PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU 1 Ballot

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## : Example-Smith-Johnson-PreferenceCarePlan2 - XML Representation

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    <CarePlan xmlns="http://hl7.org/fhir">
      <id value="Example-Smith-Johnson-PreferenceCarePlan2"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-PreferenceCarePlan"/>
      </meta>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>category</b>: <span title="Codes: {http://snomed.info/sct 736366004}">Advance care plan</span></p><p><b>subject</b>: <a href="Patient-Example-Smith-Johnson-Patient1.html">Betsy Smith-Johnson</a> ; BetsySJ@example.com; gender: female; birthDate: 1950-11-15</p><p><b>addresses</b>: <span>Permanent, sever brain damage and I am unable to recognize my family and friends</span></p><p><b>goal</b>:</p><ul><li><a href="Goal-Example-Smith-Johnson-PersonalGoal1.html"><span title="Codes: {http://loinc.org 81378-2}">Goals, preferences, and priorities under certain health conditions [Reported]</span></a>; <span title="Codes: ">If I am so sick or seriously injured that I cannot express my own medical treatment preferences, and if I am not expected to live without additional treatment for my illness, disease, condition or injury, then I want my medical care team to know that these are the things that are most important to me: Avoiding prolonged dependence on machines, Not being a physical burden to my family, Dying at home</span></li><li><a href="Goal-Example-Smith-Johnson-PersonalInterventionPreference3.html"><span title="Codes: {http://loinc.org 75778-1}">Information to tell doctors if I have a severe, irreversible brain injury or illness and can't dress, feed, or bathe myself, or communicate my medical wishes, but can be kept alive [Reported]</span></a>; <span title="Codes: ">If my health ever deteriorates due to a terminal illness, and my doctors believe I will not be able to interact meaningfully with my family, friends, or surroundings, I would like for them to keep trying life-sustaining treatments until my healthcare agent decides it is time to stop and such treatments and let me die gently.</span></li><li><a href="Goal-Example-Smith-Johnson-CareExperiencePreference5.html"><span title="Codes: {http://loinc.org 81364-2}">Religious beliefs [Reported]</span></a>; <span title="Codes: ">If I appear to be approaching the end of my life, here are some things that I would like for my caregivers to know about my faith and my religion. Please call Father Mark if my condition warrants the services of a priest.</span></li></ul></div>
      </text>
      <status value="active"/>
      <intent value="proposal"/>
      <category>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="736366004"/>
          <display value="Advance care plan"/>
        </coding>
      </category>
      <subject>
        <reference value="Patient/Example-Smith-Johnson-Patient1"/>
      </subject>
      <addresses>
        <display
                 value="Permanent, sever brain damage and I am unable to recognize my family and friends"/>
      </addresses>
      <goal>
        <reference value="Goal/Example-Smith-Johnson-PersonalGoal1"/>
      </goal>
      <goal>
        <reference
                   value="Goal/Example-Smith-Johnson-PersonalInterventionPreference3"/>
      </goal>
      <goal>
        <reference value="Goal/Example-Smith-Johnson-CareExperiencePreference5"/>
      </goal>
    </CarePlan>