# PACIO Transitions of Care Implementation Guide - PACIO Transitions of Care Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* **PACIO Transitions of Care Implementation Guide**

## PACIO Transitions of Care Implementation Guide

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/pacio-toc/ImplementationGuide/hl7.fhir.us.pacio-toc | *Version*:1.0.0 | |
| * IG Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:PACIOTransitionsOfCare |

### Background

The purpose of the Post-Acute Care Interoperability (PACIO) Project’s Transitions of Care (ToC) Implementation Guide is to provide a standards-based solution to support care transitions and coordination for patients across Long-Term Post-Acute Care (LTPAC) settings. The traditional Post-Acute Care (PAC) settings, Home Health, Skilled Nursing, Long Term Care Hospitals, and Inpatient Rehab facilities employ many types of clinicians, practitioners, therapists, and allied professionals who each require different information to provide the highest value and most efficient services to their patients. This information may include **standardized assessments**, **patient preferences**, **observations**, and other important data. Many of these items are valuable during a transition of care from one setting to another, including settings outside of Post-Acute Care such as Acute Inpatient or the Emergency Department. This critical information, when it has been documented, is often not exchanged, resulting in gaps in care information during initial assessments and reassessments in new or parallel settings. By documenting this information as discrete coded data elements that is human- and machine-readable at the transition of care it can be exchanged and consumed by the recipient system. This results in reduced provider burden, as well as minimized transcription and associated errors. In addition, some specific data is more relevant to certain care roles, however, patient data at transfer are never available as a specific role-based data set. Coded data can be grouped in a specified role based fashion aiding the responsible caregivers at transition. When patient transition information is printed, faxed, or arrives electronically as human-readable only, this leads directly to potentially unsafe transition and coordination of care for these most vulnerable patients.

The Centers for Medicare and Medicaid Services (CMS) Data Element Library (DEL) provides the reference data (questions and answers) as coded data for key quality instruments in post-acute care, notably the Minimum Data Set ([MDS](https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual)) and Outcome and Assessment Information Set ([OASIS](https://www.cms.gov/medicare/quality/home-health/oasis-data-sets)). Today, most if not all information that could help inform the completion of these assessments is captured at the referral source but is either not transferred at all or is not transferred in a manner that can be meaningfully presented to the post-acute provider. Without this context and properly mapped information, providers in PAC settings are piecing together information through clinical observation or laborious review of narrative and other documentation that accompanies a referral. The challenge is similar outside of these instruments—stretching into areas like Advance Healthcare Directives or Personal Care preferences.  

### Why PACIO

The [PACIO Project](https://pacioproject.org) is a collaborative effort to advance interoperable health data exchange between PAC and other providers, patients, and key stakeholders across health care and to promote health data exchange in collaboration with policy makers, standards organizations, and industry through a consensus-based, use case-driven approach. The primary goal of the PACIO Project is to establish the technical foundation for data exchange within PAC and partner organizations across the spectrum of care. It seeks to do so by creating a framework for and community through the development of Fast Healthcare Interoperability Resource (FHIR®) technical implementation guides (IGs) and reference implementations that will facilitate health data exchange through standards-based use case-driven application programming interfaces (APIs). Information covered in this IG is relevant to providers across the spectrum of patient care, including acute, sub-acute, and long-term post-acute care (LTPAC), and specifically designed for all roles within healthcare. The PACIO community brings together healthcare providers with a deep understanding of patient functioning, healthcare workflows and health information technology that makes them uniquely suited to author this IG. This understanding comes out of each author's:

* goal of helping individuals in these settings return to living in their homes and communities.
* knowledge of the activities that individuals need to perform and how to help them regain the ability to perform these activities by leveraging the necessary treatments and supports.
* desire to decrease the burden of care and ineffective transitions while increasing the value of the patient care delivered.

### Scope and Domains

#### Scope

The scope of this guide is intentionally broad, as the nature of specific conditions and the disciplines required to care for them require varying sets of information. This guide relies predominantly upon the existing body of work supported by the PACIO Project using CMS’s data element library and using these structures to define key pieces of information needed by a post-acute provider receiving a referral.

