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
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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/Composition/BSJ-TOCComposition> a fhir:Composition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "BSJ-TOCComposition"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition>
]
] ;
fhir:Resource.language [ fhir:value "en-US"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p class=\"res-header-id\"><b>Generated Narrative: Composition BSJ-TOCComposition</b></p><a name=\"BSJ-TOCComposition\"> </a><a name=\"hcBSJ-TOCComposition\"> </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=\"Practitioner-Example-JenCadbury.html\">Practitioner Jen Cadbury</a></p><p><b>title</b>: Transitions of Care Document for Betsy Smith-Johnson</p><p><b>custodian</b>: <a href=\"Organization-org-SNF-Happy-Nursing-Facility.html\">Organization Happy Nursing Facility</a></p></div>"
] ;
fhir:Composition.identifier [
fhir:Identifier.system [ fhir:value "http://example.org/GoodHealthClinic/id" ] ;
fhir:Identifier.value [ fhir:value "76053988-543c-4681-9a90-2f2eb9a7836c-CCDA-CCD" ]
] ;
fhir:Composition.status [ fhir:value "final"] ;
fhir:Composition.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:11490-0 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "11490-0" ] ;
fhir:Coding.display [ fhir:value "Physician Discharge summary" ]
]
] ;
fhir:Composition.subject [
fhir:link <http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> ;
fhir:Reference.reference [ fhir:value "Patient/Example-Smith-Johnson-Patient1" ]
] ;
fhir:Composition.date [ fhir:value "2024-05-10T08:49:58.313-04:00"^^xsd:dateTime] ;
fhir:Composition.author [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Practitioner/Example-JenCadbury> ;
fhir:Reference.reference [ fhir:value "Practitioner/Example-JenCadbury" ]
] ;
fhir:Composition.title [ fhir:value "Transitions of Care Document for Betsy Smith-Johnson"] ;
fhir:Composition.custodian [
fhir:link <http://hl7.org/fhir/Organization/org-SNF-Happy-Nursing-Facility> ;
fhir:Reference.reference [ fhir:value "Organization/org-SNF-Happy-Nursing-Facility" ]
] ;
fhir:Composition.section [
fhir:index 0 ;
fhir:Composition.section.title [ fhir:value "Advance directives for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:42348-3 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "42348-3" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Advance directives for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "notasked" ]
]
]
], [
fhir:index 1 ;
fhir:Composition.section.title [ fhir:value "List of allergies for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:48765-2 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "48765-2" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/AllergyIntolerance/BSJ-AllergyACE> ;
fhir:Reference.reference [ fhir:value "AllergyIntolerance/BSJ-AllergyACE" ]
]
], [
fhir:index 2 ;
fhir:Composition.section.title [ fhir:value "Behavioral health information for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/pacio-toc/CodeSystem/toc-temp-cs" ] ;
fhir:Coding.code [ fhir:value "behavioral_health_summary" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Behavioral health information for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "withheld" ]
]
]
], [
fhir:index 3 ;
fhir:Composition.section.title [ fhir:value "Functional status of Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:47420-5 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "47420-5" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Functional status of Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
], [
fhir:index 4 ;
fhir:Composition.section.title [ fhir:value "List of immunizations for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:11369-6 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "11369-6" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of immunizations for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Immunization/BSJ-Immunization-PCV20> ;
fhir:Reference.reference [ fhir:value "Immunization/BSJ-Immunization-PCV20" ]
], [
fhir:index 1 ;
fhir:link <http://hl7.org/fhir/Immunization/BSJ-Immunization-Fluzone> ;
fhir:Reference.reference [ fhir:value "Immunization/BSJ-Immunization-Fluzone" ]
]
], [
fhir:index 5 ;
fhir:Composition.section.title [ fhir:value "Discharge instructions for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:69730-0 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "69730-0" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge instructions for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
], [
fhir:index 6 ;
fhir:Composition.section.title [ fhir:value "List of medical equipment needed by Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:46264-8 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "46264-8" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medical equipment needed by Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
], [
fhir:index 7 ;
fhir:Composition.section.title [ fhir:value "List of medications prescribed for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:10160-0 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "10160-0" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medications prescribed for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/List/BSJ-SMPMedList> ;
fhir:Reference.reference [ fhir:value "List/BSJ-SMPMedList" ]
]
], [
fhir:index 8 ;
