-Smith-Johnson-TOCBundle
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Bundle
    l: TOC-Bundle
identifier:
  system:
    v: http://www.example.org/documents
    l: documents
  value:
    v: 12345
type:
  v: document
timestamp:
  v: 2024-05-10T14:25:34.001-05:00
entry:
  full url:
    v: http://www.example.org/fhir/Composition/BSJ-TOCComposition
    l: BSJ-TOCComposition
  resource: BSJ-TOCComposition
entry:
  full url:
    v: http://www.example.org/fhir/Patient/Example-Smith-Johnson-Patient1
    l: Example-Smith-Johnson-Patient1
  resource: Example-Smith-Johnson-Patient1
entry:
  full url:
    v: http://www.example.org/fhir/Encounter/BSJ-Encounter
    l: BSJ-Encounter
  resource: BSJ-Encounter
entry:
  full url:
    v: http://www.example.org/fhir/AllergyIntolerance/BSJ-AllergyACE
    l: BSJ-AllergyACE
  resource: BSJ-AllergyACE
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-DressingConcern
    l: BSJ-DressingConcern
  resource: BSJ-DressingConcern
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HeartDiseaseDiagnosis
    l: BSJ-HeartDiseaseDiagnosis
  resource: BSJ-HeartDiseaseDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HemiparesisDiagnosis
    l: BSJ-HemiparesisDiagnosis
  resource: BSJ-HemiparesisDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HyperlipidemiaDiagnosis
    l: BSJ-HyperlipidemiaDiagnosis
  resource: BSJ-HyperlipidemiaDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-HypertensionDiagnosis
    l: BSJ-HypertensionDiagnosis
  resource: BSJ-HypertensionDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/BSJ-StrokeDiagnosis
    l: BSJ-StrokeDiagnosis
  resource: BSJ-StrokeDiagnosis
entry:
  full url:
    v: http://www.example.org/fhir/Condition/OT-ProblemList-RightWeak
    l: OT-ProblemList-RightWeak
  resource: OT-ProblemList-RightWeak
entry:
  full url:
    v: http://www.example.org/fhir/Immunization/BSJ-Immunization-PCV20
    l: BSJ-Immunization-PCV20
  resource: BSJ-Immunization-PCV20
entry:
  full url:
    v: http://www.example.org/fhir/Immunization/BSJ-Immunization-Fluzone
    l: BSJ-Immunization-Fluzone
  resource: BSJ-Immunization-Fluzone
entry:
  full url:
    v: http://www.example.org/fhir/List/BSJ-SMPMedList
    l: BSJ-SMPMedList
  resource: BSJ-SMPMedList
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt1
    l: BSJ-SMPMedStmt1
  resource: BSJ-SMPMedStmt1
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt4
    l: BSJ-SMPMedStmt4
  resource: BSJ-SMPMedStmt4
entry:
  full url:
    v: http://www.example.org/fhir/MedicationStatement/BSJ-SMPMedStmt9
    l: BSJ-SMPMedStmt9
  resource: BSJ-SMPMedStmt9
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq1
    l: BSJ-SMPMedReq1
  resource: BSJ-SMPMedReq1
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq4
    l: BSJ-SMPMedReq4
  resource: BSJ-SMPMedReq4
entry:
  full url:
    v: http://www.example.org/fhir/MedicationRequest/BSJ-SMPMedReq9
    l: BSJ-SMPMedReq9
  resource: BSJ-SMPMedReq9
entry:
  full url:
    v: http://www.example.org/fhir/CarePlan/BSJ-SNFDischargeCarePlan
    l: BSJ-SNFDischargeCarePlan
  resource: BSJ-SNFDischargeCarePlan
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-PCPFollowUp
    l: BSJ-PCPFollowUp
  resource: BSJ-PCPFollowUp
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOrder
    l: BSJ-SNFDischargeCallOrder
  resource: BSJ-SNFDischargeCallOrder
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOTRefer
    l: BSJ-SNFDischargeCallOTRefer
  resource: BSJ-SNFDischargeCallOTRefer
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallSLPRefer
    l: BSJ-SNFDischargeCallSLPRefer
  resource: BSJ-SNFDischargeCallSLPRefer
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeDietSalt
    l: BSJ-SNFDischargeDietSalt
  resource: BSJ-SNFDischargeDietSalt
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderBMP
    l: BSJ-SNFDischargeLabOrderBMP
  resource: BSJ-SNFDischargeLabOrderBMP
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderCBC
    l: BSJ-SNFDischargeLabOrderCBC
  resource: BSJ-SNFDischargeLabOrderCBC
entry:
  full url:
    v: http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargePTRefer
    l: BSJ-SNFDischargePTRefer
  resource: BSJ-SNFDischargePTRefer
entry:
  full url:
    v: http://www.example.org/fhir/Location/org-Loc-Neuro-Care-Inc
    l: org-Loc-Neuro-Care-Inc
  resource: org-Loc-Neuro-Care-Inc
entry:
  full url:
    v: http://www.example.org/fhir/Location/org-Loc-PC-Primary-Care-Michigan
    l: org-Loc-PC-Primary-Care-Michigan
  resource: org-Loc-PC-Primary-Care-Michigan
entry:
  full url:
    v: http://www.example.org/fhir/Location/org-Loc-SNF-Happy-Nursing-Facility
    l: org-Loc-SNF-Happy-Nursing-Facility
  resource: org-Loc-SNF-Happy-Nursing-Facility
entry:
  full url:
    v: http://www.example.org/fhir/Location/org-Loc-HomeHealth-Motown
    l: org-Loc-HomeHealth-Motown
  resource: org-Loc-HomeHealth-Motown
entry:
  full url:
    v: http://www.example.org/fhir/Organization/org-Neuro-Care-Inc
    l: org-Neuro-Care-Inc
  resource: org-Neuro-Care-Inc
entry:
  full url:
    v: http://www.example.org/fhir/Organization/org-PC-Primary-Care-Michigan
    l: org-PC-Primary-Care-Michigan
  resource: org-PC-Primary-Care-Michigan
entry:
  full url:
    v: http://www.example.org/fhir/Organization/org-SNF-Happy-Nursing-Facility
    l: org-SNF-Happy-Nursing-Facility
  resource: org-SNF-Happy-Nursing-Facility
entry:
  full url:
    v: http://www.example.org/fhir/Organization/org-HomeHealth-Motown
    l: org-HomeHealth-Motown
  resource: org-HomeHealth-Motown