* [CMS Data Element Library](https://del.cms.gov/DELWeb/pubHome)
* [PACIO Personal Functioning and Engagement](https://hl7.org/fhir/us/pacio-pfe)
* [Personal Health Records](https://build.fhir.org/ig/HL7/personal-health-record-format-ig/)
* [FHIR Composition](https://hl7.org/fhir/R4/composition.html)

#### Alignment with other Standards

* To represent Consolidated CDA Templates for Clinical Notes (C-CDA) 2.1 templates using FHIR profiles.
* This first stage of the project defines all the C-CDA document-level profiles on the Composition resource and contained sections.
* Any coded data used by sections will be represented using relevant U.S. Core FHIR profiles where they exist. FHIR profiles defined by other work groups or unconstrained FHIR resources may also be referenced if no appropriate US Core Profile exists.
* For further information see the latest C-CDA (HL7 CDA® R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes, Edition 4 - US Realm) [here](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492).

### The IMPACT act

One impetus for this IG is the amendment to the Social Security Act in 2014 to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. The IMPACT Act requires the standardization and interoperability of patient assessments in specific categories for PAC settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), skilled nursing facilities (SNFs), and inpatient rehabilitation facilities (IRFs). It focuses on the standardization of data elements in specified quality measure and patient assessment domains for cross-setting comparison and clinical information exchange. The Act requires:

* Reporting of standardized patient assessment data through commonly used PAC assessment instruments: 
* Minimum Data Set (MDS) for SNFs
* Inpatient Rehabilitation Facility – Patient Assessment Information (IRF – PAI) for IRFs
* LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) for LTCHs
* Outcome and Assessment Information Set (OASIS) for HHAs
 
* Implementation of domain-specific data elements as standardized, coded, machine- and human-readable values nested within the PAC assessment instruments required for submission by SNF, IRF, LTCH, and HHA providers.

These standardization requirements enable interoperable data exchange among PAC providers and other care settings, using common standards and definitions to support access to longitudinal patient information and facilitate coordinated care transitions.

### How to read this guide

This Guide is divided into several pages which are listed at the top of each page in the menu bar.

* Home: The home page provides the introduction and background information to set context for the use of the HL7 FHIR® Transitions of Care Implementation Guide.
* Guidance:
* FHIR Artifacts: These sections provide detailed descriptions and formal definitions for all the FHIR objects defined in this guide.
* Examples: The section that contains examples of transitions of care information that is conformant to the profiles of this guide.
* Change Log: A summary of IG changes and resolved ballot issues.
* Downloads: This page provides links to downloadable artifacts.

### Authors and Contributors

* Shelly Coyle - CMS
* Dave Hill - Global Alliant
* Yolanda Liu - MITRE Corporation
* Holly Miller, MD - Centauri Health Solutions
* Terrence O'Malley, MD
* James Patterson - MITRE Corporation
* May Terry - MITRE Corporation
* Lorraine Wickiser - CMS

The authors also recognize HL7 sponsorship and input from the HL7 Patient Care Working Group.

### Global Profiles

*There are no Global profiles defined*

### Package Dependencies





















### Cross-Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both [R4 (hl7.fhir.us.pacio-toc.r4)](package.r4.tgz) and [R4B (hl7.fhir.us.pacio-toc.r4b)](package.r4b.tgz) are available.

### Intellectual Property Considerations

This publication includes IP covered under the following statements.

* © Copyright 2022 American Medical Association

* [NUCC Provider Taxonomy](http://tx.fhir.org/r4/ValueSet/nucc-provider-taxonomy): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md), [PractitionerRole/Role-IMMD-AnitaChu](PractitionerRole-Role-IMMD-AnitaChu.md), [PractitionerRole/Role-Neuro-NuraMekel](PractitionerRole-Role-Neuro-NuraMekel.md), [PractitionerRole/Role-OT-JenCadbury](PractitionerRole-Role-OT-JenCadbury.md) and [PractitionerRole/Role-SNFDoc-GeraldPark](PractitionerRole-Role-SNFDoc-GeraldPark.md)


* ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: [https://www.iso.org/iso-3166-country-codes.html](https://www.iso.org/iso-3166-country-codes.html)

* [ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code](http://terminology.hl7.org/6.5.0/CodeSystem-ISO3166Part1.html): [PACIOTransitionsOfCare](index.md), [PacioTocCapabilityStatement](CapabilityStatement-toc.md)... Show 6 more, [PointOfContactExtension](StructureDefinition-point-of-contact-extension.md), [TOCBundle](StructureDefinition-TOC-Bundle.md), [TOCComposition](StructureDefinition-TOC-Composition.md), [TOCDocumentReference](StructureDefinition-TOC-DocumentReference.md), [ToCTempCS](CodeSystem-toc-temp-cs.md) and [TocDELItemsLOINC](ValueSet-toc-del-loinc-vs.md)


