# Transition of Care Bundle - PACIO Transitions of Care Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**FHIR Artifacts**](artifacts.md)
* **Transition of Care Bundle**

## Resource Profile: Transition of Care Bundle 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Bundle | *Version*:1.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:TOCBundle |

 
This is a profile for a Transition of Care Bundle, which includes the necessary resources for documenting a patient's transition from one care setting to another. 

**Usages:**

* Examples for this Profile: [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md)
* CapabilityStatements using this Profile: [TOC CapabilityStatement](CapabilityStatement-toc.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.pacio-toc|current/StructureDefinition/TOC-Bundle)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-TOC-Bundle.csv), [Excel](StructureDefinition-TOC-Bundle.xlsx), [Schematron](StructureDefinition-TOC-Bundle.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TOC-Bundle",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pc"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/pacio-toc/ImplementationGuide/hl7.fhir.us.pacio-toc"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/pacio-toc/ImplementationGuide/hl7.fhir.us.pacio-toc"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Bundle",
  "version" : "1.0.0",
  "name" : "TOCBundle",
  "title" : "Transition of Care Bundle",
  "status" : "active",
  "date" : "2026-05-13T05:33:53+10:00",
  "publisher" : "HL7 International / Patient Care",
  "contact" : [{
    "name" : "HL7 International / Patient Care",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare"
    },
    {
      "system" : "email",
      "value" : "patientcare@lists.HL7.org"
    }]
  },
  {
    "name" : "PACIO project",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare"
    },
    {
      "system" : "email",
      "value" : "info@pacioproject.org"
    }]
  }],
  "description" : "This is a profile for a Transition of Care Bundle, which includes the necessary resources for documenting a patient's transition from one care setting to another.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Bundle",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Bundle",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Bundle",
      "path" : "Bundle"
    },
    {
      "id" : "Bundle.identifier",
      "path" : "Bundle.identifier",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.type",
      "path" : "Bundle.type",
      "patternCode" : "document"
    },
    {
      "id" : "Bundle.entry",
      "path" : "Bundle.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "resource"
        }],
        "description" : "Slice based on the entry.resource profile",
        "rules" : "open"
      },
      "min" : 2
    },
    {
      "id" : "Bundle.entry:toc-composition",
      "path" : "Bundle.entry",
      "sliceName" : "toc-composition",
      "min" : 1,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:toc-composition.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Composition",
        "profile" : ["http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"]
      }]
    },
    {
      "id" : "Bundle.entry:patient",
      "path" : "Bundle.entry",
      "sliceName" : "patient",
      "min" : 1,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:patient.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Patient",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:advance-directives",
      "path" : "Bundle.entry",
      "sliceName" : "advance-directives",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:advance-directives.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "DocumentReference",
        "profile" : ["http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentReference"]
      }]
    },
    {
      "id" : "Bundle.entry:allergies",
      "path" : "Bundle.entry",
      "sliceName" : "allergies",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:allergies.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "AllergyIntolerance",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:encounter-diagnosis",
      "path" : "Bundle.entry",
      "sliceName" : "encounter-diagnosis",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:encounter-diagnosis.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Condition",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:problems",
      "path" : "Bundle.entry",
      "sliceName" : "problems",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:problems.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Condition",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:simple-observation",
      "path" : "Bundle.entry",
      "sliceName" : "simple-observation",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:simple-observation.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:immunizations",
      "path" : "Bundle.entry",
      "sliceName" : "immunizations",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:immunizations.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Immunization",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:medical-devices",
      "path" : "Bundle.entry",
      "sliceName" : "medical-devices",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:medical-devices.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "DeviceUseStatement",
        "profile" : ["http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-use-of-device"]
      }]
    },
    {
      "id" : "Bundle.entry:medications",
      "path" : "Bundle.entry",
      "sliceName" : "medications",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:medications.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "List",
        "profile" : ["http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-list"]
      },
      {
        "code" : "MedicationRequest",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|8.0.1"]
      },
      {
        "code" : "MedicationStatement"
      },
      {
        "code" : "Medication",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:plan-of-care",
      "path" : "Bundle.entry",
      "sliceName" : "plan-of-care",
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      "max" : "*",
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    },
    {
      "id" : "Bundle.entry:plan-of-care.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "CarePlan",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:procedures",
      "path" : "Bundle.entry",
      "sliceName" : "procedures",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:procedures.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Procedure",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|8.0.1"]
      },
      {
        "code" : "ServiceRequest",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:encounter",
      "path" : "Bundle.entry",
      "sliceName" : "encounter",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:encounter.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Encounter",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:vital-signs",
      "path" : "Bundle.entry",
      "sliceName" : "vital-signs",
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      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:vital-signs.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:practitioner",
      "path" : "Bundle.entry",
      "sliceName" : "practitioner",
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      "max" : "*",
      "mustSupport" : true
    },
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      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Practitioner",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.1"]
      }]
    },
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      "mustSupport" : true
    },
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      "id" : "Bundle.entry:practitioner-role.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "PractitionerRole",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.1"]
      }]
    },
    {
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    },
    {
      "id" : "Bundle.entry:organization.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Organization",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1"]
      }]
    },
    {
      "id" : "Bundle.entry:location",
      "path" : "Bundle.entry",
      "sliceName" : "location",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:location.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Location",
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1"]
      }]
    }]
  }
}

```