BSJ-TOCComposition
type: Composition
id:
  v: BSJ-TOCComposition
meta:
  profile:
    v: http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition
    l: TOC-Composition
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Composition BSJ-TOCComposition Language: en-US Profile: Transition of Care Composition identifier: http://example.org/GoodHealthClinic/id/76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD status: Final type: Physician Discharge summary date: 2024-05-10 08:49:58-0400 author: Practitioner Jen Cadbury title: Transitions of Care Document for Betsy Smith-Johnson custodian: Organization Happy Nursing Facility
identifier:
  system:
    v: http://example.org/GoodHealthClinic/id
    l: id
status:
  v: final
type:
  coding: https://loinc.org/rdf/11490-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11490-0
    display:
      v: Physician Discharge summary
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
date:
  v: 2024-05-10T08:49:58.313-04:00
author:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
title:
  v: Transitions of Care Document for Betsy Smith-Johnson
custodian:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
section:
  title:
    v: Advance directives for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/42348-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 42348-3
  text:
    status:
      v: additional
    div:
      v: Advance directives for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: notasked
section:
  title:
    v: List of allergies for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/48765-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 48765-2
  text:
    status:
      v: additional
    div:
      v: Allergies for Betsy Smith-Johnson
  entry:
    l: BSJ-AllergyACE
    reference:
      v: AllergyIntolerance/BSJ-AllergyACE
section:
  title:
    v: Behavioral health information for Betsy Smith-Johnson
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/pacio-toc/CodeSystem/toc-temp-cs
        l: toc-temp-cs
      code:
        v: behavioral_health_summary
  text:
    status:
      v: additional
    div:
      v: Behavioral health information for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: withheld
section:
  title:
    v: Functional status of Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/47420-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 47420-5
  text:
    status:
      v: additional
    div:
      v: Functional status of Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: List of immunizations for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/11369-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11369-6
  text:
    status:
      v: additional
    div:
      v: List of immunizations for Betsy Smith-Johnson
  entry:
    l: BSJ-Immunization-PCV20
    reference:
      v: Immunization/BSJ-Immunization-PCV20
  entry:
    l: BSJ-Immunization-Fluzone
    reference:
      v: Immunization/BSJ-Immunization-Fluzone
section:
  title:
    v: Discharge instructions for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/69730-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 69730-0
  text:
    status:
      v: additional
    div:
      v: Discharge instructions for Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: List of medical equipment needed by Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/46264-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 46264-8
  text:
    status:
      v: additional
    div:
      v: List of medical equipment needed by Betsy Smith-Johnson
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
section:
  title:
    v: List of medications prescribed for Betsy Smith-Johnson
  code:
    coding: https://loinc.org/rdf/10160-0
      system:
        v: http://loinc.org
        l: loinc.org

Example-Smith-Johnson-Patient1
type: Patient
id:
  v: Example-Smith-Johnson-Patient1
meta:
  last updated:
    v: 2021-03-29T14:25:34.001-05:00
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient Example-Smith-Johnson-Patient1 Last updated: 2021-03-29 14:25:34-0500; Language: en-US Profile: US Core Patient Profile version: 8.0.1 Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) Active: true Marital Status: unknown Other Id: Medical Record Number/1032702 (use: usual, ) Contact Detail ph: 555-555-5555(Home) ph: (410) 444-5555 111 Maple Ct, Grand Rapids, MI 49503 Language: English (preferred) son: Charles Johnson 111 Maple Ct, Grand Rapids, MI 49503 ph: (210) 222-3333 daughter: Debra Johnson 333 W. Camden St., Baltimore, MD 21201 ph: (410) 444-5555 <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: Race & Ethnicity - CDC: 2106-3 (White) text: White
extension:
  extension:
    url:
      v: ombCategory
      l: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
        l: 2.16.840.1.113883.6.238
      code:
        v: 2106-3
      display:
        v: White
  extension:
    url:
      v: text
      l: text
    value: String
      v: White
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
    l: us-core-race
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
    text:
      v: Medical Record Number
  system:
    v: http://hospital.example.org
    l: hospital.example.org
  value:
    v: 1032702
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-medicare
    l: us-medicare
  value:
    v: 1AA3D58WH16
active:
  v: true
name:
  use:
    v: usual
  text:
    v: Smith-Johnson, Betsy
  family:
    v: Smith-Johnson
  given:
    v: Betsy
telecom:
  system:
    v: phone
  value:
    v: 555-555-5555
  use:
    v: home
telecom:
  system:
    v: phone
  value:
    v: (410) 444-5555
gender:
  v: female
birth date:
  v: 1958-11-01
address:
  text:
    v: 111 Maple Ct, Grand Rapids, MI 49503
  line:
    v: 111 Maple Ct
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US
  period:
    start:
      v: 2016-12-06
marital status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      l: v3-NullFlavor
    code:
      v: UNK
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: SONC
  name:
    text:
      v: Charles Johnson
  telecom:
    system:
      v: phone
    value:
      v: (210) 222-3333
  address:
    text:
      v: 111 Maple Ct, Grand Rapids, MI 49503
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: DAUC
  name:
    text:
      v: Debra Johnson
  telecom:
    system:
      v: phone
    value:
      v: (410) 444-5555
  address:
    text:
      v: 333 W. Camden St., Baltimore, MD 21201
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
        l: 47
      code:
        v: en
      display:
        v: English
  preferred:
    v: true