* Most of the information on the CDC and ATSDR websites is not subject to copyright, is in the public domain, and may be freely used or reproduced without obtaining copyright permission. For information and exceptions regarding use of CDC material please see [[https://www.cdc.gov/other/agencymaterials.html](https://www.cdc.gov/other/agencymaterials.html)](https://www.cdc.gov/other/agencymaterials.html) 

* [Vaccine Administered Code Set (CVX)](http://terminology.hl7.org/6.5.0/CodeSystem-CVX.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md), [Immunization/BSJ-Immunization-Fluzone](Immunization-BSJ-Immunization-Fluzone.md) and [Immunization/BSJ-Immunization-PCV20](Immunization-BSJ-Immunization-PCV20.md)


* This CodeSystem is not copyrighted.

* [Transition of Care Temporary Code System](CodeSystem-toc-temp-cs.md): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md), [Composition/BSJ-TOCComposition](Composition-BSJ-TOCComposition.md) and [TOCComposition](StructureDefinition-TOC-Composition.md)


* This material contains content from [LOINC](http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the [license](http://loinc.org/license). LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

* [LOINC](http://terminology.hl7.org/6.5.0/CodeSystem-v3-loinc.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md), [Composition/BSJ-TOCComposition](Composition-BSJ-TOCComposition.md)... Show 5 more, [DocumentReference/Example-Smith-Johnson-DocRef-Bundle](DocumentReference-Example-Smith-Johnson-DocRef-Bundle.md), [List/BSJ-SMPMedList](List-BSJ-SMPMedList.md), [TOCComposition](StructureDefinition-TOC-Composition.md), [TOCDocumentReference](StructureDefinition-TOC-DocumentReference.md) and [TocDELItemsLOINC](ValueSet-toc-del-loinc-vs.md)


* This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact [https://www.snomed.org/get-snomed](https://www.snomed.org/get-snomed) or [info@snomed.org](mailto:info@snomed.org).

* [SNOMED Clinical Terms&reg; (SNOMED CT&reg;)](http://hl7.org/fhir/R4/codesystem-snomedct.html): [AllergyIntolerance/BSJ-AllergyACE](AllergyIntolerance-BSJ-AllergyACE.md), [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md)... Show 22 more, [Condition/BSJ-DressingConcern](Condition-BSJ-DressingConcern.md), [Condition/BSJ-HeartDiseaseDiagnosis](Condition-BSJ-HeartDiseaseDiagnosis.md), [Condition/BSJ-HemiparesisDiagnosis](Condition-BSJ-HemiparesisDiagnosis.md), [Condition/BSJ-HyperlipidemiaDiagnosis](Condition-BSJ-HyperlipidemiaDiagnosis.md), [Condition/BSJ-HypertensionDiagnosis](Condition-BSJ-HypertensionDiagnosis.md), [Condition/BSJ-StrokeDiagnosis](Condition-BSJ-StrokeDiagnosis.md), [Condition/OT-ProblemList-RightWeak](Condition-OT-ProblemList-RightWeak.md), [Encounter/BSJ-Encounter](Encounter-BSJ-Encounter.md), [MedicationRequest/BSJ-SMPMedReq1](MedicationRequest-BSJ-SMPMedReq1.md), [MedicationRequest/BSJ-SMPMedReq4](MedicationRequest-BSJ-SMPMedReq4.md), [MedicationRequest/BSJ-SMPMedReq9](MedicationRequest-BSJ-SMPMedReq9.md), [MedicationStatement/BSJ-SMPMedStmt1](MedicationStatement-BSJ-SMPMedStmt1.md), [MedicationStatement/BSJ-SMPMedStmt4](MedicationStatement-BSJ-SMPMedStmt4.md), [MedicationStatement/BSJ-SMPMedStmt9](MedicationStatement-BSJ-SMPMedStmt9.md), [ServiceRequest/BSJ-PCPFollowUp](ServiceRequest-BSJ-PCPFollowUp.md), [ServiceRequest/BSJ-SNFDischargeCallOTRefer](ServiceRequest-BSJ-SNFDischargeCallOTRefer.md), [ServiceRequest/BSJ-SNFDischargeCallOrder](ServiceRequest-BSJ-SNFDischargeCallOrder.md), [ServiceRequest/BSJ-SNFDischargeCallSLPRefer](ServiceRequest-BSJ-SNFDischargeCallSLPRefer.md), [ServiceRequest/BSJ-SNFDischargeDietSalt](ServiceRequest-BSJ-SNFDischargeDietSalt.md), [ServiceRequest/BSJ-SNFDischargeLabOrderBMP](ServiceRequest-BSJ-SNFDischargeLabOrderBMP.md), [ServiceRequest/BSJ-SNFDischargeLabOrderCBC](ServiceRequest-BSJ-SNFDischargeLabOrderCBC.md) and [ServiceRequest/BSJ-SNFDischargePTRefer](ServiceRequest-BSJ-SNFDischargePTRefer.md)


