PACIO Transitions of Care Implementation Guide
1.0.0 - STU 1
PACIO Transitions of Care Implementation Guide
1.0.0 - STU 1
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
{
"resourceType" : "Bundle",
"id" : "Example-JF-TOCBundle2",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Bundle"
]
},
"identifier" : {
"system" : "http://www.example.org/documents",
"value" : "12345"
},
"type" : "transaction",
"timestamp" : "2024-05-10T14:25:34.001-05:00",
"entry" : [
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Composition/JF-TOCComposition2",
"resource" : {
"resourceType" : "Composition",
"id" : "JF-TOCComposition2",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"
]
},
"language" : "en-US",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Composition_JF-TOCComposition2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition JF-TOCComposition2</b></p><a name=\"JF-TOCComposition2\"> </a><a name=\"hcJF-TOCComposition2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-TOC-Composition.html\">Transition of Care Composition</a></p></div><p><b>identifier</b>: <code>http://example.org/GoodHealthClinic/id</code>/76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11490-0}\">Physician Discharge summary</span></p><p><b>date</b>: 2024-05-10 08:49:58-0400</p><p><b>author</b>: <a href=\"Bundle-Example-JF-TOCBundle2.html#https-//gw.interop.community/pacior4test/open/Practitioner/Practitioner-JudySalas\">Practitioner Judy Salas</a></p><p><b>title</b>: Transitions of Care Document for Jane Fiction</p><p><b>custodian</b>: <a href=\"Bundle-Example-JF-TOCBundle2.html#https-//gw.interop.community/pacior4test/open/Organization/org-HomeHealth-Motown\">Organization Motown Home Health Grand Rapids</a></p></div>"
},
"identifier" : {
"system" : "http://example.org/GoodHealthClinic/id",
"value" : "76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11490-0",
"display" : "Physician Discharge summary"
}
]
},
"subject" : {
"reference" : "https://gw.interop.community/pacior4test/open/Patient/Example-Fiction"
},
"date" : "2024-05-10T08:49:58.313-04:00",
"author" : [
{
"reference" : "https://gw.interop.community/pacior4test/open/Practitioner/Practitioner-JudySalas"
}
],
"title" : "Transitions of Care Document for Jane Fiction",
"custodian" : {
"reference" : "https://gw.interop.community/pacior4test/open/Organization/org-HomeHealth-Motown"
},
"section" : [
{
"title" : "Advance directives for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Advance directives for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "notasked"
}
]
}
},
{
"title" : "List of allergies for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "Behavioral health information for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/pacio-toc/CodeSystem/toc-temp-cs",
"code" : "behavioral_health_summary"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Behavioral health information for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "withheld"
}
]
}
},
{
"title" : "Functional status of Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47420-5"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Functional status of Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "List of immunizations for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of immunizations for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "Discharge instructions for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69730-0"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge instructions for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "List of medical equipment needed by Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medical equipment needed by Jane Fiction</div>"
},
"entry" : [
{
"reference" : "https://gw.interop.community/pacior4test/open/Device/JF-Device-Wheelchair"
}
]
},
{
"title" : "Medications prescribed for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medications prescribed for Jane Fiction</div>"
},
"entry" : [
{
"reference" : "https://gw.interop.community/pacior4test/open/MedicationRequest/JF-SMPMedReq1"
}
]
},
{
"title" : "Discharge care plan for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge care plan for Jane Fiction</div>"
},
"entry" : [
{
"reference" : "https://gw.interop.community/pacior4test/open/CarePlan/JF-DischargeCarePlan"
}
]
},
{
"title" : "List of problem conditions and observations for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of problem conditions and observations for Jane Fiction</div>"
},
"entry" : [
{
"reference" : "https://gw.interop.community/pacior4test/open/Condition/JF-HyperlipidemiaDiagnosis"
}
]