BSJ-Encounter
type: Encounter
id:
  v: BSJ-Encounter
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter BSJ-Encounter Profile: US Core Encounter Profile version: 8.0.1 status: Finished class: ActCode: HH (Home Health) type: Evaluation and management of patient at home (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) Participants - Individual * PractitionerRole Occupational Therapist period: 2024-01-18 --> (ongoing) Locations - Location * Location Motown Home Health Facility
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: HH
  display:
    v: Home Health
type:
  coding: http://snomed.info/id/50357006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 50357006
    display:
      v: Evaluation and management of patient at home (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
participant:
  individual:
    l: Role-OT-JenCadbury
    reference:
      v: PractitionerRole/Role-OT-JenCadbury
period:
  start:
    v: 2024-01-18
location:
  location:
    l: org-Loc-HomeHealth-Motown
    reference:
      v: Location/org-Loc-HomeHealth-Motown

BSJ-AllergyACE
type: AllergyIntolerance
id:
  v: BSJ-AllergyACE
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance BSJ-AllergyACE Profile: US Core AllergyIntolerance Profile version: 8.0.1 clinicalStatus: Active verificationStatus: Confirmed category: Medication criticality: High Risk code: Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance) patient: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) asserter: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) lastOccurrence: 2011-10 Reactions - Substance Manifestation * captopril 12.5 MG Oral Tablet Hyperkalemia caused by angiotensin-converting enzyme inhibitor (disorder)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
category:
  v: medication
criticality:
  v: high
code:
  coding: http://snomed.info/id/372733002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 372733002
    display:
      v: Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)
patient:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
asserter:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
last occurrence:
  v: 2011-10
reaction:
  substance:
    coding:
      system:
        v: http://www.nlm.nih.gov/research/umls/rxnorm
        l: rxnorm
      code:
        v: 308963
      display:
        v: captopril 12.5 MG Oral Tablet
  manifestation:
    coding: http://snomed.info/id/427195008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 427195008
      display:
        v: Hyperkalemia caused by angiotensin-converting enzyme inhibitor (disorder)

BSJ-DressingConcern
type: Condition
id:
  v: BSJ-DressingConcern
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition BSJ-DressingConcern Profile: US Core Condition Problems and Health Concerns Profile version: 8.0.1 clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Difficulty performing dressing activity (finding) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) recordedDate: 2024-04-27 15:40:00-0400 asserter: PractitionerRole Occupational Therapist note: Betsy is frustrated, embarrassed, and worried about not being able to dress herself
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: problem-list-item
    display:
      v: Problem List Item
code:
  coding: http://snomed.info/id/284972002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 284972002
    display:
      v: Difficulty performing dressing activity (finding)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2024-04-27T15:40:00-04:00
asserter:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
note:
  text:
    v: Betsy is frustrated, embarrassed, and worried about not being able to dress herself

BSJ-HeartDiseaseDiagnosis
type: Condition
id:
  v: BSJ-HeartDiseaseDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HeartDiseaseDiagnosis Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1 Condition Asserted Date: 2019-06 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Ischemic heart disease (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) recordedDate: 2019-06-08 14:15:00-0400 asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2019-06
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/414545008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 414545008
    display:
      v: Ischemic heart disease (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2019-06-08T14:15:00-04:00
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-HemiparesisDiagnosis
type: Condition
id:
  v: BSJ-HemiparesisDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HemiparesisDiagnosis Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1 Condition Asserted Date: 2024-04-18 13:30:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Right hemiparesis (disorder) bodySite: Right upper arm structure (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) onset: 2024-04-17 15:40:00-0400 recordedDate: 2024-04-18 13:30:00-0400 asserter: PractitionerRole Neurology Physician note: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-18T13:30:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/278286009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 278286009
    display:
      v: Right hemiparesis (disorder)
body site:
  coding: http://snomed.info/id/368209003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 368209003
    display:
      v: Right upper arm structure (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2024-04-17T15:40:00-04:00
recorded date:
  v: 2024-04-18T13:30:00-04:00
asserter:
  l: Role-Neuro-NuraMekel
  reference:
    v: PractitionerRole/Role-Neuro-NuraMekel
note:
  text:
    v: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.

BSJ-HyperlipidemiaDiagnosis
type: Condition
id:
  v: BSJ-HyperlipidemiaDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HyperlipidemiaDiagnosis Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1 Condition Asserted Date: 2018-06 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Hyperlipidemia (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2018-06
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-HypertensionDiagnosis
type: Condition
id:
  v: BSJ-HypertensionDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-HypertensionDiagnosis Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1 Condition Asserted Date: 2011-09 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Hypertensive disorder, systemic arterial (disorder) bodySite: Structure of cardiovascular system (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) onset: 2011-08 recordedDate: 2011-09-17 asserter: PractitionerRole Internal Medicine Physician
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2011-09
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003
    display:
      v: Hypertensive disorder, systemic arterial (disorder)
body site:
  coding: http://snomed.info/id/113257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 113257007
    display:
      v: Structure of cardiovascular system (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2011-08
recorded date:
  v: 2011-09-17
asserter:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

BSJ-StrokeDiagnosis
type: Condition
id:
  v: BSJ-StrokeDiagnosis
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition BSJ-StrokeDiagnosis Profile: US Core Condition Encounter Diagnosis Profile version: 8.0.1 Condition Asserted Date: 2024-04-17 15:40:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Encounter Diagnosis code: Ischemic stroke (disorder) bodySite: Structure of middle cerebral artery M1 segment (body structure), Left subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) onset: 2024-04-17 15:40:00-0400 recordedDate: 2023-12-15 18:40:00-0400 asserter: PractitionerRole Neurology Physician note: Partial occlusion of MCA. Stroke event witnessed. EMS response / patient arrived within 45 minutes of symptom onset. Verified by CT with contrast. tPA administered within 2 hours of symptom onset.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-17T15:40:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
    display:
      v: Encounter Diagnosis
code:
  coding: http://snomed.info/id/422504002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 422504002
    display:
      v: Ischemic stroke (disorder)
body site:
  coding: http://snomed.info/id/414722000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 414722000
    display:
      v: Structure of middle cerebral artery M1 segment (body structure)
body site:
  coding: http://snomed.info/id/7771000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 7771000
    display:
      v: Left
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
onset: DateTime
  v: 2024-04-17T15:40:00-04:00
recorded date:
  v: 2023-12-15T18:40:00-04:00
asserter:
  l: Role-Neuro-NuraMekel
  reference:
    v: PractitionerRole/Role-Neuro-NuraMekel
note:
  text:
    v: Partial occlusion of MCA. Stroke event witnessed. EMS response / patient arrived within 45 minutes of symptom onset. Verified by CT with contrast. tPA administered within 2 hours of symptom onset.

