 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 Allergy List |
   9.7 Anemia Diagnosis |
   9.8 Constipation Diagnosis |
   9.9 Depression Diagnosis |
   9.10 Diabetes Diagnosis |
   9.11 Discharge Assessment - Lower body dressing |
   9.12 Discharge Assessment - Lying to sitting on side of bed |
   9.13 Discharge Assessment - Sit to stand |
   9.14 Discharge Assessment - Upper body dressing |
   9.15 Discharge Assessment - Walk 50 feet with 2 turns |
   9.16 Discharge Care Plan |
   9.17 Discharge Service Request for blood chemistry procedure |
   9.18 Discharge Service Request for call order |
   9.19 Discharge Service Request for complete blood count |
   9.20 Discharge Service Request for discharge SLP referral |
   9.21 Discharge Service Request for OT referral |
   9.22 Discharge Service Request for protein diet |
   9.23 Discharge Service Request for PT referral |
   9.24 Discharge Service Request for reduced salt diet |
   9.25 Dr. Anita Chu |
   9.26 Dr. Gerald Park |
   9.27 Dr. Jen Cadbury |
   9.28 Dr. Nura Mekel |
   9.29 Dr. Phil Chekhov |
   9.30 Dr. Tracy Count |
   9.31 Dressing Concerns |
   9.32 Encounter |
   9.33 Everyday Community Pharmacy Organization |
   9.34 Happy Nursing Facility Organization |
   9.35 Heart Disease Diagnosis |
   9.36 Hemiparesis Diagnosis |
   9.37 Home Medication List |
   9.38 Hyperlipidemia Diagnosis |
   9.39 Hypertension Diagnosis |
   9.40 Kidney Disease Diagnosis |
   9.41 Location of Michigan Primary Health Care Associates |
   9.42 Location of the Everyday Community Pharmacy |
   9.43 Location of the Happy Nursing Facility |
   9.44 Location of the Neuro Care Inc. facility |
   9.45 Location of the Not Every Day Contract Pharmacy |
   9.46 Medication request for Acetaminophen 650 MG Oral Tablet |
   9.47 Medication request for Atorvastatin 40 MG Oral Tablet |
   9.48 Medication request for Carvedilol 6.25 MG Oral Tablet |
   9.49 Medication request for Ferrous sulfate 325 MG (iron 65 MG) Oral Tablet |
   9.50 Medication request for Furosemide 20 MG Oral Tablet |
   9.51 Medication request for Glipizide 2.5 MG Extended Release Oral Tablet |
   9.52 Medication request for Rosuvastatin calcium 5 MG Oral Tablet |
   9.53 Medication request for Sertraline 25 MG Oral Tablet |
   9.54 Medication statement for Acetaminophen 650 MG Oral Tablet |
   9.55 Medication statement for Atorvastatin 40 MG Oral Tablet |
   9.56 Medication statement for Carvedilol 6.25 MG Oral Tablet |
   9.57 Medication statement for Ferrous sulfate 325 MG (iron 65 MG) Oral Tablet |
   9.58 Medication statement for Furosemide 20 MG Oral Tablet |
   9.59 Medication statement for Glipizide 2.5 MG Extended Release Oral Tablet |
   9.60 Medication statement for Rosuvastatin calcium 5 MG Oral Tablet |
   9.61 Medication statement for Sertraline 25 MG Oral Tablet |
   9.62 Michigan Primary Health Care Associates Organization |
   9.63 Nausea and vomiting |
   9.64 Neuro Care Inc. Organization |
   9.65 Neuropathy Diagnosis |
   9.66 Not Every Day Contract Pharmacy Organization |
   9.67 Nursing Home Discharge Assessment Questions - Mobility Part 1 |
   9.68 OT Decondition Problem List |
   9.69 OT Right Weakness Problem List |
   9.70 Patient - Betsy Smith-Johnson |
   9.71 Role of Dr. Anita Chu |
   9.72 Role of Dr. Gerald Park |
   9.73 Role of Dr. Jen Cadbury |
   9.74 Role of Dr. Nura Mekel |
   9.75 Role of Dr. Phil Chekhov |
   9.76 Role of Dr. Tracy Count |
   9.77 Service Request to follow up with PCP |
   9.78 Stroke Diagnosis |
   9.79 Transition of Care Bundle |
   9.80 Transitions of Care Clinical Document |
   9.81 Undressing Concern |
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