PACIO Transitions of Care Implementation Guide
1.0.0 - STU 1 United States of America flag

PACIO Transitions of Care Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-transitions-of-care-ig/ and changes regularly. See the Directory of published versions

Example Bundle: Example: JF Transition of Care Bundle

Bundle Example-JF-TOCBundle2 of type transaction


Entry 1 - fullUrl = https://gw.interop.community/pacior4test/open/Composition/JF-TOCComposition2

Resource Composition:

Language: en-US

Profile: Transition of Care Composition

identifier: http://example.org/GoodHealthClinic/id/76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD

status: Final

type: Physician Discharge summary

date: 2024-05-10 08:49:58-0400

author: Practitioner Judy Salas

title: Transitions of Care Document for Jane Fiction

custodian: Organization Motown Home Health Grand Rapids

Request:

PUT Composition/JF-TOCComposition2

Entry 2 - fullUrl = https://gw.interop.community/pacior4test/open/Patient/Example-Fiction

Resource Patient:

Last updated: 2021-03-29 14:25:34-0500; Language: en-US

Profile: US Core Patient Profile version: 8.0.1

Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)


Active:trueMarital Status:unknown
Other Id:Medical Record Number/1032702A (use: usual, )
Contact Detail
  • ph: 555-555-5555(Home)
  • ph: (410) 444-5555
  • 111 Maple Ct, Grand Rapids, MI 49503
Language:English (preferred)
son:
  • Charles Fiction
  • 111 Maple Ct, Grand Rapids, MI 49503
  • ph: (210) 222-3333
daughter:
  • Debra Fiction
  • 333 W. Camden St., Baltimore, MD 21201
  • ph: (410) 444-5555
US Core Race Extension:

Request:

PUT Patient/Example-Fiction

Entry 3 - fullUrl = https://gw.interop.community/pacior4test/open/Condition/JF-HyperlipidemiaDiagnosis

Resource Condition:

Condition Asserted Date: 2018-06

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Hyperlipidemia (disorder)

bodySite: Structure of cardiovascular system (body structure)

subject: Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)

Request:

PUT Condition/JF-HyperlipidemiaDiagnosis

Entry 4 - fullUrl = https://gw.interop.community/pacior4test/open/Device/JF-Device-Wheelchair

Resource Device:

type: Wheelchair device (physical object)

Request:

PUT Device/JF-Device-Wheelchair

Entry 5 - fullUrl = https://gw.interop.community/pacior4test/open/MedicationRequest/JF-SMPMedReq1

Resource MedicationRequest:

status: Active

intent: Order

subject: Jane Fiction

authoredOn: 2024-08-11

requester: Judy Salas, DNP

DosageInstructions

-SequenceText
*1po nightly

Request:

PUT MedicationRequest/JF-SMPMedReq1

Entry 6 - fullUrl = https://gw.interop.community/pacior4test/open/CarePlan/JF-DischargeCarePlan

Resource CarePlan:

Profile: US Core CarePlan Profile version: 8.0.1

status: Active

intent: Plan

category: Assessment and Plan of Treatment

subject: Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)

activity

Request:

PUT CarePlan/JF-DischargeCarePlan

Entry 7 - fullUrl = https://gw.interop.community/pacior4test/open/ServiceRequest/JF-PCPFollowUp

Resource ServiceRequest:

Profile: US Core ServiceRequest Profile version: 8.0.1

status: Active

intent: Order

category: Evaluation procedure (procedure)

priority: Routine

code: No display for ServiceRequest.code (concept: Follow-up visit (procedure))

subject: Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)

occurrence: 2024-05-28

authoredOn: 2024-05-18

requester: PractitionerRole Emergency Medicine Physician

Request:

PUT ServiceRequest/JF-PCPFollowUp

Entry 8 - fullUrl = https://gw.interop.community/pacior4test/open/Location/org-Loc-HomeHealth-Motown

Resource Location:

Profile: US Core Location Profile version: 8.0.1

status: Active

name: Motown Home Health Facility

address: 121 Spruce Dr. Grand Rapids, MI 49503

managingOrganization: Organization Motown Home Health Grand Rapids

Request:

PUT Location/org-Loc-HomeHealth-Motown

Entry 9 - fullUrl = https://gw.interop.community/pacior4test/open/Location/org-Loc-ED-Metro-Hospital

Resource Location:

status: Active

name: Metro Hospital Emergency Department

address: 22327 Moross Rd, Detroit, MI 48236

Request:

PUT Location/org-Loc-ED-Metro-Hospital

Entry 10 - fullUrl = https://gw.interop.community/pacior4test/open/Organization/org-HomeHealth-Motown

Resource Organization:

Profile: US Core Organization Profile version: 8.0.1

active: true

name: Motown Home Health Grand Rapids

Contacts

-TelecomAddress
*ph: (210) 555-2882121 Spruce Dr. Grand Rapids, MI 49503

Request:

PUT Organization/org-HomeHealth-Motown

Entry 11 - fullUrl = https://gw.interop.community/pacior4test/open/Organization/org-ED-Metro-Hospital

Resource Organization:

active: true

name: Metro Hospital Emergency Department

Contacts

-TelecomAddress
*ph: (555) 384-444422327 Moross Rd, Detroit, MI 48236

Request:

PUT Organization/org-ED-Metro-Hospital

Entry 12 - fullUrl = https://gw.interop.community/pacior4test/open/Practitioner/Practitioner-JudySalas

Resource Practitioner:

version: 4; Last updated: 2024-09-21 14:11:15+0000

identifier: http://example.org/fhir/MI-state-license/480410286

active: true

name: Judy Salas

telecom: ph: (555) 944-2454, jsalas@MotownHHA.com

gender: Female

address: 17010 Harper Ave, Detroit, MI 48224

Request:

PUT Practitioner/Practitioner-JudySalas

Entry 13 - fullUrl = https://gw.interop.community/pacior4test/open/Practitioner/Practitioner-PriyaSarkar

Resource Practitioner:

version: 4; Last updated: 2024-09-21 14:11:15+0000

identifier: United States National Provider Identifier/4362436261

active: true

name: Priya Sarkar

telecom: ph: (555) 375-3777, psarkar@MetroHospital.com

gender: Female

address: 22327 Moross Rd, Detroit, MI 48236

Request:

PUT Practitioner/Practitioner-PriyaSarkar

Entry 14 - fullUrl = https://gw.interop.community/pacior4test/open/PractitionerRole/PractitionerRole-Physician-PriyaSarkar

Resource PractitionerRole:

active: true

practitioner: Priya Sarkar

organization: Metro Hospital Emergency Department

code: Emergency Medicine Physician

location: Location Metro Hospital Emergency Department

Request:

PUT PractitionerRole/PractitionerRole-Physician-PriyaSarkar

Entry 15 - fullUrl = https://gw.interop.community/pacior4test/open/DocumentReference/JF-DocumentReference

Resource DocumentReference:

Transition of Care DocumentReference for Patient Jane Fiction

Request:

PUT DocumentReference/JF-DocumentReference