},
{
"title" : "List of procedures prescribed for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of procedures prescribed for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "Reason for referring Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42349-1"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reason for referring Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "List of test results for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of test results for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "Social history for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Social history for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
},
{
"title" : "Vital signs for Jane Fiction",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8716-3"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Vital signs for Jane Fiction</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown"
}
]
}
}
]
},
"request" : {
"method" : "PUT",
"url" : "Composition/JF-TOCComposition2"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Patient/Example-Fiction",
"resource" : {
"resourceType" : "Patient",
"id" : "Example-Fiction",
"meta" : {
"lastUpdated" : "2021-03-29T14:25:34.001-05:00",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|8.0.1"
]
},
"language" : "en-US",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Patient_Example-Fiction\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Example-Fiction</b></p><a name=\"Example-Fiction\"> </a><a name=\"hcExample-Fiction\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-03-29 14:25:34-0500; Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> version: 8.0.1</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical Record Number/1032702A\u00a0(use:\u00a0usual,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-555-5555(Home)</li><li>ph: (410) 444-5555</li><li>111 Maple Ct, Grand Rapids, MI 49503</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: son\">son:</td><td colspan=\"3\"><ul><li>Charles Fiction</li><li>111 Maple Ct, Grand Rapids, MI 49503</li><li>ph: (210) 222-3333</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: daughter\">daughter:</td><td colspan=\"3\"><ul><li>Debra Fiction</li><li>333 W. Camden St., Baltimore, MD 21201</li><li>ph: (410) 444-5555</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system. Detailed race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race & Ethnicity - CDC: 2106-3</a> (White)</li><li>text: White</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.example.org",
"value" : "1032702A"
},
{
"system" : "http://hl7.org/fhir/sid/us-medicare",
"value" : "1AA3D58WH26"
}
],
"active" : true,
"name" : [
{
"use" : "usual",
"text" : "Jane Fiction",
"family" : "Fiction",
"given" : [
"Jane"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "phone",
"value" : "(410) 444-5555"
}
],
"gender" : "female",
"birthDate" : "1958-11-01",
"address" : [
{
"text" : "111 Maple Ct, Grand Rapids, MI 49503",
"line" : [
"111 Maple Ct"
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "US",
"period" : {
"start" : "2016-12-06"
}
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "UNK"
}
]
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "SONC"
}
]
}
],
"name" : {
"text" : "Charles Fiction"
},
"telecom" : [
{
"system" : "phone",
"value" : "(210) 222-3333"
}
],
"address" : {
"text" : "111 Maple Ct, Grand Rapids, MI 49503"
}
},
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "DAUC"
}
]
}
],
"name" : {
"text" : "Debra Fiction"
},
"telecom" : [
{
"system" : "phone",
"value" : "(410) 444-5555"
}
],
"address" : {
"text" : "333 W. Camden St., Baltimore, MD 21201"
}
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en",
"display" : "English"
}
]
},
"preferred" : true
}
]
},
"request" : {
"method" : "PUT",
"url" : "Patient/Example-Fiction"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Condition/JF-HyperlipidemiaDiagnosis",
"resource" : {
"resourceType" : "Condition",
"id" : "JF-HyperlipidemiaDiagnosis",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_JF-HyperlipidemiaDiagnosis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition JF-HyperlipidemiaDiagnosis</b></p><a name=\"JF-HyperlipidemiaDiagnosis\"> </a><a name=\"hcJF-HyperlipidemiaDiagnosis\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">US Core Condition Encounter Diagnosis Profile</a> version: 8.0.1</p></div><p><b>Condition Asserted Date</b>: 2018-06</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 55822004}\">Hyperlipidemia (disorder)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 113257007}\">Structure of cardiovascular system (body structure)</span></p><p><b>subject</b>: <a href=\"Patient-Example-Fiction.html\">Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)</a></p><p><b>asserter</b>: <a href=\"Practitioner-Practitioner-JudySalas.html\">Practitioner Judy Salas</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime" : "2018-06"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "55822004",