OT-ProblemList-RightWeak
type: Condition
id:
  v: OT-ProblemList-RightWeak
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Condition OT-ProblemList-RightWeak Profile: US Core Condition Problems and Health Concerns Profile version: 8.0.1 Condition Asserted Date: 2024-04-17 15:40:00-0400 clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Muscle weakness of upper limb (finding) bodySite: Right upper arm structure (body structure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) recordedDate: 2024-04-27 15:40:00-0400 asserter: PractitionerRole Occupational Therapist Evidences - Detail * Condition Right hemiparesis (disorder) note: The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    l: condition-assertedDate
  value: DateTime
    v: 2024-04-17T15:40:00-04:00
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: problem-list-item
    display:
      v: Problem List Item
code:
  coding: http://snomed.info/id/713512009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 713512009
    display:
      v: Muscle weakness of upper limb (finding)
body site:
  coding: http://snomed.info/id/368209003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 368209003
    display:
      v: Right upper arm structure (body structure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
recorded date:
  v: 2024-04-27T15:40:00-04:00
asserter:
  l: Role-OT-JenCadbury
  reference:
    v: PractitionerRole/Role-OT-JenCadbury
evidence:
  detail:
    l: BSJ-HemiparesisDiagnosis
    reference:
      v: Condition/BSJ-HemiparesisDiagnosis
note:
  text:
    v: The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.

BSJ-Immunization-PCV20
type: Immunization
id:
  v: BSJ-Immunization-PCV20
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization BSJ-Immunization-PCV20 Profile: US Core Immunization Profile version: 8.0.1 status: Completed vaccineCode: pneumococcal conjugate vaccine, 13 valent patient: Betsy Smith-Johnson occurrence: 2025-11-19 15:00:00-0800 primarySource: false location: Home Health - Motown lotNumber: AAJN88P Performers - Actor * Dr. Gerald Park
status:
  v: completed
vaccine code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/cvx
      l: cvx
    code:
      v: 133
    display:
      v: pneumococcal conjugate vaccine, 13 valent
  text:
    v: pneumococcal conjugate vaccine, 13 valent
patient:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
occurrence: DateTime
  v: 2025-11-19T15:00:00-08:00
primary source:
  v: false
location:
  l: org-Loc-HomeHealth-Motown
  reference:
    v: Location/org-Loc-HomeHealth-Motown
  display:
    v: Home Health - Motown
lot number:
  v: AAJN88P
performer:
  actor:
    l: Role-SNFDoc-GeraldPark
    reference:
      v: PractitionerRole/Role-SNFDoc-GeraldPark
    display:
      v: Dr. Gerald Park

BSJ-Immunization-Fluzone
type: Immunization
id:
  v: BSJ-Immunization-Fluzone
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization BSJ-Immunization-Fluzone Profile: US Core Immunization Profile version: 8.0.1 status: Completed vaccineCode: Influenza, high-dose, quadrivalent, PF patient: Betsy Smith-Johnson occurrence: 2025-11-19 15:00:00-0800 primarySource: false location: Home Health - Motown lotNumber: AAJN55Q Performers - Actor * Dr. Gerald Park
status:
  v: completed
vaccine code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/cvx
      l: cvx
    code:
      v: 197
    display:
      v: Influenza, high-dose, quadrivalent, PF
  text:
    v: Influenza, high-dose, quadrivalent, PF
patient:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
occurrence: DateTime
  v: 2025-11-19T15:00:00-08:00
primary source:
  v: false
location:
  l: org-Loc-HomeHealth-Motown
  reference:
    v: Location/org-Loc-HomeHealth-Motown
  display:
    v: Home Health - Motown
lot number:
  v: AAJN55Q
performer:
  actor:
    l: Role-SNFDoc-GeraldPark
    reference:
      v: PractitionerRole/Role-SNFDoc-GeraldPark
    display:
      v: Dr. Gerald Park

BSJ-SMPMedList
type: List
id:
  v: BSJ-SMPMedList
meta:
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-list
    l: smp-medication-list
text:
  status:
    v: generated
  div:
    v: Generated Narrative: List BSJ-SMPMedList Profile: Standardized Medication Profile - Medication List Home Medication List Date: 2024-08-11 Mode: Working List Status: Current Code: Patient generated medication list [Identifier] Episode Pharmacy Subject: Betsy Smith-JohnsonSource: Items Date atorvastatin 40 MG Oral Tablet 2024-08-11 losartan potassium 25 MG Oral Tablet 2024-08-11 clopidogrel 75 MG Oral Tablet 2024-08-11
status:
  v: current
mode:
  v: working
title:
  v: Home Medication List
code:
  coding: https://loinc.org/rdf/104205-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 104205-0
    display:
      v: Patient generated medication list [Identifier] Episode Pharmacy
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date:
  v: 2024-08-11
source:
  l: Example-GeraldPark
  reference:
    v: Practitioner/Example-GeraldPark
  display:
    v: Dr. Gerald Park
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt1
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt1
    display:
      v: atorvastatin 40 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt4
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt4
    display:
      v: losartan potassium 25 MG Oral Tablet
entry:
  date:
    v: 2024-08-11
  item:
    l: BSJ-SMPMedStmt9
    reference:
      v: MedicationStatement/BSJ-SMPMedStmt9
    display:
      v: clopidogrel 75 MG Oral Tablet