fhir:Composition.section.title [ fhir:value "Discharge care plan for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:18776-5 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "18776-5" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge care plan for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/CarePlan/BSJ-SNFDischargeCarePlan> ;
fhir:Reference.reference [ fhir:value "CarePlan/BSJ-SNFDischargeCarePlan" ]
]
], [
fhir:index 9 ;
fhir:Composition.section.title [ fhir:value "List of problem conditions and observations for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:11450-4 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "11450-4" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of problem conditions and observations for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Condition/BSJ-DressingConcern> ;
fhir:Reference.reference [ fhir:value "Condition/BSJ-DressingConcern" ]
], [
fhir:index 1 ;
fhir:link <http://hl7.org/fhir/Condition/BSJ-HeartDiseaseDiagnosis> ;
fhir:Reference.reference [ fhir:value "Condition/BSJ-HeartDiseaseDiagnosis" ]
], [
fhir:index 2 ;
fhir:link <http://hl7.org/fhir/Condition/BSJ-HemiparesisDiagnosis> ;
fhir:Reference.reference [ fhir:value "Condition/BSJ-HemiparesisDiagnosis" ]
], [
fhir:index 3 ;
fhir:link <http://hl7.org/fhir/Condition/BSJ-HyperlipidemiaDiagnosis> ;
fhir:Reference.reference [ fhir:value "Condition/BSJ-HyperlipidemiaDiagnosis" ]
], [
fhir:index 4 ;
fhir:link <http://hl7.org/fhir/Condition/BSJ-HypertensionDiagnosis> ;
fhir:Reference.reference [ fhir:value "Condition/BSJ-HypertensionDiagnosis" ]
], [
fhir:index 5 ;
fhir:link <http://hl7.org/fhir/Condition/BSJ-StrokeDiagnosis> ;
fhir:Reference.reference [ fhir:value "Condition/BSJ-StrokeDiagnosis" ]
], [
fhir:index 6 ;
fhir:link <http://hl7.org/fhir/Condition/OT-ProblemList-RightWeak> ;
fhir:Reference.reference [ fhir:value "Condition/OT-ProblemList-RightWeak" ]
]
], [
fhir:index 10 ;
fhir:Composition.section.title [ fhir:value "List of procedures prescribed for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:47519-4 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "47519-4" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of procedures prescribed for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
], [
fhir:index 11 ;
fhir:Composition.section.title [ fhir:value "Reason for referring Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:42349-1 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "42349-1" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reason for referring Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Encounter/BSJ-Encounter> ;
fhir:Reference.reference [ fhir:value "Encounter/BSJ-Encounter" ]
]
], [
fhir:index 12 ;
fhir:Composition.section.title [ fhir:value "List of test results for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:30954-2 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "30954-2" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of test results for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
], [
fhir:index 13 ;
fhir:Composition.section.title [ fhir:value "Social history for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:29762-2 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "29762-2" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Social history for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
], [
fhir:index 14 ;
fhir:Composition.section.title [ fhir:value "Vital signs for Betsy Smith-Johnson" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:8716-3 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "8716-3" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "additional" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Vital signs for Betsy Smith-Johnson</div>"
] ;
fhir:Composition.section.emptyReason [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
fhir:Coding.code [ fhir:value "nilknown" ]
]
]
] .
<http://hl7.org/fhir/Patient/Example-Smith-Johnson-Patient1> a fhir:Patient .
<http://hl7.org/fhir/Practitioner/Example-JenCadbury> a fhir:Practitioner .
<http://hl7.org/fhir/Organization/org-SNF-Happy-Nursing-Facility> a fhir:Organization .
<http://hl7.org/fhir/AllergyIntolerance/BSJ-AllergyACE> a fhir:AllergyIntolerance .
<http://hl7.org/fhir/Immunization/BSJ-Immunization-PCV20> a fhir:Immunization .
<http://hl7.org/fhir/Immunization/BSJ-Immunization-Fluzone> a fhir:Immunization .
<http://hl7.org/fhir/List/BSJ-SMPMedList> a fhir:List .
<http://hl7.org/fhir/CarePlan/BSJ-SNFDischargeCarePlan> a fhir:CarePlan .
<http://hl7.org/fhir/Condition/BSJ-DressingConcern> a fhir:Condition .
<http://hl7.org/fhir/Condition/BSJ-HeartDiseaseDiagnosis> a fhir:Condition .
<http://hl7.org/fhir/Condition/BSJ-HemiparesisDiagnosis> a fhir:Condition .
<http://hl7.org/fhir/Condition/BSJ-HyperlipidemiaDiagnosis> a fhir:Condition .
<http://hl7.org/fhir/Condition/BSJ-HypertensionDiagnosis> a fhir:Condition .
<http://hl7.org/fhir/Condition/BSJ-StrokeDiagnosis> a fhir:Condition .
<http://hl7.org/fhir/Condition/OT-ProblemList-RightWeak> a fhir:Condition .
<http://hl7.org/fhir/Encounter/BSJ-Encounter> a fhir:Encounter .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Composition/BSJ-TOCComposition.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Composition/BSJ-TOCComposition.ttl> .
IG © 2024+ HL7 International / Patient Care. Package hl7.fhir.us.pacio-toc#1.0.0 based on FHIR 4.0.1. Generated 2026-08-14
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