PACIO Transitions of Care Implementation Guide
0.1.0 - ci-build
PACIO Transitions of Care Implementation Guide
0.1.0 - ci-build
PACIO Transitions of Care Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Composition
ResourceComposition "BSJ-TOCComposition" (Language "en-US")
Profile: Transition of Care Composition
identifier: urn:oid:2.16.840.1.113883.4.823.1.7125/20130607100315-CCDA-CCD
status: FINAL
type: Discharge summary - recommended C-CDA R2.1 sections (LOINC#81218-0)
date: 2024-05-10 08:49:58-0400
author: See on this page: Practitioner/Example-JenCadbury
title: Transitions of Care Document for Betsy Smith-Johnson
custodian: See on this page: Organization/org-SNF-Happy-Nursing-Facility
2. http://www.example.org/fhir/Patient/Example-Smith-Johnson-Patient1 (Patient/Example-Smith-Johnson-Patient1)
Anonymous Patient Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#MedicareHIC#10A3D58WH1600)
3. http://www.example.org/fhir/AllergyIntolerance/BSJ-AllergyACE (AllergyIntolerance/BSJ-AllergyACE)
Generated Narrative: AllergyIntolerance
ResourceAllergyIntolerance "BSJ-AllergyACE"
Profile: US Core AllergyIntolerance Profile
clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)
category: MEDICATION
criticality: HIGH
code: Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance) (SNOWMED CT#372733002)
patient: See on this page: Patient/Example-Smith-Johnson-Patient1
lastOccurrence: 2011-10
Reactions
Substance Manifestation captopril 12.5 MG Oral Tablet (RxNorm#308963) Hyperkalemia caused by angiotensin-converting enzyme inhibitor (disorder) (SNOWMED CT#427195008)
4. http://www.example.org/fhir/Condition/BSJ-AnemiaDiagnosis (Condition/BSJ-AnemiaDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-AnemiaDiagnosis"
Condition Asserted Date: 2024-04-23 13:15:00-0400
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Functions related to the digestive system, other specified and unspecified (International Classification of Functioning, Disability and Health#b539), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Anemia co-occurrent and due to chronic kidney disease stage 3 (disorder) (SNOWMED CT#691421000119108)
bodySite: Structure of cardiovascular system (body structure) (SNOWMED CT#113257007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
recordedDate: 2024-04-23 13:15:00-0400
note: See lab
5. http://www.example.org/fhir/Condition/BSJ-Constipation (Condition/BSJ-Constipation)
Generated Narrative: Condition
ResourceCondition "BSJ-Constipation"
Condition Asserted Date: 2020-11
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Frequency of defecation (International Classification of Functioning, Disability and Health#b5252), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Drug-induced constipation (disorder) (SNOWMED CT#21782001)
bodySite: Colon structure (body structure) (SNOWMED CT#71854001)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
6. http://www.example.org/fhir/Condition/BSJ-DepressionDiagnosis (Condition/BSJ-DepressionDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-DepressionDiagnosis"
Condition Asserted Date: 2005-02
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Emotional functions (International Classification of Functioning, Disability and Health#b152), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Depressive disorder (disorder) (SNOWMED CT#35489007)
bodySite: Brain structure (body structure) (SNOWMED CT#12738006)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
7. http://www.example.org/fhir/Condition/BSJ-DiabetesDiagnosis (Condition/BSJ-DiabetesDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-DiabetesDiagnosis"
Condition Asserted Date: 2017-06
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Carbohydrate metabolism (International Classification of Functioning, Disability and Health#b5401), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Diabetes mellitus type 2 in nonobese (disorder) (SNOWMED CT#359642000)
bodySite: Structure of endocrine system (body structure) (SNOWMED CT#113331007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
onset: 2017-06
recordedDate: 2017-06-05
8. http://www.example.org/fhir/Condition/BSJ-DressingConcern (Condition/BSJ-DressingConcern)
Generated Narrative: Condition
ResourceCondition "BSJ-DressingConcern"
Profile: US Core Condition Problems and Health Concerns Profile
