{
  "description": "# General\\nThis is a FHIR R4 Implementation Guide to support the electronic exchange of post-acute orders, along with the exchange of supporting documentation between the ordering provider and the specific supplier.\\n* The initial version of the implementation guide (IG) will focus on orders and documentation for Durable Medical Equipment (DME) and Home Health Services.\\n* This specification is currently undergoing connectathon testing. It is expected to evolve, possibly significantly, as part of that process.\\n\\nThis implementation guide is the result of work sponsored by CMS's Center for Program Integrity, whose goal is to advance the ability for providers to supply services that are medically necessary and appropriate to Medicare Beneficiaries. By enabling providers to communicate orders and supporting documentation in real-time to suppliers, beneficiaries can receive appropriate treatment more rapidly and reduce the burden on providers and suppliers to comply with documentation requirements.\\n\\n# Note to balloters \\n**Please comment on the existing material and not on items that are know issues or to-dos (these will be addressed in the STU ballot version planned for the Septemeber Ballot Cycle)\\nThere is a section of the IG (Requests to Balloters) that solicits feedback from balloters on items of interest to the authors -- please respond with your recommedations**\\n\\n# Feedback\\nComments and suggestions are welcome on our Zulip stream...\\nor send a note to rdieterle@enablecare.us\\n\\n# Change log\\n* **0.1.1 (this version):** QA version for the May 2020 ballot cycle\\n\\n     Note: prior changes consolided into this Ballot for Comment version\\n\\n# Known issues and to-dos\\n* Complex extensions are defined but not added to DeviceRequest, ServiceRequest and MedicationRequest\\n* Will add examples during ballot reconciliation\\n* Will add specific terminologies and value sets for post-acute orders during ballot reconcilliation",
  "_filename": "ImplementationGuide-hl7.fhir.us.dme-orders.json",
  "package_name": "hl7.fhir.us.dme-orders",
  "definition": {
    "page": {
      "page": [ {
        "page": [ {
          "title": "Background",
          "nameUrl": "Background.html",
          "generation": "markdown"
        }, {
          "title": "Workflow",
          "nameUrl": "Workflow.html",
          "generation": "markdown"
        }, {
          "title": "Submission of Orders",
          "nameUrl": "SubmissionofOrders.html",
          "generation": "markdown"
        }, {
          "title": "Message Bundles",
          "nameUrl": "MessageBundles.html",
          "generation": "markdown"
        }, {
          "title": "Technical Background",
          "nameUrl": "TechnicalBackground.html",
          "generation": "markdown"
        }, {
          "title": "FHIR Artifacts Overview",
          "nameUrl": "FHIRArtifactsOverview.html",
          "generation": "markdown"
        }, {
          "title": "Must Support and Missing Data",
          "nameUrl": "MustSupportandMissingData.html",
          "generation": "markdown"
        }, {
          "title": "Requests to Balloters",
          "nameUrl": "RequeststoBalloters.html",
          "generation": "markdown"
        } ],
        "title": "Post-Acute Orders Home",
        "nameUrl": "Post-AcuteOrdersHome.html",
        "generation": "markdown"
      } ],
      "title": "IG Home Page",
      "nameUrl": "index.html",
      "generation": "markdown"
    },
    "resource": [ {
      "name": "PAOmessageheader",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-messageheader.html"
      } ],
      "reference": {
        "display": "PAOmessageheader",
        "reference": "StructureDefinition/PAO-messageheader"
      },
      "description": "Post Acute Orders MessageHeader Profile\n\nThis profiles is used to order, update, cancel and query the status of an order\n\nIt requires the consistant use of identifiers to ensure that any actions targeted at a prior order affect that order only.",
      "exampleBoolean": false
    }, {
      "name": "PAObundle4",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-bundle4.html"
      } ],
      "reference": {
        "display": "PAObundle4",
        "reference": "StructureDefinition/PAO-bundle4"
      },
      "description": "PAO Bundle profile that includes a MessageHeader, MessageDefinition, Task, Subscription, service/device/medication order(s) and supporting documentation",
      "exampleBoolean": false
    }, {
      "name": "PAOtask4",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-task4.html"
      } ],
      "reference": {
        "display": "PAOtask4",
        "reference": "StructureDefinition/PAO-task4"
      },
      "description": "Post Acute Orders Task Profile",
      "exampleBoolean": false
    }, {
      "name": "PAOsubscription4",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-subscription4.html"
      } ],
      "reference": {
        "display": "PAOsubscription4",
        "reference": "StructureDefinition/PAO-subscription4"
      },
      "description": "Post Acute Orders Subscription Profile\n\nThe subscription resource should accompany the initial message bundle to provide a mechanism of informing the ordering provider when there is a change in the order as indicated by a change in the Task resorurce.\n\nThe subscriber has the option of receiving a notifiction when a change occurs or receiving the updated task and any relevant order resources (device, service, medication)",
      "exampleBoolean": false
    }, {
      "name": "PAOservicerequest4",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-servicerequest4.html"
      } ],
      "reference": {
        "display": "PAOservicerequest4",
        "reference": "StructureDefinition/PAO-servicerequest4"
      },