BSJ-SMPMedStmt1
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt1
meta:
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationstatement
    l: smp-medicationstatement
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt1 Profile: Standardized Medication Profile - MedicationStatement basedOn: MedicationRequest: status = active; intent = order; medication[x] = atorvastatin 40 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Hyperlipidemia status: Active medication: atorvastatin 40 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Dr. Gerald Park reasonCode: Hyperlipidemia Dosages - Sequence Text * 1 po nightly
based on:
  l: BSJ-SMPMedReq1
  reference:
    v: MedicationRequest/BSJ-SMPMedReq1
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 617311
    display:
      v: atorvastatin 40 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: Example-GeraldPark
  reference:
    v: Practitioner/Example-GeraldPark
  display:
    v: Dr. Gerald Park
reason code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia
dosage:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedStmt4
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt4
meta:
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationstatement
    l: smp-medicationstatement
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt4 Profile: Standardized Medication Profile - MedicationStatement basedOn: MedicationRequest: status = active; intent = order; medication[x] = losartan potassium 25 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Hypertensive disorder, systemic arterial (disorder) status: Active medication: losartan potassium 25 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Dr. Gerald Park reasonCode: Hypertensive disorder, systemic arterial (disorder) Dosages - Sequence Text * 1 po once daily
based on:
  l: BSJ-SMPMedReq4
  reference:
    v: MedicationRequest/BSJ-SMPMedReq4
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 979485
    display:
      v: losartan potassium 25 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: Example-GeraldPark
  reference:
    v: Practitioner/Example-GeraldPark
  display:
    v: Dr. Gerald Park
reason code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003
    display:
      v: Hypertensive disorder, systemic arterial (disorder)
dosage:
  sequence:
    v: 1
  text:
    v: po once daily

BSJ-SMPMedStmt9
type: MedicationStatement
id:
  v: BSJ-SMPMedStmt9
meta:
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationstatement
    l: smp-medicationstatement
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement BSJ-SMPMedStmt9 Profile: Standardized Medication Profile - MedicationStatement basedOn: MedicationRequest: status = active; intent = order; medication[x] = clopidogrel 75 MG Oral Tablet; authoredOn = 2024-08-11; reasonCode = Hyperlipidemia status: Active medication: clopidogrel 75 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2024-08-11 informationSource: Dr. Gerald Park reasonCode: Hyperlipidemia Dosages - Sequence Text * 1 po nightly
based on:
  l: BSJ-SMPMedReq9
  reference:
    v: MedicationRequest/BSJ-SMPMedReq9
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 309362
    display:
      v: clopidogrel 75 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2024-08-11
information source:
  l: Example-GeraldPark
  reference:
    v: Practitioner/Example-GeraldPark
  display:
    v: Dr. Gerald Park
reason code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia
dosage:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedReq1
type: MedicationRequest
id:
  v: BSJ-SMPMedReq1
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq1 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: atorvastatin 40 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Hyperlipidemia DosageInstructions - Sequence Text * 1 po nightly
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 617311
    display:
      v: atorvastatin 40 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia
dosage instruction:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SMPMedReq4
type: MedicationRequest
id:
  v: BSJ-SMPMedReq4
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq4 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: losartan potassium 25 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Hypertensive disorder, systemic arterial (disorder) DosageInstructions - Sequence Text * 1 po once daily
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 979485
    display:
      v: losartan potassium 25 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003
    display:
      v: Hypertensive disorder, systemic arterial (disorder)
dosage instruction:
  sequence:
    v: 1
  text:
    v: po once daily

BSJ-SMPMedReq9
type: MedicationRequest
id:
  v: BSJ-SMPMedReq9
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
    l: us-core-medicationrequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest BSJ-SMPMedReq9 Profile: US Core MedicationRequest Profile status: Active intent: Order medication: clopidogrel 75 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2024-08-11 requester: Dr. Jen Cadbury reasonCode: Hyperlipidemia DosageInstructions - Sequence Text * 1 po nightly
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 309362
    display:
      v: clopidogrel 75 MG Oral Tablet
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2024-08-11
requester:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Dr. Jen Cadbury
reason code:
  coding: http://snomed.info/id/55822004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 55822004
    display:
      v: Hyperlipidemia
dosage instruction:
  sequence:
    v: 1
  text:
    v: po nightly

BSJ-SNFDischargeCarePlan
type: CarePlan
id:
  v: BSJ-SNFDischargeCarePlan
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CarePlan BSJ-SNFDischargeCarePlan Profile: US Core CarePlan Profile version: 8.0.1 status: Active intent: Plan category: Assessment and Plan of Treatment subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) activity reference: ServiceRequest Follow-up visit (procedure) activity reference: ServiceRequest Informing doctor (procedure) activity reference: ServiceRequest Occupational therapy assessment (procedure) activity reference: ServiceRequest Speech therapy assessment (procedure) activity reference: ServiceRequest Decreased fat and oil diet (regime/therapy) activity reference: ServiceRequest Blood chemistry (procedure) activity reference: ServiceRequest Complete blood count without differential (procedure) activity reference: ServiceRequest Physical therapy assessment (procedure)
status:
  v: active
intent:
  v: plan
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/careplan-category
      l: careplan-category
    code:
      v: assess-plan
    display:
      v: Assessment and Plan of Treatment
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
activity:
  reference:
    l: BSJ-PCPFollowUp
    reference:
      v: ServiceRequest/BSJ-PCPFollowUp
activity:
  reference:
    l: BSJ-SNFDischargeCallOrder
    reference:
      v: ServiceRequest/BSJ-SNFDischargeCallOrder
activity:
  reference:
    l: BSJ-SNFDischargeCallOTRefer
    reference:
      v: ServiceRequest/BSJ-SNFDischargeCallOTRefer
activity:
  reference:
    l: BSJ-SNFDischargeCallSLPRefer
    reference:
      v: ServiceRequest/BSJ-SNFDischargeCallSLPRefer
activity:
  reference:
    l: BSJ-SNFDischargeDietSalt
    reference:
      v: ServiceRequest/BSJ-SNFDischargeDietSalt
activity:
  reference:
    l: BSJ-SNFDischargeLabOrderBMP
    reference:
      v: ServiceRequest/BSJ-SNFDischargeLabOrderBMP
activity:
  reference:
    l: BSJ-SNFDischargeLabOrderCBC
    reference:
      v: ServiceRequest/BSJ-SNFDischargeLabOrderCBC
activity:
  reference:
    l: BSJ-SNFDischargePTRefer
    reference:
      v: ServiceRequest/BSJ-SNFDischargePTRefer

