PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Inpatient discharge care plan from SNF to Home Health - XML Representation

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="wm1-careplan-discharge-20260226"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CarePlan wm1-careplan-discharge-20260226</b></p><a name="wm1-careplan-discharge-20260226"> </a><a name="hcwm1-careplan-discharge-20260226"> </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/STU6.1/StructureDefinition-us-core-careplan.html">US Core CarePlan Profile</a> version: 6.1.0</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 736271009}">Outpatient care plan (record artifact)</span>, <span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/careplan-category assess-plan}">Assessment and Plan of Treatment</span></p><p><b>title</b>: Inpatient discharge care plan from SNF to Home Health</p><p><b>subject</b>: <a href="Patient-patient-wilmamarina01.html">Wilma Marina</a></p><p><b>created</b>: 2026-02-26 12:00:00-0500</p><p><b>goal</b>: <a href="Goal-wm1-goal-attend-wedding-20260226.html">Goal: lifecycleStatus = active; achievementStatus = In Progress; priority = High Priority; description = ; start[x] = 2026-02-26</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td>ServiceRequest</td><td><span title="Codes:{http://snomed.info/sct 741768003}">Management of fall prevention (procedure)</span></td><td>Scheduled</td><td>Safety measures to prevent falls.</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Kind</b></td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td>ServiceRequest</td><td>Scheduled</td><td>Support planning for son's travel schedule.</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td>ServiceRequest</td><td><span title="Codes:{http://snomed.info/sct 385781007}">Home health aide service (regime/therapy)</span></td><td>Scheduled</td><td>2 times/week</td><td>Home health aide 2 times/week.</td></tr></table></blockquote></div>
  </text>
  <status value="active"/>
  <intent value="plan"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="736271009"/>
      <display value="Outpatient care plan (record artifact)"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
      <code value="assess-plan"/>
    </coding>
  </category>
  <title value="Inpatient discharge care plan from SNF to Home Health"/>
  <subject>🔗 
    <reference value="Patient/patient-wilmamarina01"/>
    <display value="Wilma Marina"/>
  </subject>
  <created value="2026-02-26T12:00:00-05:00"/>
  <goal>🔗 
    <reference value="Goal/wm1-goal-attend-wedding-20260226"/>
  </goal>
  <activity>
    <detail>
      <kind value="ServiceRequest"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="741768003"/>
          <display value="Management of fall prevention (procedure)"/>
        </coding>
      </code>
      <status value="scheduled"/>
      <description value="Safety measures to prevent falls."/>
    </detail>
  </activity>
  <activity>
    <detail>
      <kind value="ServiceRequest"/>
      <status value="scheduled"/>
      <description value="Support planning for son's travel schedule."/>
    </detail>
  </activity>
  <activity>
    <detail>
      <kind value="ServiceRequest"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385781007"/>
          <display value="Home health aide service (regime/therapy)"/>
        </coding>
      </code>
      <status value="scheduled"/>
      <scheduledString value="2 times/week"/>
      <description value="Home health aide 2 times/week."/>
    </detail>
  </activity>
</CarePlan>