* This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: [https://terminology.hl7.org/license.html](https://terminology.hl7.org/license.html)

* [identifierType](http://terminology.hl7.org/7.1.0/CodeSystem-v2-0203.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md) and [Patient/Example-Smith-Johnson-Patient1](Patient-Example-Smith-Johnson-Patient1.md)
* [ActCode](http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md) and [Encounter/BSJ-Encounter](Encounter-BSJ-Encounter.md)
* [NullFlavor](http://terminology.hl7.org/7.1.0/CodeSystem-v3-NullFlavor.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md) and [Patient/Example-Smith-Johnson-Patient1](Patient-Example-Smith-Johnson-Patient1.md)
* [RoleCode](http://terminology.hl7.org/7.1.0/CodeSystem-v3-RoleCode.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md) and [Patient/Example-Smith-Johnson-Patient1](Patient-Example-Smith-Johnson-Patient1.md)


* Used by permission of HL7 International, all rights reserved Creative Commons License

* [US Core CarePlan Category Extension Codes](http://hl7.org/fhir/us/core/STU8.0.1/CodeSystem-careplan-category.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md) and [CarePlan/BSJ-SNFDischargeCarePlan](CarePlan-BSJ-SNFDischargeCarePlan.md)
* [US Core DocumentReferences Category Codes](http://hl7.org/fhir/us/core/STU8.0.1/CodeSystem-us-core-documentreference-category.html): [DocumentReference/Example-Smith-Johnson-DocRef-Bundle](DocumentReference-Example-Smith-Johnson-DocRef-Bundle.md)
* [Race & Ethnicity - CDC](http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html): [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md) and [Patient/Example-Smith-Johnson-Patient1](Patient-Example-Smith-Johnson-Patient1.md)


* Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.

* [RxNorm](http://terminology.hl7.org/6.5.0/CodeSystem-v3-rxNorm.html): [AllergyIntolerance/BSJ-AllergyACE](AllergyIntolerance-BSJ-AllergyACE.md), [Bundle/Example-Smith-Johnson-TOCBundle](Bundle-Example-Smith-Johnson-TOCBundle.md)... Show 6 more, [MedicationRequest/BSJ-SMPMedReq1](MedicationRequest-BSJ-SMPMedReq1.md), [MedicationRequest/BSJ-SMPMedReq4](MedicationRequest-BSJ-SMPMedReq4.md), [MedicationRequest/BSJ-SMPMedReq9](MedicationRequest-BSJ-SMPMedReq9.md), [MedicationStatement/BSJ-SMPMedStmt1](MedicationStatement-BSJ-SMPMedStmt1.md), [MedicationStatement/BSJ-SMPMedStmt4](MedicationStatement-BSJ-SMPMedStmt4.md) and [MedicationStatement/BSJ-SMPMedStmt9](MedicationStatement-BSJ-SMPMedStmt9.md)