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: control of complex voluntary movements (International Classification of Functioning, Disability and Health#b7601), Health Concern (US Core Condition Category Extension Codes#health-concern), Functional Status (US Core Category#functional-status)
code: Difficulty performing dressing activity (finding) (SNOWMED CT#284972002)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
recordedDate: 2024-04-27 15:40:00-0400
note: Betsy is frustrated, embarrassed, and worried about not being able to dress herself
9. http://www.example.org/fhir/Condition/BSJ-HeartDiseaseDiagnosis (Condition/BSJ-HeartDiseaseDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-HeartDiseaseDiagnosis"
Condition Asserted Date: 2019-06
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Blood vessel functions (International Classification of Functioning, Disability and Health#b415), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Ischemic heart disease (disorder) (SNOWMED CT#414545008)
bodySite: Structure of cardiovascular system (body structure) (SNOWMED CT#113257007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
recordedDate: 2019-06-08 14:15:00-0400
10. http://www.example.org/fhir/Condition/BSJ-HemiparesisDiagnosis (Condition/BSJ-HemiparesisDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-HemiparesisDiagnosis"
Condition Asserted Date: 2024-04-18 13:30:00-0400
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Power of muscles on one side of the body (International Classification of Functioning, Disability and Health#b7302), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Right hemiparesis (disorder) (SNOWMED CT#278286009)
bodySite: Right upper arm structure (body structure) (SNOWMED CT#368209003)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
onset: 2024-04-17 15:40:00-0400
recordedDate: 2024-04-18 13:30:00-0400
note: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.
11. http://www.example.org/fhir/Condition/BSJ-Hyperlipidemia (Condition/BSJ-Hyperlipidemia)
Generated Narrative: Condition
ResourceCondition "BSJ-Hyperlipidemia"
Condition Asserted Date: 2018-06
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Fat metabolism (International Classification of Functioning, Disability and Health#b5403), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Hyperlipidemia (disorder) (SNOWMED CT#55822004)
bodySite: Structure of cardiovascular system (body structure) (SNOWMED CT#113257007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
12. http://www.example.org/fhir/Condition/BSJ-HypertensionDiagnosis (Condition/BSJ-HypertensionDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-HypertensionDiagnosis"
Condition Asserted Date: 2011-09
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Maintenance of blood pressure (International Classification of Functioning, Disability and Health#b4202), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Hypertensive disorder, systemic arterial (disorder) (SNOWMED CT#38341003)
bodySite: Structure of cardiovascular system (body structure) (SNOWMED CT#113257007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
onset: 2011-08
recordedDate: 2011-09-17
13. http://www.example.org/fhir/Condition/BSJ-KidneyDisease (Condition/BSJ-KidneyDisease)
Generated Narrative: Condition
ResourceCondition "BSJ-KidneyDisease"
Condition Asserted Date: 2021-04
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Urinary excretory functions (International Classification of Functioning, Disability and Health#b610), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Chronic kidney disease stage 3 due to type 2 diabetes mellitus (disorder) (SNOWMED CT#731000119105)
bodySite: Both kidneys (body structure) (SNOWMED CT#17373004)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
recordedDate: 2021-04-10 15:00:00-0400
14. http://www.example.org/fhir/Condition/BSJ-NauseaAndVomiting (Condition/BSJ-NauseaAndVomiting)
Generated Narrative: Condition
ResourceCondition "BSJ-NauseaAndVomiting"
Condition Asserted Date: 2024-04-18 16:30:00-0400
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Sensation of nausea (International Classification of Functioning, Disability and Health#b5350), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Nausea and Vomiting (disorder) (SNOWMED CT#16932000)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
onset: 2024-04-18 16:30:00-0400
recordedDate: 2024-04-18 16:30:00-0400
note: Patient pressed call button for vomiting. She reports she started feeling nauseated about ten minutes ago.
