PACIO Sample Data Depot
0.1.0 - draft
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
<Composition xmlns="http://hl7.org/fhir">
<id value="betsysmith-johnson01-TOC-SNF-to-HHA-01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"/>
</meta>
<language value="en-US"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Composition betsysmith-johnson01-TOC-SNF-to-HHA-01</b></p><a name="betsysmith-johnson01-TOC-SNF-to-HHA-01"> </a><a name="hcbetsysmith-johnson01-TOC-SNF-to-HHA-01"> </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="http://hl7.org/fhir/us/pacio-toc/STU1/StructureDefinition-TOC-Composition.html">Transition of Care Composition</a></p></div><p><b>identifier</b>: <code>http://id.example.org</code>/TOC-20250701-SNF-to-HHA</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 81218-0}">Discharge summary - recommended C-CDA R2.1 sections</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 18761-7}">Transfer Summary Note</span></p><p><b>date</b>: 2025-07-01 13:00:58-0400</p><p><b>author</b>: <a href="PractitionerRole-PractitionerRole-MD-HemaOnko.html">PractitionerRole Internal Medicine Physician</a></p><p><b>title</b>: Betsy Smith Johnson Transitions of Care Document - SNF to Home Health</p><p><b>custodian</b>: <a href="Organization-org-Motor-City-Skilled-Nursing-Facility.html">Organization Motor City Skilled Nursing Facility</a></p></div>
</text>
<identifier>
<system value="http://id.example.org"/>
<value value="TOC-20250701-SNF-to-HHA"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="81218-0"/>
<display value="Discharge summary - recommended C-CDA R2.1 sections"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="18761-7"/>
<display value="Transfer Summary Note"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/patient-betsysmith-johnson01"/>
<display value="Betsy Smith-Johnson"/>
</subject>
<date value="2025-07-01T13:00:58.000-04:00"/>
<author>🔗
<reference value="PractitionerRole/PractitionerRole-MD-HemaOnko"/>
</author>
<title
value="Betsy Smith Johnson Transitions of Care Document - SNF to Home Health"/>
<custodian>🔗
<reference value="Organization/org-Motor-City-Skilled-Nursing-Facility"/>
</custodian>
<section>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Information sections for the transitions of care for Betsy Smith Johnson from the hospital to the skilled nursing facility</div>
</text>
</section>
<section>
<title value="Advance directives for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42348-3"/>
<display value="Advance healthcare directives"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Advance directives for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</section>
<section>
<title value="List of allergies for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Allergies for Betsy Smith Johnson</div>
</text>
<entry>🔗
<reference value="AllergyIntolerance/betsysmith-johnson01-AllergyACE"/>
</entry>
</section>
<section>
<title value="Behavioral health information for Betsy Smith Johnson"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/pacio-toc/CodeSystem/toc-temp-cs"/>
<code value="behavioral_health_summary"/>
<display value="Behavioral health summary"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Behavioral health information for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Functional status of Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="47420-5"/>
<display value="Functional status assessment note"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Functional status of Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="List of immunizations for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="History of Immunization note"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">List of immunizations for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="List of medical devices for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46264-8"/>
<display value="History of medical device use"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">List of medical devices for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="List of medications prescribed for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">List of medications prescribed for Betsy Smith Johnson</div>
</text>
<entry>🔗
<reference value="List/bsj1-smp-medListNew-2"/>
</entry>
<entry>🔗
<reference value="List/bsj1-smp-medListNew-3"/>
</entry>
</section>
<section>
<title value="Discharge care plan for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plan of care note"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Discharge care plan for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title
value="List of problem conditions and observations for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">List of problem conditions and observations for Betsy Smith Johnson</div>
</text>
<entry>🔗
<reference value="Condition/betsysmith-johnson01-Condition-Anemia-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-Constipation-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-Depression-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-Diabetes-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-DressingConcern-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-HeartDisease-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-Hemiparesis-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-Hyperlipidemia-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-Hypertension-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-condition-IschemicStrokeDiagnosis-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-KidneyDisease-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-NauseaAndVomiting-01"/>
</entry>
<entry>🔗
<reference value="Condition/betsysmith-johnson01-Condition-Stroke-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-UndressingConcern-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-OTProblemListDecondition-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-OTProblemListRightWeak-01"/>
</entry>
<entry>🔗
<reference
value="Condition/betsysmith-johnson01-Condition-ComplexRegime-01"/>
</entry>
</section>
<section>
<title value="List of procedures prescribed for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="47519-4"/>
<display value="History of Procedures Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">List of procedures prescribed for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Reason for transfer for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42349-1"/>
<display value="Reason for referral (narrative)"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Reason for transfer for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="List of test results for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display value="Relevant diagnostic tests/laboratory data note"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">List of test results for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Discharge instructions for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69730-0"/>
<display value="Instructions"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Discharge instructions for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Social history for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29762-2"/>
<display value="Social history note"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Social history for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Vital signs for Betsy Smith Johnson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8716-3"/>
<display value="Vital signs note"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">Vital signs for Betsy Smith Johnson</div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
</Composition>