Skip to end of metadata
Go to start of metadata




1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU?

No

1e. Today's Date

1f. Name of standard being reaffirmed

1g. Project Artifact Information

1h. ISO/IEC Standard to Adopt

1i. Does the standard include excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption?

1j. Unit of Measure

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Monica Sampson, Dave Hill

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG, Patient Administration WG

2f. Modeling Facilitator

Tim Shaffer, Chris Pugliese, Brian Meshell

2g. Publishing Facilitator

Dave Hill, Brian Meshell

2h. Vocabulary Facilitator

Matt Elrod, Steve Buslovich

2i. Domain Expert Representative

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Steve Buslovich, Matt Elrod

2j. Business Requirements Analyst

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Mary Anne Schultz, Raj Mahajan

2k. Conformance Facilitator

Chris Pugliese, Tim Shaffer

2l. Other Facilitators

2m. Implementers

MITRE, Kno2, MaxMD, ESAC, MatrixCare, Patient Centric Solutions

3a. Project Scope

An individual’s post-acute care information such as cognitive status, functional status, spoken language communication, swallowing, and hearing is crucial information to communicate for successful care coordination at transition of care and for on-going shared care. Information describing an individual’s post-acute care functioning across multiple domains is crucial information to communicate for successful care coordination at transitions of care and for on-going shared care. These domains include (but are not limited to) mental functions, sensory functions, voice and speech functions, and activities and participation concepts involving communication, mobility, and selfcare. Care coordination – when a patient transitions between healthcare settings, including ambulatory care, acute care, long-term post-acute care (LTPAC), and home- and community-based services (HCBS) – is often fragmented and can lead to poor health outcomes, increased burden, and increased costs. Interoperable health information exchange has the potential to improve patient and provider communications and supports access to longitudinal health information that enables improved efficiencies, improved quality of care, and improved health outcomes. Data should be usable across the continuum of care, and beyond the traditional healthcare system – into the community.

The scope of this PACIO Personal Functioning and Engagement (IG) focuses on exchanging post-acute care observations primarily involving PAC transitions with various care settings and HCBS. The impetus for this focus is the amendment to the Social Security Act in 2014 to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. IMPACT required the standardization and interoperability of patient assessment in specific categories for PAC settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), SNFs, and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively.

This IG is intended to include more broadly clinical domains in post-acute care observations (characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). We are using the conceptual framework of the International Classification of Functioning, Disability and Health (commonly known as ICF), to highlight areas of expansion in the future. More information on the concepts that may be included in this IG can be found in the ICF Browser. https://apps.who.int/classifications/icfbrowser/

The initial focus of this IG is on post-acute care observation data (not the representation of the condition, problem, diagnosis, or health concern) utilized by various settings by providing examples using observation data from a variety of observation-based data collection instruments, all of which have code system representation for the question/answer structure. This IG will be expanded to include other relevant observations utilized by health care settings and practitioners more broadly. A post-acute care observation is part of an evaluation or assessment of a patient’s status. The observation data, if present, will include supporting caregivers, non-medical devices, and the time period for which the assessment instruments were performed.

In this IG a set of starter profiles based on some well-established FHIR resources is presented to define data models which specify data elements and coding standards to promote standardization and interoperability.

Attachments

3b. Project Need

Interoperability challenges persist in post-acute care; providers are not receiving complete and accurate information in a timely manner, leading to patient harm, adverse outcomes, and additional expense. Failure to exchange accurate, timely data often leads to inefficient workflows, duplicative data entries, and increased risk of patient harm attributable to missing or inaccurate information.

Health IT can significantly alleviate this administrative burden by exchanging post-acute care assessments and associated clinical information between care settings to ensure that the receiving care setting has all of the relevant information they need to best treat the incoming patient, improving patient outcomes, reducing provider burden, improving cost efficiencies, and improving workflows. Moreover, it would allow for advanced computability, standardization, usability, and real-time analytics for PAC facilities, enabling broader use by health IT developers, researchers, providers, and payers.

3c. Security Risk

No

3d. External Drivers

The IMPACT Act requires data to be standardized and interoperable to allow exchange of data between PAC providers, among others, using common standards and definitions to provide access to longitudinal information and facilitate coordinated care.

3e. Objectives/Deliverables and Target Dates

6/16/2022 @ 5:00 pm ET: Present Project Scope Statement (PSS) to Patient Care Work Group

7/3/2022 Notice of Intent to Ballot (NIB)

8/21/2022 Final Content Deadline

8/23/2022 Ballot Readiness Sign Off

8/26/2022 to 9/26/2022 Ballot Open for Voting

Tentatively end of Sept 2022 (but may postpone depending on progress): Begin ballot reconciliation

Tentatively late 2023 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

PAC Assessments: 1) Resident Assessment Instrument (RAI) Minimum Data Set (MDS) used by Skilled Nursing Facilities (SNFs) 2) Inpatient Rehabilitation Facility – Patient Assessment Information (IRF-PAI) used by IRFs 3) LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) used by Long-Term Care Hospital (LTCHs) 4) Outcome and Assessment Information Set (OASIS) used by Home Health Agencies (HHAs) 5) Functional Assessment Standardized Items (FASI) used among individuals receiving community-based long-term services and supports (CB-LTSS). Other Keywords: Cognitive skills, speech-language pathology, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

Personal Functioning and Engagement IG is currently available at: https://github.com/paciowg/functional-performance-ig Not yet published to an HL7-managed repository.