15. http://www.example.org/fhir/Condition/BSJ-Neuropathy (Condition/BSJ-Neuropathy)
Generated Narrative: Condition
ResourceCondition "BSJ-Neuropathy"
Condition Asserted Date: 2020-07
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Sensory functions and pain, unspecified (International Classification of Functioning, Disability and Health#b299), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Chronic painful neuropathy due to diabetes mellitus (disorder) (SNOWMED CT#193184006)
bodySite: Both lower legs (body structure) (SNOWMED CT#40927001)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
16. http://www.example.org/fhir/Condition/BSJ-StrokeDiagnosis (Condition/BSJ-StrokeDiagnosis)
Generated Narrative: Condition
ResourceCondition "BSJ-StrokeDiagnosis"
Condition Asserted Date: 2024-04-17 15:40:00-0400
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Structure of cortical lobes, unspecified (International Classification of Functioning, Disability and Health#s11009), Encounter Diagnosis (US Core Condition Category Extension Codes#encounter-diagnosis), Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Ischemic Stroke (disorder) (SNOWMED CT#422504002)
bodySite: Structure of middle cerebral artery M1 segment (body structure) (SNOWMED CT#414722000), Left (SNOWMED CT#7771000)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
onset: 2024-04-17 15:40:00-0400
recordedDate: 2023-12-15 18:40:00-0400
note: Partial occlusion of MCA. Stroke event witnessed. EMS response / patient arrived within 45 minutes of symptom onset. Verified by CT with contrast. tPA administered within 2 hours of symptom onset.
17. http://www.example.org/fhir/Condition/BSJ-UndressingConcern (Condition/BSJ-UndressingConcern)
Generated Narrative: Condition
ResourceCondition "BSJ-UndressingConcern"
Profile: US Core Condition Problems and Health Concerns Profile
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Coordination of voluntary movements (International Classification of Functioning, Disability and Health#b7602), Health Concern (US Core Condition Category Extension Codes#health-concern), Functional Status (US Core Category#functional-status)
code: Difficulty undressing (finding) (SNOWMED CT#284989005)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
recordedDate: 2024-04-27 15:40:00-0400
note: Betsy is frustrated, embarrassed, and worried about not being able to undress herself
18. http://www.example.org/fhir/Condition/OT-ProblemList-Decondition (Condition/OT-ProblemList-Decondition)
Generated Narrative: Condition
ResourceCondition "OT-ProblemList-Decondition"
Profile: US Core Condition Problems and Health Concerns Profile
Condition Asserted Date: 2024-04-30 15:40:00-0400
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Power of muscles in lower half of the body (International Classification of Functioning, Disability and Health#b7303), Problem List Item (US Core Condition Category Extension Codes#problem-list-item), Functional Status (US Core Category#functional-status)
code: Physical deconditioning (finding) (SNOWMED CT#31031000119102)
bodySite: Entire lower body (body structure) (SNOWMED CT#362875007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
onset: 2024-04-26 15:40:00-0400
recordedDate: 2024-04-30 15:40:00-0400
evidence
evidence
evidence
note: The weakness in the patient's lower extremities is secondary to deconditioning. According to the report from Neurology, patient did not have motor or sensory deficits below upper chest. High rehab potential.
19. http://www.example.org/fhir/Condition/OT-ProblemList-RightWeak (Condition/OT-ProblemList-RightWeak)
Generated Narrative: Condition
ResourceCondition "OT-ProblemList-RightWeak"
Profile: US Core Condition Problems and Health Concerns Profile
Condition Asserted Date: 2024-04-17 15:40:00-0400
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Power of muscles of one limb (International Classification of Functioning, Disability and Health#b7301), Problem List Item (US Core Condition Category Extension Codes#problem-list-item), Functional Status (US Core Category#functional-status)
code: Weakness of right upper limb (finding) (SNOWMED CT#570961000124101)
bodySite: Right upper arm structure (body structure) (SNOWMED CT#368209003)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
recordedDate: 2024-04-27 15:40:00-0400
evidence
note: The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.