BSJ-PCPFollowUp
type: ServiceRequest
id:
  v: BSJ-PCPFollowUp
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-PCPFollowUp Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Follow-up visit (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-28 authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/185389009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 185389009
    display:
      v: Follow-up visit (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: DateTime
  v: 2024-05-28
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark

BSJ-SNFDischargeCallOrder
type: ServiceRequest
id:
  v: BSJ-SNFDischargeCallOrder
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeCallOrder Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Informing doctor (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/304562007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 304562007
    display:
      v: Informing doctor (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark

BSJ-SNFDischargeCallOTRefer
type: ServiceRequest
id:
  v: BSJ-SNFDischargeCallOTRefer
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeCallOTRefer Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Occupational therapy assessment (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Right hemiparesis (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/410155007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 410155007
    display:
      v: Occupational therapy assessment (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HemiparesisDiagnosis
  reference:
    v: Condition/BSJ-HemiparesisDiagnosis

BSJ-SNFDischargeCallSLPRefer
type: ServiceRequest
id:
  v: BSJ-SNFDischargeCallSLPRefer
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeCallSLPRefer Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Speech therapy assessment (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/410161005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 410161005
    display:
      v: Speech therapy assessment (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark

BSJ-SNFDischargeDietSalt
type: ServiceRequest
id:
  v: BSJ-SNFDischargeDietSalt
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeDietSalt Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Decreased fat and oil diet (regime/therapy) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Ischemic heart disease (disorder) Condition Hyperlipidemia (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/1055207008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1055207008
    display:
      v: Decreased fat and oil diet (regime/therapy)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HeartDiseaseDiagnosis
  reference:
    v: Condition/BSJ-HeartDiseaseDiagnosis
reason reference:
  l: BSJ-HyperlipidemiaDiagnosis
  reference:
    v: Condition/BSJ-HyperlipidemiaDiagnosis

BSJ-SNFDischargeLabOrderBMP
type: ServiceRequest
id:
  v: BSJ-SNFDischargeLabOrderBMP
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeLabOrderBMP Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Laboratory procedure priority: Routine code: Blood chemistry (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-28 authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Ischemic heart disease (disorder) Condition Hyperlipidemia (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/108252007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 108252007
    display:
      v: Laboratory procedure
priority:
  v: routine
code:
  coding: http://snomed.info/id/166312007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 166312007
    display:
      v: Blood chemistry (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: DateTime
  v: 2024-05-28
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HeartDiseaseDiagnosis
  reference:
    v: Condition/BSJ-HeartDiseaseDiagnosis
reason reference:
  l: BSJ-HyperlipidemiaDiagnosis
  reference:
    v: Condition/BSJ-HyperlipidemiaDiagnosis

BSJ-SNFDischargeLabOrderCBC
type: ServiceRequest
id:
  v: BSJ-SNFDischargeLabOrderCBC
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargeLabOrderCBC Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Laboratory procedure priority: Routine code: Complete blood count without differential (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-28 authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Ischemic heart disease (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/108252007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 108252007
    display:
      v: Laboratory procedure
priority:
  v: routine
code:
  coding: http://snomed.info/id/43789009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 43789009
    display:
      v: Complete blood count without differential (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: DateTime
  v: 2024-05-28
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HeartDiseaseDiagnosis
  reference:
    v: Condition/BSJ-HeartDiseaseDiagnosis

BSJ-SNFDischargePTRefer
type: ServiceRequest
id:
  v: BSJ-SNFDischargePTRefer
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest BSJ-SNFDischargePTRefer Profile: US Core ServiceRequest Profile version: 8.0.1 status: Active intent: Order category: Evaluation procedure (procedure) priority: Routine code: Physical therapy assessment (procedure) subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16) occurrence: 2024-05-18 --> (ongoing) authoredOn: 2024-05-18 requester: PractitionerRole Geriatric Medicine (Family Medicine) Physician reasonReference: Condition Right hemiparesis (disorder)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
priority:
  v: routine
code:
  coding: http://snomed.info/id/410158009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 410158009
    display:
      v: Physical therapy assessment (procedure)
subject:
  l: Example-Smith-Johnson-Patient1
  reference:
    v: Patient/Example-Smith-Johnson-Patient1
occurrence: Period
  start:
    v: 2024-05-18
authored on:
  v: 2024-05-18
requester:
  l: Role-SNFDoc-GeraldPark
  reference:
    v: PractitionerRole/Role-SNFDoc-GeraldPark
reason reference:
  l: BSJ-HemiparesisDiagnosis
  reference:
    v: Condition/BSJ-HemiparesisDiagnosis

org-Loc-Neuro-Care-Inc
type: Location
id:
  v: org-Loc-Neuro-Care-Inc
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-Neuro-Care-Inc Profile: US Core Location Profile version: 8.0.1 status: Active name: Neuro Care Inc. address: 177 Branching Tree Blvd, Grand Rapids, MI 49509
status:
  v: active
name:
  v: Neuro Care Inc.
address:
  text:
    v: 177 Branching Tree Blvd, Grand Rapids, MI 49509
  line:
    v: 177 Branching Tree Blvd
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49509
  country:
    v: US

org-Loc-PC-Primary-Care-Michigan
type: Location
id:
  v: org-Loc-PC-Primary-Care-Michigan
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-PC-Primary-Care-Michigan Profile: US Core Location Profile version: 8.0.1 status: Active name: Michigan Primary Health Care Associates address: 123 Spruce Dr. Grand Rapids, MI 49503
status:
  v: active
name:
  v: Michigan Primary Health Care Associates
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US

org-Loc-SNF-Happy-Nursing-Facility
type: Location
id:
  v: org-Loc-SNF-Happy-Nursing-Facility
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-SNF-Happy-Nursing-Facility Profile: US Core Location Profile version: 8.0.1 status: Active name: Happy Nursing Facility address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
status:
  v: active
name:
  v: Happy Nursing Facility
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US