3j. Backwards Compatibility

No

3k. Additional Backwards Compatibility Information (if applicable)

3l. Using Current V3 Data Types?

N/A

3l. Reason for not using current V3 data types?

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Extensions, FHIR Implementation Guide, FHIR Profiles, Guidance (e.g. Companion Guide, Cookbook, etc)

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

4c. FHIR Profiles Version

FHIR R4

4d. Please define your New Product Definition

4d. Please define your New Product Family

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. White Paper Type

5a. Is the project adopting/endorsing an externally developed IG?

No

5a. Externally developed IG is to be (select one)

5a. Specify external organization

5a. Revising Current Standard Info

5b. Project Ballot Type

STU to Normative

5c. Additional Ballot Info

5d. Joint Copyright

No

5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval.

no

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), Department of Veteran Affairs (VA), American Speech-Language-Hearing Association (ASHA), APA (American Physical Therapy Association), AOTA (American Occupational Therapy Association), NASL (National Association for the Support of Long Term Care)

6b. Content Already Developed

20%

6c. Content externally developed?

No

6d. List Developers of Externally Developed Content

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Clinical and Public Health Laboratories, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

Pharmaceutical, EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6g. Other Vendors

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7d. US Realm Approval Date

Oct 12, 2021

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7c. Co-Sponsor 2 Approval Date

7c. Co-Sponsor 3 Approval Date

7c. Co-Sponsor 4 Approval Date

7c. Co-Sponsor 5 Approval Date

7c. Co-Sponsor 6 Approval Date

7c. Co-Sponsor 7 Approval Date

7c. Co-Sponsor 8 Approval Date

7c. Co-Sponsor 9 Approval Date

7c. Co-Sponsor 10 Approval Date

7e. CDA MG Approval Date

7f. FMG Approval Date

Sep 29, 2021

7g. V2 MG Approval Date

7h. Architecture Review Board Approval Date

7i. Steering Division Approval Date

7j. TSC Approval Date

Oct 18, 2021


Version

32

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:57

1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Monica Sampson, Dave Hill

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG, Patient Administration WG

2f. Modeling Facilitator

Tim Shaffer, Chris Pugliese, Brian Meshell

2g. Publishing Facilitator

Dave Hill, Brian Meshell

2h. Vocabulary Facilitator

Matt Elrod, Steve Buslovich

2i. Domain Expert Representative

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Steve Buslovich, Matt Elrod

2j. Business Requirements Analyst

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Mary Anne Schultz, Raj Mahajan

2k. Conformance Facilitator

Chris Pugliese, Tim Shaffer

2m. Implementers

MITRE, Kno2, MaxMD, ESAC, MatrixCare, Patient Centric Solutions

3a. Project Scope

An individual’s post-acute care information such as cognitive status, functional status, spoken language communication, swallowing, and hearing is crucial information to communicate for successful care coordination at transition of care and for on-going shared care. Information describing an individual’s post-acute care functioning across multiple domains is crucial information to communicate for successful care coordination at transitions of care and for on-going shared care. These domains include (but are not limited to) mental functions, sensory functions, voice and speech functions, and activities and participation concepts involving communication, mobility, and selfcare. Care coordination – when a patient transitions between healthcare settings, including ambulatory care, acute care, long-term post-acute care (LTPAC), and home- and community-based services (HCBS) – is often fragmented and can lead to poor health outcomes, increased burden, and increased costs. Interoperable health information exchange has the potential to improve patient and provider communications and supports access to longitudinal health information that enables improved efficiencies, improved quality of care, and improved health outcomes. Data should be usable across the continuum of care, and beyond the traditional healthcare system – into the community.

The scope of this PACIO Personal Functioning and Engagement (IG) focuses on exchanging post-acute care observations primarily involving PAC transitions with various care settings and HCBS. The impetus for this focus is the amendment to the Social Security Act in 2014 to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. IMPACT required the standardization and interoperability of patient assessment in specific categories for PAC settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), SNFs, and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively.