"display" : "Hyperlipidemia (disorder)"
}
]
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "113257007",
"display" : "Structure of cardiovascular system (body structure)"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/Example-Fiction"
},
"asserter" : {
🔗 "reference" : "Practitioner/Practitioner-JudySalas"
}
},
"request" : {
"method" : "PUT",
"url" : "Condition/JF-HyperlipidemiaDiagnosis"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Device/JF-Device-Wheelchair",
"resource" : {
"resourceType" : "Device",
"id" : "JF-Device-Wheelchair",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_JF-Device-Wheelchair\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device JF-Device-Wheelchair</b></p><a name=\"JF-Device-Wheelchair\"> </a><a name=\"hcJF-Device-Wheelchair\"> </a><h3>DeviceNames</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>Wheelchair</td><td>User Friendly name</td></tr></table><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 58938008}\">Wheelchair device (physical object)</span></p></div>"
},
"deviceName" : [
{
"name" : "Wheelchair",
"type" : "user-friendly-name"
}
],
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "58938008",
"display" : "Wheelchair device (physical object)"
}
]
}
},
"request" : {
"method" : "PUT",
"url" : "Device/JF-Device-Wheelchair"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/MedicationRequest/JF-SMPMedReq1",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "JF-SMPMedReq1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_JF-SMPMedReq1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest JF-SMPMedReq1</b></p><a name=\"JF-SMPMedReq1\"> </a><a name=\"hcJF-SMPMedReq1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 617311}\">atorvastatin 40 MG Oral Tablet</span></p><p><b>subject</b>: <a href=\"Patient-Example-Fiction.html\">Jane Fiction</a></p><p><b>authoredOn</b>: 2024-08-11</p><p><b>requester</b>: <a href=\"Practitioner-Practitioner-JudySalas.html\">Judy Salas, DNP</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 55822004}\">Hyperlipidemia</span></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>po nightly</td></tr></table></div>"
},
"status" : "active",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "617311",
"display" : "atorvastatin 40 MG Oral Tablet"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Example-Fiction",
"display" : "Jane Fiction"
},
"authoredOn" : "2024-08-11",
"requester" : {
🔗 "reference" : "Practitioner/Practitioner-JudySalas",
"display" : "Judy Salas, DNP"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "55822004",
"display" : "Hyperlipidemia"
}
]
}
],
"dosageInstruction" : [
{
"sequence" : 1,
"text" : "po nightly"
}
]
},
"request" : {
"method" : "PUT",
"url" : "MedicationRequest/JF-SMPMedReq1"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/CarePlan/JF-DischargeCarePlan",
"resource" : {
"resourceType" : "CarePlan",
"id" : "JF-DischargeCarePlan",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_JF-DischargeCarePlan\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan JF-DischargeCarePlan</b></p><a name=\"JF-DischargeCarePlan\"> </a><a name=\"hcJF-DischargeCarePlan\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-careplan.html\">US Core CarePlan Profile</a> version: 8.0.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}\">Assessment and Plan of Treatment</span></p><p><b>subject</b>: <a href=\"Patient-Example-Fiction.html\">Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)</a></p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"ServiceRequest-JF-PCPFollowUp.html\">ServiceRequest Follow-up visit (procedure)</a></td></tr></table></div>"
},
"status" : "active",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code" : "assess-plan",
"display" : "Assessment and Plan of Treatment"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/Example-Fiction"
},
"activity" : [
{
"reference" : {
🔗 "reference" : "ServiceRequest/JF-PCPFollowUp"
}
}
]
},
"request" : {
"method" : "PUT",
