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: Discharge Care Plan - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@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/BSJ-SNFDischargeCarePlan> a fhir:CarePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "BSJ-SNFDischargeCarePlan"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan BSJ-SNFDischargeCarePlan</b></p><a name=\"BSJ-SNFDischargeCarePlan\"> </a><a name=\"hcBSJ-SNFDischargeCarePlan\"> </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-Smith-Johnson-Patient1.html\">Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1AA3D58WH16)</a></p><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-PCPFollowUp.html\">ServiceRequest Follow-up visit (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallOrder.html\">ServiceRequest Informing doctor (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallOTRefer.html\">ServiceRequest Occupational therapy assessment (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeCallSLPRefer.html\">ServiceRequest Speech therapy assessment (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeDietSalt.html\">ServiceRequest Decreased fat and oil diet (regime/therapy)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeLabOrderBMP.html\">ServiceRequest Blood chemistry (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargeLabOrderCBC.html\">ServiceRequest Complete blood count without differential (procedure)</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"ServiceRequest-BSJ-SNFDischargePTRefer.html\">ServiceRequest Physical therapy assessment (procedure)</a></p></blockquote></div>"
  ] ;
  fhir:CarePlan.status [ fhir:value "active"] ;
  fhir:CarePlan.intent [ fhir:value "plan"] ;
  fhir:CarePlan.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/core/CodeSystem/careplan-category" ] ;
       fhir:Coding.code [ fhir:value "assess-plan" ] ;
       fhir:Coding.display [ fhir:value "Assessment and Plan of Treatment" ]
     ]
  ] ;
  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.activity [
     fhir:index 0 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-PCPFollowUp> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-PCPFollowUp" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOrder> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargeCallOrder" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOTRefer> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargeCallOTRefer" ]
     ]
  ], [
     fhir:index 3 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeCallSLPRefer> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargeCallSLPRefer" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeDietSalt> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargeDietSalt" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderBMP> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargeLabOrderBMP" ]
     ]
  ], [
     fhir:index 6 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderCBC> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargeLabOrderCBC" ]
     ]
  ], [
     fhir:index 7 ;
     fhir:CarePlan.activity.reference [
       fhir:link <http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargePTRefer> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/BSJ-SNFDischargePTRefer" ]
     ]
  ] .

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

<http://hl7.org/fhir/ServiceRequest/BSJ-PCPFollowUp> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOrder> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOTRefer> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeCallSLPRefer> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeDietSalt> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderBMP> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderCBC> a fhir:ServiceRequest .

<http://hl7.org/fhir/ServiceRequest/BSJ-SNFDischargePTRefer> a fhir:ServiceRequest .

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

<http://hl7.org/fhir/CarePlan/BSJ-SNFDischargeCarePlan.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CarePlan/BSJ-SNFDischargeCarePlan.ttl> .