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        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-contact"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters",
      "valueReference" : {
        "reference" : "Parameters/expansion-parameters"
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode" : "hl7.fhir.uv.tools.r4#1.1.2"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "copyrightyear"
      },
      {
        "url" : "value",
        "valueString" : "2024+"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "releaselabel"
      },
      {
        "url" : "value",
        "valueString" : "STU 1"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "shownav"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "show-inherited-invariants"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-jurisdiction"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-expansion-params"
      },
      {
        "url" : "value",
        "valueString" : "../../input/_resources/exp-params.json"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-canonicals"
      },
      {
        "url" : "value",
        "valueString" : "pin-multiples"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-history"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/us/pacio-toc/history.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "autoload-resources"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-contact"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/Example-Smith-Johnson-DocRef-Bundle"
      },
      "name" : "Example-Smith-Johnson-DocRef-Bundle",
      "description" : "Example Patient Smith-Johnson DocumentReference Bundle",
      "exampleCanonical" : "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-DocumentReference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "AllergyIntolerance"
      }],
      "reference" : {
        "reference" : "AllergyIntolerance/BSJ-AllergyACE"
      },
      "name" : "Example: Allergy List",
      "description" : "Allergies for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CarePlan"
      }],
      "reference" : {
        "reference" : "CarePlan/BSJ-SNFDischargeCarePlan"
      },
      "name" : "Example: Discharge Care Plan",
      "description" : "Discharge Care Plan for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargeLabOrderBMP"
      },
      "name" : "Example: Discharge Service Request for blood chemistry procedure",
      "description" : "Discharge Service Request for blood chemistry procedure for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargeCallOrder"
      },
      "name" : "Example: Discharge Service Request for call order",
      "description" : "Discharge Service Request for call order for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargeLabOrderCBC"
      },
      "name" : "Example: Discharge Service Request for complete blood count",
      "description" : "Discharge Service Request for complete blood count for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargeCallSLPRefer"
      },
      "name" : "Example: Discharge Service Request for discharge SLP referral",
      "description" : "Discharge Service Request for Speech Language Pathologist referral for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargeCallOTRefer"
      },
      "name" : "Example: Discharge Service Request for OT referral",
      "description" : "Discharge Service Request for Occupational Therapy referral for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargePTRefer"
      },
      "name" : "Example: Discharge Service Request for PT referral",
      "description" : "Discharge Service Request for physical therapy referral for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-SNFDischargeDietSalt"
      },
      "name" : "Example: Discharge Service Request for reduced salt diet",
      "description" : "Discharge Service Request for reduced salt diet for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/Example-AnitaChu"
      },
      "name" : "Example: Dr. Anita Chu",
      "description" : "Information about fictional practitioner Dr. Anita Chu.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/Example-GeraldPark"
      },
      "name" : "Example: Dr. Gerald Park",
      "description" : "Information about fictional practitioner Dr. Gerald Park.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/Example-JenCadbury"
      },
      "name" : "Example: Dr. Jen Cadbury",
      "description" : "Information about fictional practitioner Dr. Jen Cadbury.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/Example-NuraMekel"
      },
      "name" : "Example: Dr. Nura Mekel",
      "description" : "Information about fictional practitioner Dr. Nura Mekel.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/BSJ-DressingConcern"
      },
      "name" : "Example: Dressing Concerns",
      "description" : "Dressing Concerns for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/BSJ-Encounter"
      },
      "name" : "Example: Encounter",
      "description" : "Home Health encounter for Betsy Smith-Johnson",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/org-Pharm-Everyday-Community-Pharm"
      },
      "name" : "Example: Everyday Community Pharmacy Organization",
      "description" : "Information about the Everyday Community Pharmacy Organization.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/org-SNF-Happy-Nursing-Facility"
      },
      "name" : "Example: Happy Nursing Facility Organization",
      "description" : "Information about the Happy Nursing Facility Organization.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/BSJ-HeartDiseaseDiagnosis"
      },
      "name" : "Example: Heart Disease Diagnosis",
      "description" : "Heart Disease Diagnosis for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/BSJ-HemiparesisDiagnosis"
      },
      "name" : "Example: Hemiparesis Diagnosis",