"url" : "CarePlan/JF-DischargeCarePlan"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/ServiceRequest/JF-PCPFollowUp",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "JF-PCPFollowUp",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|8.0.1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_JF-PCPFollowUp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest JF-PCPFollowUp</b></p><a name=\"JF-PCPFollowUp\"> </a><a name=\"hcJF-PCPFollowUp\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-servicerequest.html\">US Core ServiceRequest Profile</a> version: 8.0.1</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 386053000}\">Evaluation procedure (procedure)</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 185389009}\">Follow-up visit (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-Example-Fiction.html\">Jane Fiction Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH26)</a></p><p><b>occurrence</b>: 2024-05-28</p><p><b>authoredOn</b>: 2024-05-18</p><p><b>requester</b>: <a href=\"PractitionerRole-PractitionerRole-Physician-PriyaSarkar.html\">PractitionerRole Emergency Medicine Physician</a></p></div>"
},
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386053000",
"display" : "Evaluation procedure (procedure)"
}
]
}
],
"priority" : "routine",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "185389009",
"display" : "Follow-up visit (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Example-Fiction"
},
"occurrenceDateTime" : "2024-05-28",
"authoredOn" : "2024-05-18",
"requester" : {
🔗 "reference" : "PractitionerRole/PractitionerRole-Physician-PriyaSarkar"
}
},
"request" : {
"method" : "PUT",
"url" : "ServiceRequest/JF-PCPFollowUp"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Location/org-Loc-HomeHealth-Motown",
"resource" : {
"resourceType" : "Location",
"id" : "org-Loc-HomeHealth-Motown",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_org-Loc-HomeHealth-Motown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location org-Loc-HomeHealth-Motown</b></p><a name=\"org-Loc-HomeHealth-Motown\"> </a><a name=\"hcorg-Loc-HomeHealth-Motown\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-location.html\">US Core Location Profile</a> version: 8.0.1</p></div><p><b>status</b>: Active</p><p><b>name</b>: Motown Home Health Facility</p><p><b>address</b>: 121 Spruce Dr. Grand Rapids, MI 49503</p><p><b>managingOrganization</b>: <a href=\"Organization-org-HomeHealth-Motown.html\">Organization Motown Home Health Grand Rapids</a></p></div>"
},
"status" : "active",
"name" : "Motown Home Health Facility",
"address" : {
"text" : "121 Spruce Dr. Grand Rapids, MI 49503",
"line" : [
"121 Spruce Dr."
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "US"
},
"managingOrganization" : {
🔗 "reference" : "Organization/org-HomeHealth-Motown"
}
},
"request" : {
"method" : "PUT",
"url" : "Location/org-Loc-HomeHealth-Motown"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Location/org-Loc-ED-Metro-Hospital",
"resource" : {
"resourceType" : "Location",
"id" : "org-Loc-ED-Metro-Hospital",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_org-Loc-ED-Metro-Hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location org-Loc-ED-Metro-Hospital</b></p><a name=\"org-Loc-ED-Metro-Hospital\"> </a><a name=\"hcorg-Loc-ED-Metro-Hospital\"> </a><p><b>status</b>: Active</p><p><b>name</b>: Metro Hospital Emergency Department</p><p><b>telecom</b>: ph: (555) 384-4444</p><p><b>address</b>: 22327 Moross Rd, Detroit, MI 48236</p></div>"
},
"status" : "active",
"name" : "Metro Hospital Emergency Department",
"telecom" : [
{
"system" : "phone",
"value" : "(555) 384-4444"
}
],
"address" : {
"text" : "22327 Moross Rd, Detroit, MI 48236",
"line" : [
"22327 Moross Rd, Detroit, MI 48236"
],
"city" : "Detroit",
"state" : "MI",
"postalCode" : "48236",
"country" : "US"
}
},
"request" : {
"method" : "PUT",
"url" : "Location/org-Loc-ED-Metro-Hospital"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Organization/org-HomeHealth-Motown",
"resource" : {
"resourceType" : "Organization",
"id" : "org-HomeHealth-Motown",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-HomeHealth-Motown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization org-HomeHealth-Motown</b></p><a name=\"org-HomeHealth-Motown\"> </a><a name=\"hcorg-HomeHealth-Motown\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> version: 8.0.1</p></div><p><b>active</b>: true</p><p><b>name</b>: Motown Home Health Grand Rapids</p><p><b>telecom</b>: ph: (210) 555-2882</p><p><b>address</b>: 121 Spruce Dr. Grand Rapids, MI 49503</p></div>"
},
"active" : true,
"name" : "Motown Home Health Grand Rapids",
"telecom" : [
{
"system" : "phone",
"value" : "(210) 555-2882"
}
],
"address" : [
{
"text" : "121 Spruce Dr. Grand Rapids, MI 49503",
"line" : [
"121 Spruce Dr."
