PACIO Transitions of Care Implementation Guide
1.0.0 - STU 1 US

PACIO Transitions of Care Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-transitions-of-care-ig/ and changes regularly. See the Directory of published versions

Table of Contents

Page standards status: Informative
.. 0 Table of Contents
... 1 PACIO Transitions of Care Implementation Guide
... 2 General Guidance
... 3 Use Cases, Personas, and Scenarios
... 4 Selecting Discipline-Specific Data Elements from the CMS Data Element Library
... 5 Formal Specification
... 6 Security, Privacy, and Consent
... 7 Underlying Technologies
... 8 FHIR Artifacts
.... 8.1 TOC CapabilityStatement
.... 8.2 Transition of Care Bundle
.... 8.3 Transition of Care Composition
.... 8.4 Transition of Care Document Reference
.... 8.5 Point of Contact
.... 8.6 Transitions of Care DEL LOINC Terms Value Set
.... 8.7 Transition of Care Temporary Code System
.... 8.8 BSJ2-Device-Wheelchair
.... 8.9 BSJ2-Device-WoundPump
.... 8.10 BSJ2-DocumentReference
.... 8.11 Example-Smith-Johnson-DocRef-Bundle
.... 8.12 Example: Allergy List
.... 8.13 Example: BSJ2 Diabetes Diagnosis
.... 8.14 Example: BSJ2 Discharge Care Plan
.... 8.15 Example: BSJ2 Home Health Medication List
.... 8.16 Example: BSJ2 Medication request for Atorvastatin 40 MG Oral Tablet
.... 8.17 Example: BSJ2 Medication request for empagliflozin 10 MG Oral Tablet [Jardiance]
.... 8.18 Example: BSJ2 Medication request for sertraline 25 MG Oral Tablet
.... 8.19 Example: BSJ2 Medication statement for Atorvastatin 40 MG Oral Tablet
.... 8.20 Example: BSJ2 Medication statement for empagliflozin 10 MG Oral Tablet [Jardiance]
.... 8.21 Example: BSJ2 Medication statement for sertraline 25 MG Oral Tablet
.... 8.22 Example: BSJ2 Pressure Injury
.... 8.23 Example: BSJ2 Transition of Care Bundle
.... 8.24 Example: BSJ2 Transitions of Care Clinical Document
.... 8.25 Example: Depression Diagnosis
.... 8.26 Example: Discharge Care Plan
.... 8.27 Example: Discharge Service Request for blood chemistry procedure
.... 8.28 Example: Discharge Service Request for call order
.... 8.29 Example: Discharge Service Request for complete blood count
.... 8.30 Example: Discharge Service Request for discharge SLP referral
.... 8.31 Example: Discharge Service Request for OT referral
.... 8.32 Example: Discharge Service Request for PT referral
.... 8.33 Example: Discharge Service Request for reduced salt diet
.... 8.34 Example: Dr. Anita Chu
.... 8.35 Example: Dr. Gerald Park
.... 8.36 Example: Dr. Jen Cadbury
.... 8.37 Example: Dr. Nura Mekel
.... 8.38 Example: Dressing Concerns
.... 8.39 Example: Encounter
.... 8.40 Example: Everyday Community Pharmacy Organization
.... 8.41 Example: Happy Nursing Facility Organization
.... 8.42 Example: Heart Disease Diagnosis
.... 8.43 Example: Hemiparesis Diagnosis
.... 8.44 Example: Home Medication List
.... 8.45 Example: Hyperlipidemia Diagnosis
.... 8.46 Example: Hyperlipidemia Diagnosis
.... 8.47 Example: Hypertension Diagnosis
.... 8.48 Example: Immunization - Influenza, high-dose, quadrivalent, PF (Fluzone)
.... 8.49 Example: Immunization - Pneumococcal Conjugate Vaccine, 20 Valent (PCV20)
.... 8.50 Example: Location of Michigan Primary Health Care Associates
.... 8.51 Example: Location of the Happy Nursing Facility
.... 8.52 Example: Location of the Motown Home Health Facility
.... 8.53 Example: Location of the Neuro Care Inc. facility
.... 8.54 Example: Medication request for Atorvastatin 40 MG Oral Tablet
.... 8.55 Example: Medication request for clopidogrel 75 MG Oral Tablet
.... 8.56 Example: Medication request for losartan 25 MG Oral Tablet
.... 8.57 Example: Medication statement for Atorvastatin 40 MG Oral Tablet
.... 8.58 Example: Medication statement for clopidogrel 75 MG Oral Tablet
.... 8.59 Example: Medication statement for losartan potassium 25 MG Oral Tablet
.... 8.60 Example: Michigan Primary Health Care Associates Organization
.... 8.61 Example: Motown Home Health Organization
.... 8.62 Example: Need help getting out of bed, showered, or dressed
.... 8.63 Example: Neuro Care Inc. Organization
.... 8.64 Example: Not Every Day Contract Pharmacy Organization
.... 8.65 Example: OT Right Weakness Problem List
.... 8.66 Example: Patient - Betsy Smith-Johnson
.... 8.67 Example: Patient2 - Betsy Smith-Johnson
.... 8.68 Example: Role of Dr. Anita Chu
.... 8.69 Example: Role of Dr. Gerald Park
.... 8.70 Example: Role of Dr. Jen Cadbury
.... 8.71 Example: Role of Dr. Nura Mekel
.... 8.72 Example: Service Request to follow up with PCP
.... 8.73 Example: Service Request to follow up with PCP
.... 8.74 Example: Stroke Diagnosis
.... 8.75 Example: Transition of Care Bundle
.... 8.76 Example: Transitions of Care Clinical Document
.... 8.77 org-ED-Metro-Hospital
.... 8.78 org-Loc-ED-Metro-Hospital
.... 8.79 Practitioner-JudySalas
.... 8.80 Practitioner-PriyaSarkar
.... 8.81 PractitionerRole-DNP-JudySalas
.... 8.82 PractitionerRole-Physician-PriyaSarkar
... 9 Recommended Search Parameters
... 10 TOC Example
... 11 Change Log
... 12 Downloads