PACIO Advance Directive Interoperability Implementation Guide, published by HL7 Patient Empowerment Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/pacio-adi/ and changes regularly. See the Directory of published versions
{
"resourceType" : "CarePlan",
"id" : "Example-Smith-Johnson-PreferenceCarePlan1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan"
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 736366004}\">Advance care plan</span></p><p><b>subject</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Betsy Smith-Johnson</a> ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15</p><p><b>addresses</b>:</p><ul><li><span>Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery</span></li><li><span>Persistent vegetative state (SNOMED CT 24473007)</span></li><li><span>Irreversible coma (SNOMED CT 73453007)</span></li></ul><p><b>goal</b>:</p><ul><li><a href=\"Goal-Example-Smith-Johnson-PersonalGoal1.html\"><span title=\"Codes: {http://loinc.org 81378-2}\">Goals, preferences, and priorities under certain health conditions [Reported]</span></a>; <span title=\"Codes: \">If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home</span></li><li><a href=\"Goal-Example-Smith-Johnson-PersonalInterventionPreference3.html\"><span title=\"Codes: {http://loinc.org 75778-1}\">Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive [Reported]</span></a>; <span title=\"Codes: \">If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently.</span></li><li><a href=\"Goal-Example-Smith-Johnson-CareExperiencePreference6.html\"><span title=\"Codes: {http://loinc.org 81365-9}\">Religious affiliation contact to notify [Reported]</span></a>; <span title=\"Codes: \">Please attempt to notify someone from my religion at the following phone number: If I have included one: Catholic</span></li><li><a href=\"Goal-Example-Smith-Johnson-CareExperiencePreference5.html\"><span title=\"Codes: {http://loinc.org 81364-2}\">Religious beliefs [Reported]</span></a>; <span title=\"Codes: \">If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest.</span></li><li><a href=\"Goal-Example-Smith-Johnson-CareExperiencePreference1.html\"><span title=\"Codes: {http://loinc.org 75775-7}\">Decision to inform doctors and nurses about the role religion, faith, or spirituality play in my life [Reported]</span></a>; <span title=\"Codes: \">Here are some thoughts that I would like for my medical care team and my healthcare agent(s) to know about the role that religion, faith or spirituality play in my life: I am Catholic, please call Father Mark at Saint Catherine's on Main Street.</span></li></ul></div>"
},
"status" : "active",
"intent" : "proposal",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "736366004",
"display" : "Advance care plan"
}
]
}
],
"subject" : {
"reference" : "Patient/Example-Smith-Johnson-Patient1"
},
"addresses" : [
{
"display" : "Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery"
},
{
"display" : "Persistent vegetative state (SNOMED CT 24473007)"
},
{
"display" : "Irreversible coma (SNOMED CT 73453007)"
}
],
"goal" : [
{
"reference" : "Goal/Example-Smith-Johnson-PersonalGoal1"
},
{
"reference" : "Goal/Example-Smith-Johnson-PersonalInterventionPreference3"
},
{
"reference" : "Goal/Example-Smith-Johnson-CareExperiencePreference6"
},
{
"reference" : "Goal/Example-Smith-Johnson-CareExperiencePreference5"
},
{
"reference" : "Goal/Example-Smith-Johnson-CareExperiencePreference1"
}
]
}