20. http://www.example.org/fhir/Observation/BSJ-MDS-Activities-PT1 (Observation/BSJ-MDS-Activities-PT1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-Activities-PT1"
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Self-care (Personal Functioning and Engagement Category#blockl2-d51), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] (LOINC#101107-1)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
hasMember:
21. http://www.example.org/fhir/Observation/BSJ-MDS-Doffing1 (Observation/BSJ-MDS-Doffing1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-Doffing1"
Profile: Personal Functioning and Engagement Single Observation
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Taking Off Clothes (Personal Functioning and Engagement Category#d5401), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: Upper body dressing - functional goal during assessment period [CMS Assessment] (LOINC#89387-5)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
value: Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity. (LOINC#LA27998-6)
22. http://www.example.org/fhir/Observation/BSJ-MDS-Donning1 (Observation/BSJ-MDS-Donning1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-Donning1"
Profile: Personal Functioning and Engagement Single Observation
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Putting On Clothes (Personal Functioning and Engagement Category#d5400), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: Lower body dressing - functional goal during assessment period [CMS Assessment] (LOINC#89406-3)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
value: Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity. (LOINC#LA27998-6)
23. http://www.example.org/fhir/Observation/BSJ-MDS-Mobility-PT1 (Observation/BSJ-MDS-Mobility-PT1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-Mobility-PT1"
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Mobility (Personal Functioning and Engagement Category#blockl2-d41), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] (LOINC#101107-1)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
hasMember:
24. http://www.example.org/fhir/Observation/BSJ-MDS-ShortWalk1 (Observation/BSJ-MDS-ShortWalk1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-ShortWalk1"
Profile: Personal Functioning and Engagement Single Observation
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Moving Around Within the Home (Personal Functioning and Engagement Category#d4600), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: Walk 50 feet with two turns - functional goal during assessment period [CMS Assessment] (LOINC#89381-8)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
value: Partial/moderate assistance - helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort. (LOINC#LA10055-4)
25. http://www.example.org/fhir/Observation/BSJ-MDS-SitStand1 (Observation/BSJ-MDS-SitStand1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-SitStand1"
Profile: Personal Functioning and Engagement Single Observation
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Standing (Personal Functioning and Engagement Category#d4014), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: Sit to stand - functional goal during assessment period [CMS Assessment] (LOINC#89392-5)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
value: Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. (LOINC#LA11759-0)
26. http://www.example.org/fhir/Observation/BSJ-MDS-SitUp1 (Observation/BSJ-MDS-SitUp1)
Generated Narrative: Observation
ResourceObservation "BSJ-MDS-SitUp1"
Profile: Personal Functioning and Engagement Single Observation
Event Location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
status: FINAL
category: Lying Down (Personal Functioning and Engagement Category#d4100), Survey (Observation Category Codes#survey), Functioning (Personal Functioning and Engagement Functioning Category Code System#functioning)
code: Lying to sitting on side of bed - functional goal during assessment period [CMS Assessment] (LOINC#85927-2)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
effective: 2024-05-16 14:30:00-0400
performer: See on this page: PractitionerRole/Role-OT-JenCadbury
value: Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as person completes activity. Assistance may be provided throughout the activity or intermittently. (LOINC#LA30911-4)
27. http://www.example.org/fhir/CarePlan/BSJ-SNFDischargeCarePlan (CarePlan/BSJ-SNFDischargeCarePlan)
ResourceCarePlan "BSJ-SNFDischargeCarePlan"
Profile: US Core CarePlan Profile
status: ACTIVE
intent: PLAN
category: Rehabilitation care plan (record artifact) (SNOWMED CT#736055001), Assessment and Plan of Treatment (US Core CarePlan Category Extension Codes#assess-plan)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
activity
activity
activity
activity
activity
activity
activity
activity
activity
28. http://www.example.org/fhir/ServiceRequest/BSJ-PCPFollowUp (ServiceRequest/BSJ-PCPFollowUp)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-PCPFollowUp"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Evaluation procedure (procedure) (SNOWMED CT#386053000)
priority: ROUTINE
code: Follow-up visit (procedure) (SNOWMED CT#185389009)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-28
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
29. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOrder (ServiceRequest/BSJ-SNFDischargeCallOrder)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeCallOrder"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Evaluation procedure (procedure) (SNOWMED CT#386053000)