org-Loc-HomeHealth-Motown
type: Location
id:
  v: org-Loc-HomeHealth-Motown
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-HomeHealth-Motown Profile: US Core Location Profile version: 8.0.1 status: Active name: Motown Home Health Facility address: 121 Spruce Dr. Grand Rapids, MI 49503 managingOrganization: Organization Motown Home Health Grand Rapids
status:
  v: active
name:
  v: Motown Home Health Facility
address:
  text:
    v: 121 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 121 Spruce Dr.
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US
managing organization:
  l: org-HomeHealth-Motown
  reference:
    v: Organization/org-HomeHealth-Motown

org-Neuro-Care-Inc
type: Organization
id:
  v: org-Neuro-Care-Inc
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-Neuro-Care-Inc Profile: US Core Organization Profile version: 8.0.1 active: true name: Neuro Care Inc. telecom: ph: (210) 555 5555 address: 177 Branching Tree Blvd, Grand Rapids, MI 49509
active:
  v: true
name:
  v: Neuro Care Inc.
telecom:
  system:
    v: phone
  value:
    v: (210) 555 5555
address:
  text:
    v: 177 Branching Tree Blvd, Grand Rapids, MI 49509
  line:
    v: 177 Branching Tree Blvd
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49509
  country:
    v: US

org-PC-Primary-Care-Michigan
type: Organization
id:
  v: org-PC-Primary-Care-Michigan
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-PC-Primary-Care-Michigan Profile: US Core Organization Profile version: 8.0.1 active: true name: Michigan Primary Health Care Associates telecom: ph: (616) 555-1212 address: 123 Spruce Dr. Grand Rapids, MI 49503
active:
  v: true
name:
  v: Michigan Primary Health Care Associates
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US

org-SNF-Happy-Nursing-Facility
type: Organization
id:
  v: org-SNF-Happy-Nursing-Facility
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-SNF-Happy-Nursing-Facility Profile: US Core Organization Profile version: 8.0.1 active: true name: Happy Nursing Facility telecom: ph: (210) 555 1871 address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
active:
  v: true
name:
  v: Happy Nursing Facility
telecom:
  system:
    v: phone
  value:
    v: (210) 555 1871
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US

org-HomeHealth-Motown
type: Organization
id:
  v: org-HomeHealth-Motown
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-HomeHealth-Motown Profile: US Core Organization Profile version: 8.0.1 active: true name: Motown Home Health Grand Rapids telecom: ph: (210) 555-2882 address: 121 Spruce Dr. Grand Rapids, MI 49503
active:
  v: true
name:
  v: Motown Home Health Grand Rapids
telecom:
  system:
    v: phone
  value:
    v: (210) 555-2882
address:
  text:
    v: 121 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 121 Spruce Dr.
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US

Example-AnitaChu
type: Practitioner
id:
  v: Example-AnitaChu
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-AnitaChu Profile: US Core Practitioner Profile version: 8.0.1 identifier: United States National Provider Identifier/8134258523 active: true name: Anita Chu telecom: ph: (616) 555-1212 address: 123 Spruce Dr. Grand Rapids, MI 49503 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 8134258523
active:
  v: true
name:
  text:
    v: Anita Chu
  family:
    v: Chu
  given:
    v: Anita
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US
gender:
  v: female

Example-GeraldPark
type: Practitioner
id:
  v: Example-GeraldPark
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-GeraldPark Profile: US Core Practitioner Profile version: 8.0.1 identifier: United States National Provider Identifier/8554084011 active: true name: Gerald Park telecom: ph: (555) 566 3494 address: 8100 Pinebrook Dr, Grand Rapids, MI 49504 gender: Male
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 8554084011
active:
  v: true
name:
  text:
    v: Gerald Park
  family:
    v: Park
  given:
    v: Gerald
telecom:
  system:
    v: phone
  value:
    v: (555) 566 3494
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US
gender:
  v: male

Example-JenCadbury
type: Practitioner
id:
  v: Example-JenCadbury
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-JenCadbury Profile: US Core Practitioner Profile version: 8.0.1 identifier: United States National Provider Identifier/9635749481 active: true name: Jen Cadbury telecom: ph: (210) 555 1871 address: 8100 Pinebrook Dr, Grand Rapids, MI 49504 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 9635749481
active:
  v: true
name:
  text:
    v: Jen Cadbury
  family:
    v: Cadbury
  given:
    v: Jen
telecom:
  system:
    v: phone
  value:
    v: (210) 555 1871
address:
  text:
    v: 8100 Pinebrook Dr, Grand Rapids, MI 49504
  line:
    v: 8100 Pinebrook Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49504
  country:
    v: US
gender:
  v: female

Example-NuraMekel
type: Practitioner
id:
  v: Example-NuraMekel
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Example-NuraMekel Profile: US Core Practitioner Profile version: 8.0.1 identifier: United States National Provider Identifier/8224780964 active: true name: Nura Mekel telecom: ph: (210) 555 5555 address: 177 Branching Tree Blvd, Grand Rapids, MI 49509 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 8224780964
active:
  v: true
name:
  text:
    v: Nura Mekel
  family:
    v: Mekel
  given:
    v: Nura
telecom:
  system:
    v: phone
  value:
    v: (210) 555 5555
address:
  text:
    v: 177 Branching Tree Blvd, Grand Rapids, MI 49509
  line:
    v: 177 Branching Tree Blvd
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49509
  country:
    v: US
gender:
  v: female

