PACIO Advance Healthcare Directive Interoperability Implementation Guide
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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/fhir-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: <http://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 -------------------------------------------------------------------

<http://hl7.org/fhir/CarePlan/Example-Smith-Johnson-PreferenceCarePlan1> a fhir:CarePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "Example-Smith-Johnson-PreferenceCarePlan1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PersonAuthoredPreferenceCarePlan>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ] ;
         fhir:Coding.code [ fhir:value "Y" ]
       ]
     ]
  ] ;
  fhir:CarePlan.status [ fhir:value "active"] ;
  fhir:CarePlan.intent [ fhir:value "proposal"] ;
  fhir:CarePlan.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:81378-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "81378-2" ] ;
       fhir:Coding.display [ fhir:value "Goals, preferences, and priorities under certain health conditions Narrative - Reported" ]
     ]
  ] ;
  fhir:CarePlan.title [ fhir:value "Care Plan for Unconscious, vegetative state, coma for Smith-Johnson"] ;
  fhir:CarePlan.subject [
     fhir:link <http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> ;
     fhir:Reference.reference [ fhir:value "Patient/Example-Smith-Johnson-Patient1" ]
  ] ;
  fhir:CarePlan.addresses [
     fhir:index 0 ;
     fhir:Reference.display [ fhir:value "Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery" ]
  ], [
     fhir:index 1 ;
     fhir:Reference.display [ fhir:value "Persistent vegetative state (SNOMED CT 24473007)" ]
  ], [
     fhir:index 2 ;
     fhir:Reference.display [ fhir:value "Irreversible coma (SNOMED CT 73453007)" ]
  ] ;
  fhir:CarePlan.supportingInfo [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference1> ;
     fhir:Reference.reference [ fhir:value "Observation/Example-Smith-Johnson-CareExperiencePreference1" ]
  ], [
     fhir:index 1 ;
     fhir:link <http://hl7.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference5> ;
     fhir:Reference.reference [ fhir:value "Observation/Example-Smith-Johnson-CareExperiencePreference5" ]
  ], [
     fhir:index 2 ;
     fhir:link <http://hl7.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference6> ;
     fhir:Reference.reference [ fhir:value "Observation/Example-Smith-Johnson-CareExperiencePreference6" ]
  ] .

<http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> a fhir:Patient .

<http://hl7.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference1> a fhir:Observation .

<http://hl7.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference5> a fhir:Observation .

<http://hl7.org/fhir/Observation/Example-Smith-Johnson-CareExperiencePreference6> a fhir:Observation .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CarePlan/Example-Smith-Johnson-PreferenceCarePlan1.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CarePlan/Example-Smith-Johnson-PreferenceCarePlan1.ttl> .