PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pacio-adi/ and changes regularly. See the Directory of published versions

## : Care Plan for Unconscious, vegetative state, coma for Smith-Johnson - JSON Representation

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    {
      "resourceType" : "CarePlan",
      "id" : "Example-Smith-Johnson-PreferenceCarePlan1",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan"
        ]
      },
      "text" : {
        "status" : "generated",
        "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=\"Observation-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=\"Observation-Example-Smith-Johnson-CareExperiencePreference6.html\"><span title=\"Codes: {http://loinc.org 81365-9}\">Religious or cultural 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=\"Observation-Example-Smith-Johnson-CareExperiencePreference5.html\"><span title=\"Codes: {http://loinc.org 81364-2}\">Religious or cultural 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=\"Observation-Example-Smith-Johnson-CareExperiencePreference1.html\"><span title=\"Codes: {http://loinc.org 75775-7}\">Decision to inform doctors and nurses about the role religion, faith, culture, 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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
                "code" : "Y"
              }
            ]
          }
        }
      ],
      "status" : "active",
      "intent" : "proposal",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "81378-2",
              "display" : "Goals, preferences, and priorities under certain health conditions Narrative - Reported"
            }
          ]
        }
      ],
      "title" : "Care Plan for Unconscious, vegetative state, coma for Smith-Johnson",
      "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)"
        }
      ],
      "supportingInfo" : [
        {
          🔗 "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference1"
        },
        {
          🔗 "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference5"
        },
        {
          🔗 "reference" : "Observation/Example-Smith-Johnson-CareExperiencePreference6"
        }
      ]
    }