PACIO Transitions of Care Implementation Guide
1.0.0 - STU 1 US

PACIO Transitions of Care Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Example: Discharge Care Plan - JSON Representation

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    {
      "resourceType" : "CarePlan",
      "id" : "BSJ-SNFDischargeCarePlan",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan BSJ-SNFDischargeCarePlan</b></p><a name=\"BSJ-SNFDischargeCarePlan\"> </a><a name=\"hcBSJ-SNFDischargeCarePlan\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-careplan.html\">US Core CarePlan Profile</a> version: 8.0.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}\">Assessment and Plan of Treatment</span></p><p><b>subject</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)</a></p><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-PCPFollowUp.html\">ServiceRequest Follow-up visit (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallOrder.html\">ServiceRequest Informing doctor (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallOTRefer.html\">ServiceRequest Occupational therapy assessment (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallSLPRefer.html\">ServiceRequest Speech therapy assessment (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeDietSalt.html\">ServiceRequest Decreased fat and oil diet (regime/therapy)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeLabOrderBMP.html\">ServiceRequest Blood chemistry (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeLabOrderCBC.html\">ServiceRequest Complete blood count without differential (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargePTRefer.html\">ServiceRequest Physical therapy assessment (procedure)</a></p></blockquote></div>"
      },
      "status" : "active",
      "intent" : "plan",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
              "code" : "assess-plan",
              "display" : "Assessment and Plan of Treatment"
            }
          ]
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/Example-Smith-Johnson-Patient1"
      },
      "activity" : [
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-PCPFollowUp"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeCallOrder"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeCallOTRefer"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeCallSLPRefer"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeDietSalt"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeLabOrderBMP"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargeLabOrderCBC"
          }
        },
        {
          "reference" : {
            🔗 "reference" : "ServiceRequest/BSJ-SNFDischargePTRefer"
          }
        }
      ]
    }