Comparison of PACIO Speech Language Swallowing Cognitive Communication and Hearing (SPLASCH) Implementation Guide with US-Core

US Realm	Current Build	Difference	Notes
ValueSets
LOINC Codes	Hearing Observation	Comparison	2 Breaking Changes, 0 Changes, 1072 Notes
LOINC Codes	Multi-Modal Communication Observation	Comparison	2 Breaking Changes, 0 Changes, 1017 Notes
LOINC Codes	Speech Comprehension Observation	Comparison	2 Breaking Changes, 0 Changes, 1015 Notes
LOINC Codes	Speech Expression Observation	Comparison	2 Breaking Changes, 0 Changes, 1016 Notes
LOINC Codes	Swallowing Observation	Comparison	2 Breaking Changes, 0 Changes, 1014 Notes
US Core Common SDOH Assessments ValueSet	Hearing Observation	Comparison	2 Breaking Changes, 0 Changes, 105 Notes
US Core Common SDOH Assessments ValueSet	Multi-Modal Communication Observation	Comparison	2 Breaking Changes, 0 Changes, 50 Notes
US Core Common SDOH Assessments ValueSet	Speech Comprehension Observation	Comparison	2 Breaking Changes, 0 Changes, 48 Notes
US Core Common SDOH Assessments ValueSet	Speech Expression Observation	Comparison	2 Breaking Changes, 0 Changes, 49 Notes
US Core Common SDOH Assessments ValueSet	Swallowing Observation	Comparison	2 Breaking Changes, 0 Changes, 47 Notes
US Core DiagnosticReport Report And Note Codes	Hearing Observation	Comparison	2 Breaking Changes, 0 Changes, 1070 Notes
US Core DiagnosticReport Report And Note Codes	Multi-Modal Communication Observation	Comparison	2 Breaking Changes, 0 Changes, 1015 Notes
US Core DiagnosticReport Report And Note Codes	Speech Comprehension Observation	Comparison	2 Breaking Changes, 0 Changes, 1013 Notes
US Core DiagnosticReport Report And Note Codes	Speech Expression Observation	Comparison	2 Breaking Changes, 0 Changes, 1014 Notes
US Core DiagnosticReport Report And Note Codes	Swallowing Observation	Comparison	2 Breaking Changes, 0 Changes, 1012 Notes
US Core Status for Smoking Status Observation	ObservationStatus	Comparison	2 Breaking Changes, 0 Changes, 17 Notes
US Core Smoking Status Observation Codes	Hearing Observation	Comparison	2 Breaking Changes, 0 Changes, 71 Notes
US Core Smoking Status Observation Codes	Multi-Modal Communication Observation	Comparison	2 Breaking Changes, 0 Changes, 16 Notes
US Core Smoking Status Observation Codes	Speech Comprehension Observation	Comparison	2 Breaking Changes, 0 Changes, 14 Notes
US Core Smoking Status Observation Codes	Speech Expression Observation	Comparison	2 Breaking Changes, 0 Changes, 15 Notes
US Core Smoking Status Observation Codes	Swallowing Observation	Comparison	2 Breaking Changes, 0 Changes, 13 Notes
US Core Vital Signs ValueSet	LOINC Codes	Comparison	2 Breaking Changes, 0 Changes, 1034 Notes
US Core Vital Signs ValueSet	Hearing Observation	Comparison	2 Breaking Changes, 0 Changes, 96 Notes
US Core Vital Signs ValueSet	Multi-Modal Communication Observation	Comparison	2 Breaking Changes, 0 Changes, 37 Notes
US Core Vital Signs ValueSet	Speech Comprehension Observation	Comparison	2 Breaking Changes, 0 Changes, 35 Notes
US Core Vital Signs ValueSet	Speech Expression Observation	Comparison	2 Breaking Changes, 0 Changes, 36 Notes
US Core Vital Signs ValueSet	Swallowing Observation	Comparison	2 Breaking Changes, 0 Changes, 34 Notes
StructureDefinitions
US Core Pediatric Head Occipital-frontal Circumference Percentile Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Head Occipital-frontal Circumference Percentile Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Head Occipital-frontal Circumference Percentile Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Head Occipital-frontal Circumference Percentile Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Head Occipital-frontal Circumference Percentile Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric BMI for Age Observation Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric BMI for Age Observation Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric BMI for Age Observation Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric BMI for Age Observation Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric BMI for Age Observation Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Weight for Height Observation Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Weight for Height Observation Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Weight for Height Observation Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Weight for Height Observation Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Pediatric Weight for Height Observation Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Blood Pressure Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Blood Pressure Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Blood Pressure Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Blood Pressure Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Blood Pressure Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core BMI Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core BMI Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core BMI Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core BMI Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core BMI Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Height Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Height Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Height Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Height Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Height Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Temperature Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Temperature Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Temperature Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Temperature Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Temperature Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Weight Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Weight Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Weight Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Weight Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Body Weight Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Head Circumference Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Head Circumference Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Head