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: Transitions of Care Clinical Document - XML Representation

Page standards status: Informative

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="BSJ-TOCComposition"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"/>
      </meta>
      <language value="en-US"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Composition BSJ-TOCComposition</b></p><a name="BSJ-TOCComposition"> </a><a name="hcBSJ-TOCComposition"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en-US</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-TOC-Composition.html">Transition of Care Composition</a></p></div><p><b>identifier</b>: <code>http://example.org/GoodHealthClinic/id</code>/76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 11490-0}">Physician Discharge summary</span></p><p><b>date</b>: 2024-05-10 08:49:58-0400</p><p><b>author</b>: <a href="Practitioner-Example-JenCadbury.html">Practitioner Jen Cadbury</a></p><p><b>title</b>: Transitions of Care Document for Betsy Smith-Johnson</p><p><b>custodian</b>: <a href="Organization-org-SNF-Happy-Nursing-Facility.html">Organization Happy Nursing Facility</a></p></div>
      </text>
      <identifier>
        <system value="http://example.org/GoodHealthClinic/id"/>
        <value value="76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD"/>
      </identifier>
      <status value="final"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11490-0"/>
          <display value="Physician Discharge summary"/>
        </coding>
      </type>
      <subject>🔗
        <reference value="Patient/Example-Smith-Johnson-Patient1"/>
      </subject>
      <date value="2024-05-10T08:49:58.313-04:00"/>
      <author>🔗
        <reference value="Practitioner/Example-JenCadbury"/>
      </author>
      <title value="Transitions of Care Document for Betsy Smith-Johnson"/>
      <custodian>🔗
        <reference value="Organization/org-SNF-Happy-Nursing-Facility"/>
      </custodian>
      <section>
        <title value="Advance directives for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="42348-3"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Advance directives for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="notasked"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="List of allergies for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="48765-2"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Allergies for Betsy Smith-Johnson</div>
        </text>
        <entry>🔗
          <reference value="AllergyIntolerance/BSJ-AllergyACE"/>
        </entry>
      </section>
      <section>
        <title value="Behavioral health information for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/pacio-toc/CodeSystem/toc-temp-cs"/>
            <code value="behavioral_health_summary"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Behavioral health information for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="withheld"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="Functional status of Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47420-5"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Functional status of Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="List of immunizations for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11369-6"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">List of immunizations for Betsy Smith-Johnson</div>
        </text>
        <entry>🔗
          <reference value="Immunization/BSJ-Immunization-PCV20"/>
        </entry>
        <entry>🔗
          <reference value="Immunization/BSJ-Immunization-Fluzone"/>
        </entry>
      </section>
      <section>
        <title value="Discharge instructions for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69730-0"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Discharge instructions for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="List of medical equipment needed by Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46264-8"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">List of medical equipment needed by Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="List of medications prescribed for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10160-0"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">List of medications prescribed for Betsy Smith-Johnson</div>
        </text>
        <entry>🔗
          <reference value="List/BSJ-SMPMedList"/>
        </entry>
      </section>
      <section>
        <title value="Discharge care plan for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18776-5"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Discharge care plan for Betsy Smith-Johnson</div>
        </text>
        <entry>🔗
          <reference value="CarePlan/BSJ-SNFDischargeCarePlan"/>
        </entry>
      </section>
      <section>
        <title
               value="List of problem conditions and observations for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11450-4"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">List of problem conditions and observations for Betsy Smith-Johnson</div>
        </text>
        <entry>🔗
          <reference value="Condition/BSJ-DressingConcern"/>
        </entry>
        <entry>🔗
          <reference value="Condition/BSJ-HeartDiseaseDiagnosis"/>
        </entry>
        <entry>🔗
          <reference value="Condition/BSJ-HemiparesisDiagnosis"/>
        </entry>
        <entry>🔗
          <reference value="Condition/BSJ-HyperlipidemiaDiagnosis"/>
        </entry>
        <entry>🔗
          <reference value="Condition/BSJ-HypertensionDiagnosis"/>
        </entry>
        <entry>🔗
          <reference value="Condition/BSJ-StrokeDiagnosis"/>
        </entry>
        <entry>🔗
          <reference value="Condition/OT-ProblemList-RightWeak"/>
        </entry>
      </section>
      <section>
        <title value="List of procedures prescribed for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47519-4"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">List of procedures prescribed for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="Reason for referring Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="42349-1"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Reason for referring Betsy Smith-Johnson</div>
        </text>
        <entry>🔗
          <reference value="Encounter/BSJ-Encounter"/>
        </entry>
      </section>
      <section>
        <title value="List of test results for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="30954-2"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">List of test results for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="Social history for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29762-2"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Social history for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
      <section>
        <title value="Vital signs for Betsy Smith-Johnson"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8716-3"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Vital signs for Betsy Smith-Johnson</div>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
          </coding>
        </emptyReason>
      </section>
    </Composition>