The PACIO Project and Transitions Between Acute and Post-Acute Care

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CMS-sponsored PACIO defines FHIR IGs and reference implementations to move post-acute data (notably 45% of Medicare beneficiaries need PAC) across settings: functional and cognitive status IGs are in STU1 ballot, with ~40 ballot issues logged; a questionnaire→QuestionnaireResponse→Observation pipeline reads the Data Element Library via a pseudo DELL API; connectathons show practical success—data and CDA documents convert to FHIR, with eight systems exchanging advanced directives and 16 systems participating; code and test suites are open source, including an Apache 2.0 reference client.

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" chapters (22)

1. 0:00Intro
2. 1:27Learning Objectives
3. 2:16PACIO Project - The Patient Story
4. 4:01CMS Assessments and the DEL
5. 7:15PACIO Project Use Cases
6. 11:35Functional and Cognitive Status Use Case: Systems
7. 14:45Participants
8. 15:03Software Screen Shots
9. 16:24Functional Status Project Artifacts
10. 17:13Cognitive Status Project Artifacts
11. 19:57Re-assessment Timepoints Project Artifacts
12. 21:30Advance Directives Interoperability (ADI) Project
13. 22:41FHIR IG Process Flow
14. 24:39ADI FHIR IG Mapping Process
15. 25:24General ADI FHIR Document Structure
16. 26:29ADI Project Artifacts
17. 29:39Data Flow
18. 30:56Screenshots
19. 31:47Notable Achievements
20. 33:38Related HL7 Meetings
21. 34:33PACIO Project Resources
22. 36:02Thank you!