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "US"
}
]
},
"request" : {
"method" : "PUT",
"url" : "Organization/org-HomeHealth-Motown"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Organization/org-ED-Metro-Hospital",
"resource" : {
"resourceType" : "Organization",
"id" : "org-ED-Metro-Hospital",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-ED-Metro-Hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization org-ED-Metro-Hospital</b></p><a name=\"org-ED-Metro-Hospital\"> </a><a name=\"hcorg-ED-Metro-Hospital\"> </a><p><b>active</b>: true</p><p><b>name</b>: Metro Hospital Emergency Department</p><p><b>telecom</b>: ph: (555) 384-4444</p><p><b>address</b>: 22327 Moross Rd, Detroit, MI 48236</p></div>"
},
"active" : true,
"name" : "Metro Hospital Emergency Department",
"telecom" : [
{
"system" : "phone",
"value" : "(555) 384-4444"
}
],
"address" : [
{
"text" : "22327 Moross Rd, Detroit, MI 48236",
"line" : [
"22327 Moross Rd, Detroit, MI 48236"
],
"city" : "Detroit",
"state" : "MI",
"postalCode" : "48236",
"country" : "US"
}
]
},
"request" : {
"method" : "PUT",
"url" : "Organization/org-ED-Metro-Hospital"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Practitioner/Practitioner-JudySalas",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Practitioner-JudySalas",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2024-09-21T14:11:15.000+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_Practitioner-JudySalas\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Practitioner-JudySalas</b></p><a name=\"Practitioner-JudySalas\"> </a><a name=\"hcPractitioner-JudySalas\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 4; Last updated: 2024-09-21 14:11:15+0000</p></div><p><b>identifier</b>: <code>http://example.org/fhir/MI-state-license</code>/480410286</p><p><b>active</b>: true</p><p><b>name</b>: Judy Salas</p><p><b>telecom</b>: ph: (555) 944-2454, <a href=\"mailto:jsalas@MotownHHA.com\">jsalas@MotownHHA.com</a></p><p><b>address</b>: 17010 Harper Ave, Detroit, MI 48224</p><p><b>gender</b>: Female</p></div>"
},
"identifier" : [
{
"system" : "http://example.org/fhir/MI-state-license",
"value" : "480410286"
}
],
"active" : true,
"name" : [
{
"text" : "Judy Salas",
"family" : "Salas",
"given" : [
"Judy"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "(555) 944-2454"
},
{
"system" : "email",
"value" : "jsalas@MotownHHA.com"
}
],
"address" : [
{
"text" : "17010 Harper Ave, Detroit, MI 48224",
"line" : [
"17010 Harper Ave"
],
"city" : "Detroit",
"state" : "MI",
"postalCode" : "48224",
"country" : "US"
}
],
"gender" : "female"
},
"request" : {
"method" : "PUT",
"url" : "Practitioner/Practitioner-JudySalas"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/Practitioner/Practitioner-PriyaSarkar",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Practitioner-PriyaSarkar",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2024-09-21T14:11:15.000+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_Practitioner-PriyaSarkar\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Practitioner-PriyaSarkar</b></p><a name=\"Practitioner-PriyaSarkar\"> </a><a name=\"hcPractitioner-PriyaSarkar\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 4; Last updated: 2024-09-21 14:11:15+0000</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/4362436261</p><p><b>active</b>: true</p><p><b>name</b>: Priya Sarkar</p><p><b>telecom</b>: ph: (555) 375-3777, <a href=\"mailto:psarkar@MetroHospital.com\">psarkar@MetroHospital.com</a></p><p><b>address</b>: 22327 Moross Rd, Detroit, MI 48236</p><p><b>gender</b>: Female</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "4362436261"
}
],
"active" : true,