priority: ROUTINE
code: Informing doctor (procedure) (SNOWMED CT#304562007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-18 --> (ongoing)
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
30. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallOTRefer (ServiceRequest/BSJ-SNFDischargeCallOTRefer)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeCallOTRefer"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Evaluation procedure (procedure) (SNOWMED CT#386053000)
priority: ROUTINE
code: Occupational therapy assessment (procedure) (SNOWMED CT#410155007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-18 --> (ongoing)
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
31. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeCallSLPRefer (ServiceRequest/BSJ-SNFDischargeCallSLPRefer)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeCallSLPRefer"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Evaluation procedure (procedure) (SNOWMED CT#386053000)
priority: ROUTINE
code: Speech therapy assessment (procedure) (SNOWMED CT#410161005)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-18 --> (ongoing)
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
32. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeDietProtein (ServiceRequest/BSJ-SNFDischargeDietProtein)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeDietProtein"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Dietary regime (regime/therapy) (SNOWMED CT#182922004)
priority: ROUTINE
code: Decreased protein and/or protein derivative diet (regime/therapy) (SNOWMED CT#1055201009)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-18 --> (ongoing)
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
33. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeDietSalt (ServiceRequest/BSJ-SNFDischargeDietSalt)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeDietSalt"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Dietary regime (regime/therapy) (SNOWMED CT#182922004)
priority: ROUTINE
code: Decreased sodium diet (regime/therapy) (SNOWMED CT#437421000124105)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-18 --> (ongoing)
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
34. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderBMP (ServiceRequest/BSJ-SNFDischargeLabOrderBMP)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeLabOrderBMP"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Laboratory procedure (SNOWMED CT#108252007)
priority: ROUTINE
code: Blood chemistry (procedure) (SNOWMED CT#166312007)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-28
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
35. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargeLabOrderCBC (ServiceRequest/BSJ-SNFDischargeLabOrderCBC)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargeLabOrderCBC"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Laboratory procedure (SNOWMED CT#108252007)
priority: ROUTINE
code: Complete blood count without differential (procedure) (SNOWMED CT#43789009)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-28
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
36. http://www.example.org/fhir/ServiceRequest/BSJ-SNFDischargePTRefer (ServiceRequest/BSJ-SNFDischargePTRefer)
Generated Narrative: ServiceRequest
ResourceServiceRequest "BSJ-SNFDischargePTRefer"
Profile: US Core ServiceRequest Profile
status: ACTIVE
intent: ORDER
category: Evaluation procedure (procedure) (SNOWMED CT#386053000)
priority: ROUTINE
code: Physical therapy assessment (procedure) (SNOWMED CT#410158009)
subject: See on this page: Patient/Example-Smith-Johnson-Patient1
occurrence: 2024-05-18 --> (ongoing)
authoredOn: 2024-05-18
requester: See on this page: PractitionerRole/Role-SNFDoc-GeraldPark
37. http://www.example.org/fhir/Location/org-Loc-Everyday-Community-Pharm (Location/org-Loc-Everyday-Community-Pharm)
ResourceLocation "org-Loc-Everyday-Community-Pharm"
Profile: US Core Location Profile
status: ACTIVE
name: Everyday Community Pharmacy
address: 125 Yew St, Grand Rapids, MI 49503
38. http://www.example.org/fhir/Location/org-Loc-NED-Contract-Pharm (Location/org-Loc-NED-Contract-Pharm)
ResourceLocation "org-Loc-NED-Contract-Pharm"
Profile: US Core Location Profile
status: ACTIVE
name: Not Every Day Contract Pharmacy
address: 155 Light Commercial Ave, Grand Rapids, MI 49509
39. http://www.example.org/fhir/Location/org-Loc-Neuro-Care-Inc (Location/org-Loc-Neuro-Care-Inc)
ResourceLocation "org-Loc-Neuro-Care-Inc"
Profile: US Core Location Profile
status: ACTIVE
name: Neuro Care Inc.
address: 177 Branching Tree Blvd, Grand Rapids, MI 49509
40. http://www.example.org/fhir/Location/org-Loc-PC-Primary-Care-Michigan (Location/org-Loc-PC-Primary-Care-Michigan)
ResourceLocation "org-Loc-PC-Primary-Care-Michigan"
Profile: US Core Location Profile
status: ACTIVE
name: Michigan Primary Health Care Associates
address: 123 Spruce Dr. Grand Rapids, MI 49503
41. http://www.example.org/fhir/Location/org-Loc-SNF-Happy-Nursing-Facility (Location/org-Loc-SNF-Happy-Nursing-Facility)
ResourceLocation "org-Loc-SNF-Happy-Nursing-Facility"
Profile: US Core Location Profile
status: ACTIVE
name: Happy Nursing Facility
address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
42. http://www.example.org/fhir/Organization/org-Neuro-Care-Inc (Organization/org-Neuro-Care-Inc)
Generated Narrative: Organization
ResourceOrganization "org-Neuro-Care-Inc"
Profile: US Core Organization Profile
active: true
name: Neuro Care Inc.
