PACIO Advance Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions
: Care Plan for Unconscious, vegetative state, coma for Smith-Johnson - TTL Representation
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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 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 "additional" ] ;
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>"
] ; #
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 [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/careplan-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assess-plan" ] ] )
] [
( 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 [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-PersonalInterventionPreference3" ]
] [
fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-CareExperiencePreference6" ]
] [
fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-CareExperiencePreference5" ]
] [
fhir:reference [ fhir:v "Observation/Example-Smith-Johnson-CareExperiencePreference1" ]
] ) ; #
fhir:goal ( [
fhir:reference [ fhir:v "Goal/Example-Smith-Johnson-PersonalGoal1" ]
] ) . #
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