PACIO Transitions of Care Implementation Guide
0.1.0 - ci-build
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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.
TOC CapabilityStatement |
This Section describes the expected capabilities of the PACIO Transitions of Care (TOC) Server actor which is responsible for providing responses to the queries submitted by the TOC Requestors. The TOC information is conveyed via a Bundle. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
Transition of Care Composition |
This profile defines constraints that represent common administrative and demographic concepts for transitions of care information used in US Realm clinical documents. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
Reason |
Captures the reason for doing something |
These define sets of codes used by systems conforming to this implementation guide.
Transitions of Care DEL LOINC Terms Value Set |
This value set includes those LOINC terms that are used by the DEL. |
Transitions of Care LOINC Terms Answered by LL5571-6 Answer List Value Set |
This value set includes those LOINC terms that are defined to be answered by LOINC answer list LL5571-6. Ideally, this could be intensionally defined as terms where the answer-list property is “LL5571-6”, however at publication time, this property is not supported by the FHIR terminology server at tx.fhir.org. |
Transitions of Care LOINC Terms Included in the DEL Answered by LL5571-6 Answer List Value Set |
This value set includes those LOINC terms that included in the DEL which are defined to be answered by LOINC answer list LL5571-6. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
Allergy List |
Allergies for fictional patient Betsy Smith-Johnson. |
Anemia Diagnosis |
Anemia Diagnosis for fictional patient Betsy Smith-Johnson. |
Constipation Diagnosis |
Constipation Diagnosis for fictional patient Betsy Smith-Johnson. |
Depression Diagnosis |
Depression Diagnosis for fictional patient Betsy Smith-Johnson. |
Diabetes Diagnosis |
Diabetes Diagnosis for fictional patient Betsy Smith-Johnson. |
Discharge Care Plan |
Discharge Care Plan for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for OT referral |
Discharge Service Request for Occupational Therapy referral for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for PT referral |
Discharge Service Request for physical therapy referral for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for blood chemistry procedure |
Discharge Service Request for blood chemistry procedure for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for call order |
Discharge Service Request for call order for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for complete blood count |
Discharge Service Request for complete blood count for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for discharge SLP referral |
Discharge Service Request for Speech Language Pathologist referral for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for protein diet |
Discharge Service Request for decreased protein and/or protein derivative diet for fictional patient Betsy Smith-Johnson. |
Discharge Service Request for reduced salt diet |
Discharge Service Request for reduced salt diet for fictional patient Betsy Smith-Johnson. |
Dr. Anita Chu |
Information about fictional practitioner Dr. Anita Chu. |
Dr. Gerald Park |
Information about fictional practitioner Dr. Gerald Park. |
Dr. Jen Cadbury |
Information about fictional practitioner Dr. Jen Cadbury. |
Dr. Nura Mekel |
Information about fictional practitioner Dr. Nura Mekel. |
Dr. Phil Chekhov |
Information about fictional practitioner Dr. Phil Chekhov. |
Dr. Tracy Count |
Information about fictional practitioner Dr. Tracy Count. |
Dressing Concerns |
Dressing Concerns for fictional patient Betsy Smith-Johnson. |
Everyday Community Pharmacy Organization |
Information about the Everyday Community Pharmacy Organization. |
Happy Nursing Facility Organization |
Information about the Happy Nursing Facility Organization. |
Heart Disease Diagnosis |
Heart Disease Diagnosis for fictional patient Betsy Smith-Johnson. |
Hemiparesis Diagnosis |
