PACIO Transitions of Care Implementation Guide
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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-ballot 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 CarePlan: Discharge Care Plan

Page standards status: Informative

status: Active

intent: Plan

category: Assessment and Plan of Treatment

subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600)

activity

reference: ServiceRequest Follow-up visit (procedure)

activity

reference: ServiceRequest Informing doctor (procedure)

activity

reference: ServiceRequest Occupational therapy assessment (procedure)

activity

reference: ServiceRequest Speech therapy assessment (procedure)

activity

reference: ServiceRequest Decreased protein and/or protein derivative diet (regime/therapy)

activity

reference: ServiceRequest Decreased sodium diet (regime/therapy)

activity

reference: ServiceRequest Blood chemistry (procedure)

activity

reference: ServiceRequest Complete blood count without differential (procedure)

activity

reference: ServiceRequest Physical therapy assessment (procedure)