Contacts
Telecom Address ph: (210) 555 5555 177 Branching Tree Blvd, Grand Rapids, MI 49509
43. http://www.example.org/fhir/Organization/org-PC-Primary-Care-Michigan (Organization/org-PC-Primary-Care-Michigan)
Generated Narrative: Organization
ResourceOrganization "org-PC-Primary-Care-Michigan"
Profile: US Core Organization Profile
active: true
name: Michigan Primary Health Care Associates
Contacts
Telecom Address ph: (616) 555-1212 123 Spruce Dr. Grand Rapids, MI 49503
44. http://www.example.org/fhir/Organization/org-Pharm-Everyday-Community-Pharm (Organization/org-Pharm-Everyday-Community-Pharm)
Generated Narrative: Organization
ResourceOrganization "org-Pharm-Everyday-Community-Pharm"
Profile: US Core Organization Profile
active: true
name: Everyday Community Pharmacy
Contacts
Telecom Address ph: (610) 555 1893 125 Yew St, Grand Rapids, MI 49503
45. http://www.example.org/fhir/Organization/org-Pharm-NED-Contract-Pharm (Organization/org-Pharm-NED-Contract-Pharm)
Generated Narrative: Organization
ResourceOrganization "org-Pharm-NED-Contract-Pharm"
Profile: US Core Organization Profile
active: true
name: Not Every Day Contract Pharmacy
Contacts
Telecom Address ph: (410) 588 4939 155 Light Commercial Ave, Grand Rapids, MI 49509
46. http://www.example.org/fhir/Organization/org-SNF-Happy-Nursing-Facility (Organization/org-SNF-Happy-Nursing-Facility)
Generated Narrative: Organization
ResourceOrganization "org-SNF-Happy-Nursing-Facility"
Profile: US Core Organization Profile
active: true
name: Happy Nursing Facility
Contacts
Telecom Address ph: (210) 555 1871 8100 Pinebrook Dr, Grand Rapids, MI 49504
47. http://www.example.org/fhir/Practitioner/Example-AnitaChu (Practitioner/Example-AnitaChu)
Generated Narrative: Practitioner
ResourcePractitioner "Example-AnitaChu"
Profile: US Core Practitioner Profile
identifier: NPI/8134258523
active: true
name: Anita Chu
telecom: ph: (616) 555-1212
gender: FEMALE
address: 123 Spruce Dr. Grand Rapids, MI 49503
48. http://www.example.org/fhir/Practitioner/Example-GeraldPark (Practitioner/Example-GeraldPark)
Generated Narrative: Practitioner
ResourcePractitioner "Example-GeraldPark"
Profile: US Core Practitioner Profile
identifier: NPI/8554084011
active: true
name: Gerald Park
telecom: ph: (555) 566 3494
gender: MALE
address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
49. http://www.example.org/fhir/Practitioner/Example-JenCadbury (Practitioner/Example-JenCadbury)
Generated Narrative: Practitioner
ResourcePractitioner "Example-JenCadbury"
Profile: US Core Practitioner Profile
identifier: NPI/9635749481
active: true
name: Jen Cadbury
telecom: ph: (210) 555 1871
gender: FEMALE
address: 8100 Pinebrook Dr, Grand Rapids, MI 49504
50. http://www.example.org/fhir/Practitioner/Example-NuraMekel (Practitioner/Example-NuraMekel)
Generated Narrative: Practitioner
ResourcePractitioner "Example-NuraMekel"
Profile: US Core Practitioner Profile
identifier: NPI/8224780964
active: true
name: Nura Mekel
telecom: ph: (210) 555 5555
gender: FEMALE
address: 177 Branching Tree Blvd, Grand Rapids, MI 49509
51. http://www.example.org/fhir/Practitioner/Example-Phil-Chekhov (Practitioner/Example-Phil-Chekhov)
Generated Narrative: Practitioner
ResourcePractitioner "Example-Phil-Chekhov"
Profile: US Core Practitioner Profile
identifier: NPI/6096712826
active: true
name: Phil Chekhov
telecom: ph: (610) 555 1893
gender: MALE
address: 125 Yew St, Grand Rapids, MI 49503