Hemiparesis Diagnosis for fictional patient Betsy Smith-Johnson. |
Hyperlipidemia Diagnosis |
hyperlipidemia Diagnosis for fictional patient Betsy Smith-Johnson. |
Hypertension Diagnosis |
Hypertension Diagnosis for fictional patient Betsy Smith-Johnson. |
Kidney Disease Diagnosis |
Kidney Disease Diagnosis for fictional patient Betsy Smith-Johnson. |
Location of Michigan Primary Health Care Associates |
Location of Michigan Primary Health Care Associates. |
Location of the Everyday Community Pharmacy |
Location of the Everyday Community Pharmacy. |
Location of the Happy Nursing Facility |
Location of the Happy Nursing Facility. |
Location of the Neuro Care Inc. facility |
Location of the Neuro Care Inc. facility. |
Location of the Not Every Day Contract Pharmacy |
Location of the Not Every Day Contract Pharmacy. |
Michigan Primary Health Care Associates Organization |
Information about the Michigan Primary Health Care Associates Organization. |
Minimum Data Set (MDS) Discharge Assessment - Lower body dressing |
Minimum Data Set (MDS) Discharge Assessment - Lower body dressing for fictional patient Betsy Smith-Johnson. |
Minimum Data Set (MDS) Discharge Assessment - Lying to sitting on side of bed |
Minimum Data Set (MDS) Discharge Assessment - Lying to sitting on side of bed for fictional patient Betsy Smith-Johnson. |
Minimum Data Set (MDS) Discharge Assessment - Sit to stand |
Minimum Data Set (MDS) Discharge Assessment - Sit to stand for fictional patient Betsy Smith-Johnson. |
Minimum Data Set (MDS) Discharge Assessment - Upper body dressing |
Minimum Data Set (MDS) Discharge Assessment - Upper body dressing for fictional patient Betsy Smith-Johnson. |
Minimum Data Set (MDS) Discharge Assessment - Walk 50 feet with 2 turns |
Minimum Data Set (MDS) Discharge Assessment - Walk 50 feet with 2 turns for fictional patient Betsy Smith-Johnson. |
Minimum Data Set (MDS) Nursing Home Discharge Assessment Questions - Mobility Part 1 |
Minimum Data Set (MDS) Nursing Home Discharge Assessment Questions - Mobility Part 1 for fictional patient Betsy Smith-Johnson. |
Minimum Data Set (MDS) Nursing Home Discharge Assessment for Activities Questions - Part 1 |
Minimum Data Set (MDS) Nursing Home Discharge Assessment for Activities Questions - Part 1 for fictional patient Betsy Smith-Johnson. |
Nausea and vomiting |
Nausea and vomiting for fictional patient Betsy Smith-Johnson. |
Neuro Care Inc. Organization |
Information about the Neuro Care Inc. Organization. |
Neuropathy Diagnosis |
Neuropathy Diagnosis for fictional patient Betsy Smith-Johnson. |
Not Every Day Contract Pharmacy Organization |
Information about the Not Every Day Contract Pharmacy Organization. |
OT Decondition Problem List |
Occupational Therapy Decondition problem list for fictional patient Betsy Smith-Johnson. |
OT Right Weakness Problem List |
Occupational Therapy Right Weakness problem list for fictional patient Betsy Smith-Johnson. |
Patient - Betsy Smith-Johnson |
Basic information for fictional patient Betsy Smith-Johnson. |
Role of Dr. Anita Chu |
Dr. Anita Chu is a fictional Internal Medicine Physician at Michigan Primary Health Care Associates. |
Role of Dr. Gerald Park |
Dr. Gerald Park is a fictional Geriatric Medicine Physician at the Happy Nursing Facility. |
Role of Dr. Jen Cadbury |
Dr. Jen Cadbury is a fictional Internal Medicine Physician at Neuro Care Inc. |
Role of Dr. Nura Mekel |
Dr. Nura Mekel is a fictional Internal Medicine Physician at Neuro Care Inc. |
Role of Dr. Phil Chekhov |
Dr. Phil Chekhov is a Pharmacist at Everyday Community Pharmacy. |
Role of Dr. Tracy Count |
Dr. Tracy Count is a fictional Pharmacist at Not Every Day Contract Pharmacy. |
Service Request to follow up with PCP |
Service Request to follow up with PCP for fictional patient Betsy Smith-Johnson. |
Stroke Diagnosis |
Stroke Diagnosis for fictional patient Betsy Smith-Johnson. |
Transition of Care Bundle |
Example Transition of Care bundle for fictional patient Betsy Smith-Johnson. |
Transitions of Care Clinical Document |
Transitions of Care Clinical Document for fictional patient Betsy Smith-Johnson. |
Undressing Concern |
Undressing Concern for fictional patient Betsy Smith-Johnson. |