PACIO Advance Directive Interoperability Implementation Guide
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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 - XML Representation

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="Example-Smith-Johnson-PreferenceCarePlan1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PreferenceCarePlan"/>
  </meta>
  <text>
    <status value="additional"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-goal-order-by-descending-priority-extension">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0532"/>
        <code value="Y"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="active"/>
  <intent value="proposal"/>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
      <code value="assess-plan"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="81378-2"/>
      <display
               value="Goals, preferences, and priorities under certain health conditions [Reported]"/>
    </coding>
  </category>
  <title
         value="Care Plan for Unconscious, vegetative state, coma for Smith-Johnson"/>
  <subject>🔗 
    <reference value="Patient/Example-Smith-Johnson-Patient1"/>
  </subject>
  <addresses>
    <display
             value="Unconscious, in a coma, or in a persistent vegetative state with little or no chance of recovery"/>
  </addresses>
  <addresses>
    <display value="Persistent vegetative state (SNOMED CT 24473007)"/>
  </addresses>
  <addresses>
    <display value="Irreversible coma (SNOMED CT 73453007)"/>
  </addresses>
  <supportingInfo>🔗 
    <reference
               value="Observation/Example-Smith-Johnson-PersonalInterventionPreference3"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference
               value="Observation/Example-Smith-Johnson-CareExperiencePreference6"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference
               value="Observation/Example-Smith-Johnson-CareExperiencePreference5"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference
               value="Observation/Example-Smith-Johnson-CareExperiencePreference1"/>
  </supportingInfo>
  <goal>🔗 
    <reference value="Goal/Example-Smith-Johnson-PersonalGoal1"/>
  </goal>
</CarePlan>