      "description" : "Hemiparesis Diagnosis for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "List"
      }],
      "reference" : {
        "reference" : "List/BSJ-SMPMedList"
      },
      "name" : "Example: Home Medication List",
      "description" : "Home medication list for Betsy Smith-Johnson",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/BSJ-HyperlipidemiaDiagnosis"
      },
      "name" : "Example: Hyperlipidemia Diagnosis",
      "description" : "hyperlipidemia Diagnosis for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/BSJ-HypertensionDiagnosis"
      },
      "name" : "Example: Hypertension Diagnosis",
      "description" : "Hypertension Diagnosis for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/BSJ-Immunization-Fluzone"
      },
      "name" : "Example: Immunization - Influenza, high-dose, quadrivalent, PF (Fluzone)",
      "description" : "Influenza, high-dose, quadrivalent, PF (Fluzone) immunization for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/BSJ-Immunization-PCV20"
      },
      "name" : "Example: Immunization - Pneumococcal Conjugate Vaccine, 20 Valent (PCV20)",
      "description" : "Pneumococcal Conjugate Vaccine, 20 Valent (PCV20) immunization for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/org-Loc-PC-Primary-Care-Michigan"
      },
      "name" : "Example: Location of Michigan Primary Health Care Associates",
      "description" : "Location of Michigan Primary Health Care Associates.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/org-Loc-SNF-Happy-Nursing-Facility"
      },
      "name" : "Example: Location of the Happy Nursing Facility",
      "description" : "Location of the Happy Nursing Facility.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/org-Loc-HomeHealth-Motown"
      },
      "name" : "Example: Location of the Motown Home Health Facility",
      "description" : "Location of the Motown Home Health Facility.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/org-Loc-Neuro-Care-Inc"
      },
      "name" : "Example: Location of the Neuro Care Inc. facility",
      "description" : "Location of the Neuro Care Inc. facility.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationRequest"
      }],
      "reference" : {
        "reference" : "MedicationRequest/BSJ-SMPMedReq1"
      },
      "name" : "Example: Medication request for Atorvastatin 40 MG Oral Tablet",
      "description" : "Medication request for Atorvastatin 40 MG Oral Tablet for Betsy Smith-Johnson to treat Hyperlipidemia",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationRequest"
      }],
      "reference" : {
        "reference" : "MedicationRequest/BSJ-SMPMedReq9"
      },
      "name" : "Example: Medication request for clopidogrel 75 MG Oral Tablet",
      "description" : "Medication request for clopidogrel 75 MG Oral Tablet for Betsy Smith-Johnson to treat Hyperlipidemia",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationRequest"
      }],
      "reference" : {
        "reference" : "MedicationRequest/BSJ-SMPMedReq4"
      },
      "name" : "Example: Medication request for losartan 25 MG Oral Tablet",
      "description" : "Medication request for losartan 25 MG Oral Tablet for Betsy Smith-Johnson to treat Hypertension",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationStatement"
      }],
      "reference" : {
        "reference" : "MedicationStatement/BSJ-SMPMedStmt1"
      },
      "name" : "Example: Medication statement for Atorvastatin 40 MG Oral Tablet",
      "description" : "Medication statement for Atorvastatin 40 MG Oral Tablet for Betsy Smith-Johnson to treat Hyperlipidemia",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationStatement"
      }],
      "reference" : {
        "reference" : "MedicationStatement/BSJ-SMPMedStmt9"
      },
      "name" : "Example: Medication statement for clopidogrel 75 MG Oral Tablet",
      "description" : "Medication statement for clopidogrel 75 MG Oral Tablet for Betsy Smith-Johnson to treat Hyperlipidemia",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationStatement"
      }],
      "reference" : {
        "reference" : "MedicationStatement/BSJ-SMPMedStmt4"
      },
      "name" : "Example: Medication statement for losartan potassium 25 MG Oral Tablet",
      "description" : "Medication statement for losartan potassium 25 MG Oral Tablet for Betsy Smith-Johnson to treat Hypertension",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/org-PC-Primary-Care-Michigan"
      },
      "name" : "Example: Michigan Primary Health Care Associates Organization",
      "description" : "Information about the Michigan Primary Health Care Associates Organization.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/org-HomeHealth-Motown"
      },
      "name" : "Example: Motown Home Health Organization",
      "description" : "Motown Home Health Organization.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/org-Neuro-Care-Inc"
      },
      "name" : "Example: Neuro Care Inc. Organization",
      "description" : "Information about the Neuro Care Inc. Organization.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/org-Pharm-NED-Contract-Pharm"
      },
      "name" : "Example: Not Every Day Contract Pharmacy Organization",
      "description" : "Information about the Not Every Day Contract Pharmacy Organization.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/OT-ProblemList-RightWeak"
      },
      "name" : "Example: OT Right Weakness Problem List",
      "description" : "Occupational Therapy Right Weakness problem list for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/Example-Smith-Johnson-Patient1"
      },
      "name" : "Example: Patient - Betsy Smith-Johnson",
      "description" : "Basic information for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/Role-IMMD-AnitaChu"
      },
      "name" : "Example: Role of Dr. Anita Chu",
