PACIO Transitions of Care Implementation Guide
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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-ballot 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 Formal Specification
... 3 Use Cases, Personas, and Scenarios
... 4 General Guidance
... 5 Selecting Discipline-Specific Data Elements from the CMS Data Element Library
... 6 Underlying Technologies
... 7 Security, Privacy, and Consent
... 8 Recommended Search Parameters
... 9 FHIR Artifacts
.... 9.1 TOC CapabilityStatement
.... 9.2 Transition of Care Composition
.... 9.3 Transitions of Care DEL LOINC Terms Value Set
.... 9.4 Transitions of Care LOINC Terms Answered by LL5571-6 Answer List Value Set
.... 9.5 Transitions of Care LOINC Terms Included in the DEL Answered by LL5571-6 Answer List Value Set
.... 9.6 Example: Allergy List
.... 9.7 Example: Anemia Diagnosis
.... 9.8 Example: Constipation Diagnosis
.... 9.9 Example: Depression Diagnosis
.... 9.10 Example: Diabetes Diagnosis
.... 9.11 Example: Discharge Assessment - Lower body dressing
.... 9.12 Example: Discharge Assessment - Lying to sitting on side of bed
.... 9.13 Example: Discharge Assessment - Sit to stand
.... 9.14 Example: Discharge Assessment - Upper body dressing
.... 9.15 Example: Discharge Assessment - Walk 50 feet with 2 turns
.... 9.16 Example: Discharge Care Plan
.... 9.17 Example: Discharge Service Request for blood chemistry procedure
.... 9.18 Example: Discharge Service Request for call order
.... 9.19 Example: Discharge Service Request for complete blood count
.... 9.20 Example: Discharge Service Request for discharge SLP referral
.... 9.21 Example: Discharge Service Request for OT referral
.... 9.22 Example: Discharge Service Request for protein diet
.... 9.23 Example: Discharge Service Request for PT referral
.... 9.24 Example: Discharge Service Request for reduced salt diet
.... 9.25 Example: Dr. Anita Chu
.... 9.26 Example: Dr. Gerald Park
.... 9.27 Example: Dr. Jen Cadbury
.... 9.28 Example: Dr. Nura Mekel
.... 9.29 Example: Dr. Phil Chekhov
.... 9.30 Example: Dr. Tracy Count
.... 9.31 Example: Dressing Concerns
.... 9.32 Example: Encounter
.... 9.33 Example: Everyday Community Pharmacy Organization
.... 9.34 Example: Happy Nursing Facility Organization
.... 9.35 Example: Heart Disease Diagnosis
.... 9.36 Example: Hemiparesis Diagnosis
.... 9.37 Example: Home Medication List
.... 9.38 Example: Hyperlipidemia Diagnosis
.... 9.39 Example: Hypertension Diagnosis
.... 9.40 Example: Kidney Disease Diagnosis
.... 9.41 Example: Location of Michigan Primary Health Care Associates
.... 9.42 Example: Location of the Everyday Community Pharmacy
.... 9.43 Example: Location of the Happy Nursing Facility
.... 9.44 Example: Location of the Neuro Care Inc. facility
.... 9.45 Example: Location of the Not Every Day Contract Pharmacy
.... 9.46 Example: Medication request for Acetaminophen 650 MG Oral Tablet
.... 9.47 Example: Medication request for Atorvastatin 40 MG Oral Tablet
.... 9.48 Example: Medication request for Carvedilol 6.25 MG Oral Tablet
.... 9.49 Example: Medication request for Ferrous sulfate 325 MG (iron 65 MG) Oral Tablet
.... 9.50 Example: Medication request for Furosemide 20 MG Oral Tablet
.... 9.51 Example: Medication request for Glipizide 2.5 MG Extended Release Oral Tablet
.... 9.52 Example: Medication request for Rosuvastatin calcium 5 MG Oral Tablet
.... 9.53 Example: Medication request for Sertraline 25 MG Oral Tablet
.... 9.54 Example: Medication statement for Acetaminophen 650 MG Oral Tablet
.... 9.55 Example: Medication statement for Atorvastatin 40 MG Oral Tablet
.... 9.56 Example: Medication statement for Carvedilol 6.25 MG Oral Tablet
.... 9.57 Example: Medication statement for Ferrous sulfate 325 MG (iron 65 MG) Oral Tablet
.... 9.58 Example: Medication statement for Furosemide 20 MG Oral Tablet
.... 9.59 Example: Medication statement for Glipizide 2.5 MG Extended Release Oral Tablet
.... 9.60 Example: Medication statement for Rosuvastatin calcium 5 MG Oral Tablet
.... 9.61 Example: Medication statement for Sertraline 25 MG Oral Tablet
.... 9.62 Example: Michigan Primary Health Care Associates Organization
.... 9.63 Example: Nausea and vomiting
.... 9.64 Example: Neuro Care Inc. Organization
.... 9.65 Example: Neuropathy Diagnosis
.... 9.66 Example: Not Every Day Contract Pharmacy Organization
.... 9.67 Example: Nursing Home Discharge Assessment Questions - Mobility Part 1
.... 9.68 Example: OT Decondition Problem List
.... 9.69 Example: OT Right Weakness Problem List
.... 9.70 Example: Patient - Betsy Smith-Johnson
.... 9.71 Example: Role of Dr. Anita Chu
.... 9.72 Example: Role of Dr. Gerald Park
.... 9.73 Example: Role of Dr. Jen Cadbury
.... 9.74 Example: Role of Dr. Nura Mekel
.... 9.75 Example: Role of Dr. Phil Chekhov
.... 9.76 Example: Role of Dr. Tracy Count
.... 9.77 Example: Service Request to follow up with PCP
.... 9.78 Example: Stroke Diagnosis
.... 9.79 Example: Transition of Care Bundle
.... 9.80 Example: Transitions of Care Clinical Document
.... 9.81 Example: Undressing Concern
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