      "description": "Post Acute Orders ServiceRequest Profile\n\nThis resource is used to \"order\" non-DME (device) and non-medications.  \n\nFor this version of the guide, it is used primarily to order Home Health Services",
      "exampleBoolean": false
    }, {
      "name": "PAOdevicerequest4",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-devicerequest4.html"
      } ],
      "reference": {
        "display": "PAOdevicerequest4",
        "reference": "StructureDefinition/PAO-devicerequest4"
      },
      "description": "Post Acute Orders DeviceRequest Profile\n\nUse to order DME and assoicated supplies",
      "exampleBoolean": false
    }, {
      "name": "PAO Message Event Code System",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "CodeSystem-PAO-Message-Event.html"
      } ],
      "reference": {
        "display": "PAO Message Event Code System",
        "reference": "CodeSystem/PAO-Message-Event"
      },
      "description": "This is the value set for the event element in the Message Header",
      "exampleBoolean": false
    }, {
      "name": "PAO Message Event Value Set",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-PAO-Message-Event.html"
      } ],
      "reference": {
        "display": "PAO Message Event Value Set",
        "reference": "ValueSet/PAO-Message-Event"
      },
      "description": "This is a value set for the PAO Message Event",
      "exampleBoolean": false
    }, {
      "name": "PAOprovenance4b",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-provenance4b.html"
      } ],
      "reference": {
        "display": "PAOprovenance4b",
        "reference": "StructureDefinition/PAO-provenance4b"
      },
      "description": "PAO Provenance Profile based on US Core",
      "exampleBoolean": false
    }, {
      "name": "PAOorderdetailextension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-Order-Detail-Extension.html"
      } ],
      "reference": {
        "display": "PAOorderdetailextension",
        "reference": "StructureDefinition/PAO-Order-Detail-Extension"
      },
      "description": "Order Detail Extension \n\nWill be included in the PAO ServiceRequest profile",
      "exampleBoolean": false
    }, {
      "name": "PAOmedicationrequest",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-medication-request.html"
      } ],
      "reference": {
        "display": "PAOmedicationrequest",
        "reference": "StructureDefinition/PAO-medication-request"
      },
      "description": "PAO MedicationRequest profile based on us-core",
      "exampleBoolean": false
    }, {
      "name": "PAOMedication",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-Medication.html"
      } ],
      "reference": {
        "display": "PAOMedication",
        "reference": "StructureDefinition/PAO-Medication"
      },
      "description": "PAO Medication profile based on us-core",
      "exampleBoolean": false
    }, {
      "name": "PAOrelevantreviews",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-relevant-reviews.html"
      } ],
      "reference": {
        "display": "PAOrelevantreviews",
        "reference": "StructureDefinition/PAO-relevant-reviews"
      },
      "description": "PAO relevant review extension",
      "exampleBoolean": false
    }, {
      "name": "PAOcoverage",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-coverage.html"
      } ],
      "reference": {
        "display": "PAOcoverage",
        "reference": "StructureDefinition/PAO-coverage"
      },
      "description": "PAO Coverage profile",
      "exampleBoolean": false
    }, {
      "name": "PAOMessageDefinition4b",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-PAO-message-definition4b.html"
      } ],
      "reference": {
        "display": "PAOMessageDefinition4b",
        "reference": "StructureDefinition/PAO-message-definition4b"
      },
      "description": "PAO MessageDefintion for use with the PAO MessageHeader for PAO orders",
      "exampleBoolean": false
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "copyrightyear"
      }, {
        "url": "value",
        "valueString": "2020+"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "releaselabel"
      }, {
        "url": "value",
        "valueString": "STU 1 Ballot"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "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": "path-history"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/us/dme-orders/history.html"
      } ]
    }, {
      "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-jurisdiction"
      }, {
        "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-publisher"
      }, {
        "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": "active-tables"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    } ],
    "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-pages",
      "value": "template/config"
    }, {
      "code": "path-pages",
      "value": "input/images"
    }, {
      "code": "path-tx-cache",
      "value": "input-cache/txcache"
    } ]
  },
  "date": "2020-04-08T13:17:53+00:00",
  "meta": {
    "source": "#4YbJDucAEc8xXIGe",
    "versionId": "117",
    "lastUpdated": "2020-04-03T04:11:59.069+00:00"
  },
  "publisher": "HL7",
  "fhirVersion": [ "4.0.1" ],
  "license": "CC0-1.0",
  "dependsOn": [ {
    "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core",
    "version": "current",
    "packageId": "hl7.fhir.us.core"
  } ],
  "name": "PostAcuteOrders4",
  "type": null,
  "experimental": null,
  "resourceType": "ImplementationGuide",
  "title": "Post-Acute FHIR Based Orders",
  "package_version": "0.1.0",
  "status": "draft",
  "id": "d5cf2b0a-38dc-472a-bba8-b93186651518",
  "kind": null,
  "url": "http://hl7.org/fhir/us/dme-orders/ImplementationGuide/hl7.fhir.us.dme-orders",
  "version": "0.1.0",
  "packageId": "hl7.fhir.us.dme-orders",
  "contact": [ {
    "name": "HL7 International - Orders and Observations",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/orders",
      "system": "url"
    } ]
  } ]
}