      "description" : "Dr. Anita Chu is a fictional Internal Medicine Physician at Michigan Primary Health Care Associates.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/Role-SNFDoc-GeraldPark"
      },
      "name" : "Example: Role of Dr. Gerald Park",
      "description" : "Dr. Gerald Park is a fictional Geriatric Medicine Physician at the Happy Nursing Facility.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/Role-OT-JenCadbury"
      },
      "name" : "Example: Role of Dr. Jen Cadbury",
      "description" : "Dr. Jen Cadbury is a fictional Occupational Therapist at Happy Nursing Facility.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/Role-Neuro-NuraMekel"
      },
      "name" : "Example: Role of Dr. Nura Mekel",
      "description" : "Dr. Nura Mekel is a fictional Internal Medicine Physician at Neuro Care Inc.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/BSJ-PCPFollowUp"
      },
      "name" : "Example: Service Request to follow up with PCP",
      "description" : "Service Request to follow up with PCP for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/BSJ-StrokeDiagnosis"
      },
      "name" : "Example: Stroke Diagnosis",
      "description" : "Stroke Diagnosis for fictional patient Betsy Smith-Johnson.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/Example-Smith-Johnson-TOCBundle"
      },
      "name" : "Example: Transition of Care Bundle",
      "description" : "Example Transition of Care bundle for fictional patient Betsy Smith-Johnson.",
      "exampleCanonical" : "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Bundle"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/BSJ-TOCComposition"
      },
      "name" : "Example: Transitions of Care Clinical Document",
      "description" : "Transitions of Care Clinical Document for fictional patient Betsy Smith-Johnson.",
      "exampleCanonical" : "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/point-of-contact-extension"
      },
      "name" : "Point of Contact",
      "description" : "The Point of Contact Extension represents the individual or organization that can be contacted for information about the patient or their care.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/toc"
      },
      "name" : "TOC CapabilityStatement",
      "description" : "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. \n\nThe TOC information is conveyed via a Bundle.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/TOC-Bundle"
      },
      "name" : "Transition of Care Bundle",
      "description" : "This is a profile for a Transition of Care Bundle, which includes the necessary resources for documenting a patient's transition from one care setting to another.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/TOC-Composition"
      },
      "name" : "Transition of Care Composition",
      "description" : "This profile defines constraints that represent common administrative and demographic concepts for transitions of care information used in US Realm clinical documents.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/TOC-DocumentReference"
      },
      "name" : "Transition of Care Document Reference",
      "description" : "This profile defines constraints that represent the information needed\nfor a Transition of Care document on a FHIR server.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/toc-temp-cs"
      },
      "name" : "Transition of Care Temporary Code System",
      "description" : "Codes to be used as placeholders until they have a formal assigned code from a recognized terminology steward.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/toc-del-loinc-vs"
      },
      "name" : "Transitions of Care DEL LOINC Terms Value Set",
      "description" : "This value set includes those LOINC terms that are used by the DEL.",
      "exampleBoolean" : false
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "informative"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "PACIO Transitions of Care Implementation Guide",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "guidance.html"
        }],
        "nameUrl" : "guidance.html",
        "title" : "General Guidance",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "usecases_personas.html"
        }],
        "nameUrl" : "usecases_personas.html",
        "title" : "Use Cases, Personas, and Scenarios",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "disciplines.html"
        }],
        "nameUrl" : "disciplines.html",
        "title" : "Selecting Discipline-Specific Data Elements from the CMS Data Element Library",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "formal_specification.html"
        }],
        "nameUrl" : "formal_specification.html",
        "title" : "Formal Specification",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "security_privacy_consent.html"
        }],
        "nameUrl" : "security_privacy_consent.html",
        "title" : "Security, Privacy, and Consent",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "underlying_technologies.html"
        }],
        "nameUrl" : "underlying_technologies.html",
        "title" : "Underlying Technologies",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "artifacts.html"
        }],
        "nameUrl" : "artifacts.html",
        "title" : "FHIR Artifacts",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "search_parameters.html"
        }],
        "nameUrl" : "search_parameters.html",
        "title" : "Recommended Search Parameters",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "toc_comprehensive_example.html"
        }],
        "nameUrl" : "toc_comprehensive_example.html",
        "title" : "TOC Example",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "change_log.html"
        }],
        "nameUrl" : "change_log.html",
        "title" : "Change Log",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