Circumference Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Head Circumference Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Head Circumference Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Heart Rate Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Heart Rate Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Heart Rate Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Heart Rate Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Heart Rate Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Clinical Test Result Observation Profile	Hearing Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Clinical Test Result Observation Profile	Multi-Modal Communication Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Clinical Test Result Observation Profile	Spoken Language Comprehension Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Clinical Test Result Observation Profile	Spoken Language Expression Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Clinical Test Result Observation Profile	Swallowing Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Imaging Result Observation Profile	Hearing Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Imaging Result Observation Profile	Multi-Modal Communication Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Imaging Result Observation Profile	Spoken Language Comprehension Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Imaging Result Observation Profile	Spoken Language Expression Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Imaging Result Observation Profile	Swallowing Observation	Comparison	6 Breaking Changes, 4 Changes, 6 Notes
US Core Laboratory Result Observation Profile	Hearing Observation	Comparison	6 Breaking Changes, 7 Changes, 7 Notes
US Core Laboratory Result Observation Profile	Multi-Modal Communication Observation	Comparison	6 Breaking Changes, 7 Changes, 7 Notes
US Core Laboratory Result Observation Profile	Spoken Language Comprehension Observation	Comparison	6 Breaking Changes, 7 Changes, 7 Notes
US Core Laboratory Result Observation Profile	Spoken Language Expression Observation	Comparison	6 Breaking Changes, 7 Changes, 7 Notes
US Core Laboratory Result Observation Profile	Swallowing Observation	Comparison	6 Breaking Changes, 7 Changes, 7 Notes
US Core Screening Response Observation Profile	Hearing Observation	Comparison	13 Breaking Changes, 14 Changes, 6 Notes
US Core Screening Response Observation Profile	Multi-Modal Communication Observation	Comparison	13 Breaking Changes, 14 Changes, 6 Notes
US Core Screening Response Observation Profile	Spoken Language Comprehension Observation	Comparison	13 Breaking Changes, 14 Changes, 6 Notes
US Core Screening Response Observation Profile	Spoken Language Expression Observation	Comparison	13 Breaking Changes, 14 Changes, 6 Notes
US Core Screening Response Observation Profile	Swallowing Observation	Comparison	13 Breaking Changes, 14 Changes, 6 Notes
US Core Sexual Orientation Observation Profile	Hearing Observation	Comparison	5 Breaking Changes, 3 Changes, 7 Notes
US Core Sexual Orientation Observation Profile	Multi-Modal Communication Observation	Comparison	5 Breaking Changes, 3 Changes, 7 Notes
US Core Sexual Orientation Observation Profile	Spoken Language Comprehension Observation	Comparison	5 Breaking Changes, 3 Changes, 7 Notes
US Core Sexual Orientation Observation Profile	Spoken Language Expression Observation	Comparison	5 Breaking Changes, 3 Changes, 7 Notes
US Core Sexual Orientation Observation Profile	Swallowing Observation	Comparison	5 Breaking Changes, 3 Changes, 7 Notes
US Core Social History Assessment Observation Profile	Hearing Observation	Comparison	7 Breaking Changes, 3 Changes, 6 Notes
US Core Social History Assessment Observation Profile	Multi-Modal Communication Observation	Comparison	7 Breaking Changes, 3 Changes, 6 Notes
US Core Social History Assessment Observation Profile	Spoken Language Comprehension Observation	Comparison	7 Breaking Changes, 3 Changes, 6 Notes
US Core Social History Assessment Observation Profile	Spoken Language Expression Observation	Comparison	7 Breaking Changes, 3 Changes, 6 Notes
US Core Social History Assessment Observation Profile	Swallowing Observation	Comparison	7 Breaking Changes, 3 Changes, 6 Notes
US Core Pulse Oximetry Profile	Hearing Observation	Comparison	13 Breaking Changes, 19 Changes, 7 Notes
US Core Pulse Oximetry Profile	Multi-Modal Communication Observation	Comparison	13 Breaking Changes, 19 Changes, 7 Notes
US Core Pulse Oximetry Profile	Spoken Language Comprehension Observation	Comparison	13 Breaking Changes, 19 Changes, 7 Notes
US Core Pulse Oximetry Profile	Spoken Language Expression Observation	Comparison	13 Breaking Changes, 19 Changes, 7 Notes
US Core Pulse Oximetry Profile	Swallowing Observation	Comparison	13 Breaking Changes, 19 Changes, 7 Notes
US Core Respiratory Rate Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Respiratory Rate Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Respiratory Rate Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Respiratory Rate Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Respiratory Rate Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Smoking Status Observation Profile	Hearing Observation	Comparison	5 Breaking Changes, 2 Changes, 7 Notes
US Core Smoking Status Observation Profile	Multi-Modal Communication Observation	Comparison	5 Breaking Changes, 2 Changes, 7 Notes
US Core Smoking Status Observation Profile	Spoken Language Comprehension Observation	Comparison	5 Breaking Changes, 2 Changes, 7 Notes
US Core Smoking Status Observation Profile	Spoken Language Expression Observation	Comparison	5 Breaking Changes, 2 Changes, 7 Notes
US Core Smoking Status Observation Profile	Swallowing Observation	Comparison	5 Breaking Changes, 2 Changes, 7 Notes
US Core Vital Signs Profile	Hearing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Vital Signs Profile	Multi-Modal Communication Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Vital Signs Profile	Spoken Language Comprehension Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Vital Signs Profile	Spoken Language Expression Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes
US Core Vital Signs Profile	Swallowing Observation	Comparison	12 Breaking Changes, 18 Changes, 7 Notes