52. http://www.example.org/fhir/Practitioner/Example-Tracy-Count (Practitioner/Example-Tracy-Count)
Generated Narrative: Practitioner
ResourcePractitioner "Example-Tracy-Count"
Profile: US Core Practitioner Profile
identifier: NPI/2473724138
active: true
name: Tracy Count
telecom: ph: (410) 588 4939
gender: FEMALE
address: 155 Light Commercial Ave, Grand Rapids, MI 49509
53. http://www.example.org/fhir/PractitionerRole/Role-IMMD-AnitaChu (PractitionerRole/Role-IMMD-AnitaChu)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "Role-IMMD-AnitaChu"
Profile: US Core PractitionerRole Profile
active: true
practitioner: See on this page: Practitioner/Example-AnitaChu: Dr. Anita Chu
organization: See on this page: Organization/org-PC-Primary-Care-Michigan: Michigan Primary Health Care Associates
code: Internal Medicine Physician (#207R00000X)
location: See on this page: Location/org-Loc-PC-Primary-Care-Michigan
54. http://www.example.org/fhir/PractitionerRole/Role-Neuro-NuraMekel (PractitionerRole/Role-Neuro-NuraMekel)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "Role-Neuro-NuraMekel"
Profile: US Core PractitionerRole Profile
active: true
practitioner: See on this page: Practitioner/Example-NuraMekel: Nura Mekel
organization: See on this page: Organization/org-Neuro-Care-Inc: Neuro Care Inc.
code: Neurology Physician (#2084N0400X)
55. http://www.example.org/fhir/PractitionerRole/Role-OT-JenCadbury (PractitionerRole/Role-OT-JenCadbury)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "Role-OT-JenCadbury"
Profile: US Core PractitionerRole Profile
active: true
practitioner: See on this page: Practitioner/Example-JenCadbury: Jen Cadbury
organization: See on this page: Organization/org-SNF-Happy-Nursing-Facility: Happy Nursing Facility
code: Occupational Therapist (#225X00000X)
location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility
56. http://www.example.org/fhir/PractitionerRole/Role-Pharm-PhilChekhov (PractitionerRole/Role-Pharm-PhilChekhov)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "Role-Pharm-PhilChekhov"
Profile: US Core PractitionerRole Profile
active: true
practitioner: See on this page: Practitioner/Example-Phil-Chekhov: Phil Chekhov
organization: See on this page: Organization/org-Pharm-Everyday-Community-Pharm: Everyday Community Pharmacy
code: Pharmacist (#183500000X)
location: See on this page: Location/org-Loc-Everyday-Community-Pharm
57. http://www.example.org/fhir/PractitionerRole/Role-Pharm-TracyCount (PractitionerRole/Role-Pharm-TracyCount)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "Role-Pharm-TracyCount"
Profile: US Core PractitionerRole Profile
active: true
practitioner: See on this page: Practitioner/Example-Tracy-Count: Tracy Count
organization: See on this page: Organization/org-Pharm-NED-Contract-Pharm: Not Every Day Contract Pharmacy
code: Pharmacist (#183500000X)
location: See on this page: Location/org-Loc-NED-Contract-Pharm
58. http://www.example.org/fhir/PractitionerRole/Role-SNFDoc-GeraldPark (PractitionerRole/Role-SNFDoc-GeraldPark)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "Role-SNFDoc-GeraldPark"
Profile: US Core PractitionerRole Profile
active: true
practitioner: See on this page: Practitioner/Example-GeraldPark: Gerald Park
organization: See on this page: Organization/org-SNF-Happy-Nursing-Facility: Happy Nursing Facility
code: Geriatric Medicine Physician (#207QG0300X)
location: See on this page: Location/org-Loc-SNF-Happy-Nursing-Facility