# Betsy Smith Johnson Transitions of Care Document - SNF to Home Health - PACIO Sample Data Depot v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Betsy Smith Johnson Transitions of Care Document - SNF to Home Health**

## Example Composition: Betsy Smith Johnson Transitions of Care Document - SNF to Home Health

Language: en-US

**identifier**: `http://id.example.org`/TOC-20250701-SNF-to-HHA

**status**: Final

**type**: Discharge summary - recommended C-CDA R2.1 sections

**category**: Transfer Summary Note

**date**: 2025-07-01 13:00:58-0400

**author**: [PractitionerRole Internal Medicine Physician](PractitionerRole-PractitionerRole-MD-HemaOnko.md)

**title**: Betsy Smith Johnson Transitions of Care Document - SNF to Home Health

**custodian**: [Organization Motor City Skilled Nursing Facility](Organization-org-Motor-City-Skilled-Nursing-Facility.md)



## Resource Content

```json
{
  "resourceType" : "Composition",
  "id" : "betsysmith-johnson01-TOC-SNF-to-HHA-01",
  "language" : "en-US",
  "identifier" : {
    "system" : "http://id.example.org",
    "value" : "TOC-20250701-SNF-to-HHA"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "81218-0",
        "display" : "Discharge summary - recommended C-CDA R2.1 sections"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "18761-7",
          "display" : "Transfer Summary Note"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/patient-betsysmith-johnson01",
    "display" : "Betsy Smith-Johnson"
  },
  "date" : "2025-07-01T13:00:58.000-04:00",
  "author" : [
    {
      "reference" : "PractitionerRole/PractitionerRole-MD-HemaOnko"
    }
  ],
  "title" : "Betsy Smith Johnson Transitions of Care Document - SNF to Home Health",
  "custodian" : {
    "reference" : "Organization/org-Motor-City-Skilled-Nursing-Facility"
  },
  "section" : [
    {
      "text" : {
        "status" : "additional",
        "div" : "<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>"
      }
    },
    {
      "title" : "List of allergies for Betsy Smith Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions Document"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies for Betsy Smith Johnson</div>"
      },
      "entry" : [
        {
          "reference" : "AllergyIntolerance/betsysmith-johnson01-AllergyACE"
        }
      ]
    },
    {
      "title" : "List of medications prescribed for Betsy Smith Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10183-2",
            "display" : "Hospital discharge medications"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of medications prescribed for Betsy Smith Johnson</div>"
      },
      "entry" : [
        {
          "reference" : "List/bsj1-smp-medListNew-2"
        },
        {
          "reference" : "List/bsj1-smp-medListNew-3"
        }
      ]
    },
    {
      "title" : "List of problem conditions and observations for Betsy Smith Johnson",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "46019-6",
            "display" : "Diseases or conditions Set"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">List of problem conditions and observations for Betsy Smith Johnson</div>"
      },
      "entry" : [
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Anemia-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Constipation-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Depression-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Diabetes-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-DressingConcern-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-HeartDisease-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Hemiparesis-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Hyperlipidemia-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Hypertension-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-condition-IschemicStrokeDiagnosis-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-KidneyDisease-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-NauseaAndVomiting-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-Stroke-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-UndressingConcern-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-OTProblemListDecondition-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-OTProblemListRightWeak-01"
        },
        {
          "reference" : "Condition/betsysmith-johnson01-Condition-ComplexRegime-01"
        }
      ]
    }
  ]
}

```
