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 - XML Representation

Page standards status: Informative

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    <CarePlan xmlns="http://hl7.org/fhir">
      <id value="BSJ-SNFDischargeCarePlan"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1"/>
      </meta>
      <text>
        <status value="generated"/>
        <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>
      </text>
      <status value="active"/>
      <intent value="plan"/>
      <category>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
          <code value="assess-plan"/>
          <display value="Assessment and Plan of Treatment"/>
        </coding>
      </category>
      <subject>🔗
        <reference value="Patient/Example-Smith-Johnson-Patient1"/>
      </subject>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-PCPFollowUp"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargeCallOrder"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargeCallOTRefer"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargeCallSLPRefer"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargeDietSalt"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargeLabOrderBMP"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargeLabOrderCBC"/>
        </reference>
      </activity>
      <activity>
        <reference>🔗
          <reference value="ServiceRequest/BSJ-SNFDischargePTRefer"/>
        </reference>
      </activity>
    </CarePlan>