"name" : [
{
"text" : "Priya Sarkar",
"family" : "Sarkar",
"given" : [
"Priya"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "(555) 375-3777"
},
{
"system" : "email",
"value" : "psarkar@MetroHospital.com"
}
],
"address" : [
{
"text" : "22327 Moross Rd, Detroit, MI 48236",
"line" : [
"22327 Moross Rd"
],
"city" : "Detroit",
"state" : "MI",
"postalCode" : "48236",
"country" : "US"
}
],
"gender" : "female"
},
"request" : {
"method" : "PUT",
"url" : "Practitioner/Practitioner-PriyaSarkar"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/PractitionerRole/PractitionerRole-Physician-PriyaSarkar",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-Physician-PriyaSarkar",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PractitionerRole-Physician-PriyaSarkar\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRole-Physician-PriyaSarkar</b></p><a name=\"PractitionerRole-Physician-PriyaSarkar\"> </a><a name=\"hcPractitionerRole-Physician-PriyaSarkar\"> </a><p><b>active</b>: true</p><p><b>practitioner</b>: <a href=\"Practitioner-Practitioner-PriyaSarkar.html\">Priya Sarkar</a></p><p><b>organization</b>: <a href=\"Organization-org-ED-Metro-Hospital.html\">Metro Hospital Emergency Department</a></p><p><b>code</b>: <span title=\"Codes:{http://nucc.org/provider-taxonomy 207P00000X}\">Emergency Medicine Physician</span></p><p><b>location</b>: <a href=\"Location-org-Loc-ED-Metro-Hospital.html\">Location Metro Hospital Emergency Department</a></p></div>"
},
"active" : true,
"practitioner" : {
🔗 "reference" : "Practitioner/Practitioner-PriyaSarkar",
"display" : "Priya Sarkar"
},
"organization" : {
🔗 "reference" : "Organization/org-ED-Metro-Hospital",
"display" : "Metro Hospital Emergency Department"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "207P00000X",
"display" : "Emergency Medicine Physician"
}
]
}
],
"location" : [
{
🔗 "reference" : "Location/org-Loc-ED-Metro-Hospital"
}
]
},
"request" : {
"method" : "PUT",
"url" : "PractitionerRole/PractitionerRole-Physician-PriyaSarkar"
}
},
{
"fullUrl" : "https://gw.interop.community/pacior4test/open/DocumentReference/JF-DocumentReference",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "JF-DocumentReference",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-DocumentReference"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_JF-DocumentReference\"> </a><p>Transition of Care DocumentReference for Patient Jane Fiction</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/point-of-contact-extension",
"valueReference" : {
🔗 "reference" : "Practitioner/Practitioner-JudySalas"
}
}
],
"masterIdentifier" : {
"system" : "http://example.org/MotownHomeHealth/id",
"value" : "0-87f37989294a408897aacd1fc5d8fd26"
},
"identifier" : [
{
"system" : "http://example.org/MotownHomeHealth/id",
"value" : "0-87f37989294a408897aacd1fc5d8fd26"
}
],
"status" : "current",
"docStatus" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18761-7",
"display" : "Transfer Summary Note"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"version" : "8.0.1",
"code" : "clinical-note"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/Example-Fiction"
},
"date" : "2024-05-10T14:25:34.001-05:00",
"content" : [
{
"attachment" : {
"contentType" : "application/fhir+json",
"url" : "https://gw.interop.community/pacior4test/open/Composition/JF-TOCComposition2",
"creation" : "2024-05-10T14:25:34.001-05:00"
}
}
]
},
"request" : {
"method" : "PUT",
"url" : "DocumentReference/JF-DocumentReference"
}
}
]
}
IG © 2024+ HL7 International / Patient Care. Package hl7.fhir.us.pacio-toc#1.0.0 based on FHIR 4.0.1. Generated 2026-09-10
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change