Role-IMMD-AnitaChu
type: PractitionerRole
id:
  v: Role-IMMD-AnitaChu
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-IMMD-AnitaChu Profile: US Core PractitionerRole Profile version: 8.0.1 active: true practitioner: Dr. Anita Chu organization: Michigan Primary Health Care Associates code: Internal Medicine Physician location: Location Michigan Primary Health Care Associates telecom: ph: (616) 555-1212
active:
  v: true
practitioner:
  l: Example-AnitaChu
  reference:
    v: Practitioner/Example-AnitaChu
  display:
    v: Dr. Anita Chu
organization:
  l: org-PC-Primary-Care-Michigan
  reference:
    v: Organization/org-PC-Primary-Care-Michigan
  display:
    v: Michigan Primary Health Care Associates
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 207R00000X
    display:
      v: Internal Medicine Physician
location:
  l: org-Loc-PC-Primary-Care-Michigan
  reference:
    v: Location/org-Loc-PC-Primary-Care-Michigan
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212

Role-Neuro-NuraMekel
type: PractitionerRole
id:
  v: Role-Neuro-NuraMekel
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-Neuro-NuraMekel Profile: US Core PractitionerRole Profile version: 8.0.1 active: true practitioner: Nura Mekel organization: Neuro Care Inc. code: Neurology Physician location: Location Neuro Care Inc. telecom: ph: (210) 555 5555
active:
  v: true
practitioner:
  l: Example-NuraMekel
  reference:
    v: Practitioner/Example-NuraMekel
  display:
    v: Nura Mekel
organization:
  l: org-Neuro-Care-Inc
  reference:
    v: Organization/org-Neuro-Care-Inc
  display:
    v: Neuro Care Inc.
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 2084N0400X
    display:
      v: Neurology Physician
location:
  l: org-Loc-Neuro-Care-Inc
  reference:
    v: Location/org-Loc-Neuro-Care-Inc
telecom:
  system:
    v: phone
  value:
    v: (210) 555 5555

Role-OT-JenCadbury
type: PractitionerRole
id:
  v: Role-OT-JenCadbury
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-OT-JenCadbury Profile: US Core PractitionerRole Profile version: 8.0.1 active: true practitioner: Jen Cadbury organization: Happy Nursing Facility code: Occupational Therapist location: Location Happy Nursing Facility telecom: ph: (210) 555 1871
active:
  v: true
practitioner:
  l: Example-JenCadbury
  reference:
    v: Practitioner/Example-JenCadbury
  display:
    v: Jen Cadbury
organization:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 225X00000X
    display:
      v: Occupational Therapist
location:
  l: org-Loc-SNF-Happy-Nursing-Facility
  reference:
    v: Location/org-Loc-SNF-Happy-Nursing-Facility
telecom:
  system:
    v: phone
  value:
    v: (210) 555 1871

Role-SNFDoc-GeraldPark
type: PractitionerRole
id:
  v: Role-SNFDoc-GeraldPark
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-SNFDoc-GeraldPark Profile: US Core PractitionerRole Profile version: 8.0.1 active: true practitioner: Gerald Park organization: Happy Nursing Facility code: Geriatric Medicine (Family Medicine) Physician location: Location Happy Nursing Facility telecom: ph: (555) 566 3494
active:
  v: true
practitioner:
  l: Example-GeraldPark
  reference:
    v: Practitioner/Example-GeraldPark
  display:
    v: Gerald Park
organization:
  l: org-SNF-Happy-Nursing-Facility
  reference:
    v: Organization/org-SNF-Happy-Nursing-Facility
  display:
    v: Happy Nursing Facility
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 207QG0300X
    display:
      v: Geriatric Medicine (Family Medicine) Physician
location:
  l: org-Loc-SNF-Happy-Nursing-Facility
  reference:
    v: Location/org-Loc-SNF-Happy-Nursing-Facility
telecom:
  system:
    v: phone
  value:
    v: (555) 566 3494

v: 10160-0

status:
  v: additional
div:
  v: List of medications prescribed for Betsy Smith-Johnson

l: BSJ-SMPMedList
reference:
  v: List/BSJ-SMPMedList

title:
  v: Discharge care plan for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/18776-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18776-5
text:
  status:
    v: additional
  div:
    v: Discharge care plan for Betsy Smith-Johnson
entry:
  l: BSJ-SNFDischargeCarePlan
  reference:
    v: CarePlan/BSJ-SNFDischargeCarePlan

title:
  v: List of problem conditions and observations for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/11450-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11450-4
text:
  status:
    v: additional
  div:
    v: List of problem conditions and observations for Betsy Smith-Johnson
entry:
  l: BSJ-DressingConcern
  reference:
    v: Condition/BSJ-DressingConcern
entry:
  l: BSJ-HeartDiseaseDiagnosis
  reference:
    v: Condition/BSJ-HeartDiseaseDiagnosis
entry:
  l: BSJ-HemiparesisDiagnosis
  reference:
    v: Condition/BSJ-HemiparesisDiagnosis
entry:
  l: BSJ-HyperlipidemiaDiagnosis
  reference:
    v: Condition/BSJ-HyperlipidemiaDiagnosis
entry:
  l: BSJ-HypertensionDiagnosis
  reference:
    v: Condition/BSJ-HypertensionDiagnosis
entry:
  l: BSJ-StrokeDiagnosis
  reference:
    v: Condition/BSJ-StrokeDiagnosis
entry:
  l: OT-ProblemList-RightWeak
  reference:
    v: Condition/OT-ProblemList-RightWeak

title:
  v: List of procedures prescribed for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/47519-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 47519-4
text:
  status:
    v: additional
  div:
    v: List of procedures prescribed for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown

title:
  v: Reason for referring Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/42349-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 42349-1
text:
  status:
    v: additional
  div:
    v: Reason for referring Betsy Smith-Johnson
entry:
  l: BSJ-Encounter
  reference:
    v: Encounter/BSJ-Encounter

title:
  v: List of test results for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/30954-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 30954-2
text:
  status:
    v: additional
  div:
    v: List of test results for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown

title:
  v: Social history for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/29762-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29762-2
text:
  status:
    v: additional
  div:
    v: Social history for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown

title:
  v: Vital signs for Betsy Smith-Johnson
code:
  coding: https://loinc.org/rdf/8716-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8716-3
text:
  status:
    v: additional
  div:
    v: Vital signs for Betsy Smith-Johnson
empty reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/list-empty-reason
      l: list-empty-reason
    code:
      v: nilknown