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 - TTL Representation

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:CarePlan ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "Example-Smith-Johnson-PreferenceCarePlan1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir: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>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0532"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "Y" ]       ] )     ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "proposal"] ; #
      fhir:category ( [
        ( fhir:coding [
    a loinc:81378-2 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "81378-2" ] ;
    fhir:display [ fhir:v "Goals, preferences, and priorities under certain health conditions Narrative - Reported" ]     ] )
      ] ) ; #
      fhir:title [ fhir:v "Care Plan for Unconscious, vegetative state, coma for Smith-Johnson"] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/Example-Smith-Johnson-Patient1" ]
      ] ; #
      fhir:addresses ( [
    fhir:display [ fhir:v "Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery" ]
      ] [
    fhir:display [ fhir:v "Persistent vegetative state (SNOMED CT 24473007)" ]
      ] [
    fhir:display [ fhir:v "Irreversible coma (SNOMED CT 73453007)" ]
      ] ) ; #
      fhir:supportingInfo ( [
    fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-CareExperiencePreference1" ]
      ] [
    fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-CareExperiencePreference5" ]
      ] [
    fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-CareExperiencePreference6" ]
      ] ) . #