PACIO Transitions of Care Implementation Guide
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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

Example CarePlan: Discharge Care Plan

Generated Narrative: CarePlan

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: Patient/Example-Smith-Johnson-Patient1 " SMITH-JOHNSON"

activity

reference: ServiceRequest/BSJ-PCPFollowUp

activity

reference: ServiceRequest/BSJ-SNFDischargeCallOrder

activity

reference: ServiceRequest/BSJ-SNFDischargeCallOTRefer

activity

reference: ServiceRequest/BSJ-SNFDischargeCallSLPRefer

activity

reference: ServiceRequest/BSJ-SNFDischargeDietProtein

activity

reference: ServiceRequest/BSJ-SNFDischargeDietSalt

activity

reference: ServiceRequest/BSJ-SNFDischargeLabOrderBMP

activity

reference: ServiceRequest/BSJ-SNFDischargeLabOrderCBC

activity

reference: ServiceRequest/BSJ-SNFDischargePTRefer