This IG is intended to include more broadly clinical domains in post-acute care observations (characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). We are using the conceptual framework of the International Classification of Functioning, Disability and Health (commonly known as ICF), to highlight areas of expansion in the future. More information on the concepts that may be included in this IG can be found in the ICF Browser. https://apps.who.int/classifications/icfbrowser/

The initial focus of this IG is on post-acute care observation data (not the representation of the condition, problem, diagnosis, or health concern) utilized by various settings by providing examples using observation data from a variety of observation-based data collection instruments, all of which have code system representation for the question/answer structure. This IG will be expanded to include other relevant observations utilized by health care settings and practitioners more broadly. A post-acute care observation is part of an evaluation or assessment of a patient’s status. The observation data, if present, will include supporting caregivers, non-medical devices, and the time period for which the assessment instruments were performed.

In this IG a set of starter profiles based on some well-established FHIR resources is presented to define data models which specify data elements and coding standards to promote standardization and interoperability.

3b. Project Need

Interoperability challenges persist in post-acute care; providers are not receiving complete and accurate information in a timely manner, leading to patient harm, adverse outcomes, and additional expense. Failure to exchange accurate, timely data often leads to inefficient workflows, duplicative data entries, and increased risk of patient harm attributable to missing or inaccurate information.

Health IT can significantly alleviate this administrative burden by exchanging post-acute care assessments and associated clinical information between care settings to ensure that the receiving care setting has all of the relevant information they need to best treat the incoming patient, improving patient outcomes, reducing provider burden, improving cost efficiencies, and improving workflows. Moreover, it would allow for advanced computability, standardization, usability, and real-time analytics for PAC facilities, enabling broader use by health IT developers, researchers, providers, and payers.

3c. Security Risk

No

3d. External Drivers

The IMPACT Act requires data to be standardized and interoperable to allow exchange of data between PAC providers, among others, using common standards and definitions to provide access to longitudinal information and facilitate coordinated care.

3e. Objectives/Deliverables and Target Dates

6/16/2022 @ 5:00 pm ET: Present Project Scope Statement (PSS) to Patient Care Work Group

7/3/2022 Notice of Intent to Ballot (NIB)

8/21/2022 Final Content Deadline

8/23/2022 Ballot Readiness Sign Off

8/26/2022 to 9/26/2022 Ballot Open for Voting

Tentatively end of Sept 2022 (but may postpone depending on progress): Begin ballot reconciliation

Tentatively late 2023 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

PAC Assessments: 1) Resident Assessment Instrument (RAI) Minimum Data Set (MDS) used by Skilled Nursing Facilities (SNFs) 2) Inpatient Rehabilitation Facility – Patient Assessment Information (IRF-PAI) used by IRFs 3) LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) used by Long-Term Care Hospital (LTCHs) 4) Outcome and Assessment Information Set (OASIS) used by Home Health Agencies (HHAs) 5) Functional Assessment Standardized Items (FASI) used among individuals receiving community-based long-term services and supports (CB-LTSS). Other Keywords: Cognitive skills, speech-language pathology, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

Personal Functioning and Engagement IG is currently available at: https://github.com/paciowg/functional-performance-ig Not yet published to an HL7-managed repository.

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Extensions, FHIR Implementation Guide, FHIR Profiles, Guidance (e.g. Companion Guide, Cookbook, etc)

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

4c. FHIR Profiles Version

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), Department of Veteran Affairs (VA), American Speech-Language-Hearing Association (ASHA), APA (American Physical Therapy Association), AOTA (American Occupational Therapy Association), NASL (National Association for the Support of Long Term Care)

6b. Content Already Developed

20%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Clinical and Public Health Laboratories, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

Pharmaceutical, EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

31

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:54

1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Monica Sampson, Dave Hill

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG, Patient Administration WG

2f. Modeling Facilitator

Tim Shaffer, Chris Pugliese, Brian Meshell

2g. Publishing Facilitator

Dave Hill, Brian Meshell

2h. Vocabulary Facilitator

Matt Elrod, Steve Buslovich

2i. Domain Expert Representative

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Steve Buslovich, Matt Elrod

2j. Business Requirements Analyst

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Mary Anne Schultz, Raj Mahajan

2k. Conformance Facilitator

Chris Pugliese, Tim Shaffer

2m. Implementers

MITRE, Kno2, MaxMD, ESAC, MatrixCare, Patient Centric Solutions

3a. Project Scope

An individual’s post-acute care information such as cognitive status, functional status, spoken language communication, swallowing, and hearing is crucial information to communicate for successful care coordination at transition of care and for on-going shared care. Information describing an individual’s post-acute care functioning across multiple domains is crucial information to communicate for successful care coordination at transitions of care and for on-going shared care. These domains include (but are not limited to) mental functions, sensory functions, voice and speech functions, and activities and participation concepts involving communication, mobility, and selfcare. Care coordination – when a patient transitions between healthcare settings, including ambulatory care, acute care, long-term post-acute care (LTPAC), and home- and community-based services (HCBS) – is often fragmented and can lead to poor health outcomes, increased burden, and increased costs. Interoperable health information exchange has the potential to improve patient and provider communications and supports access to longitudinal health information that enables improved efficiencies, improved quality of care, and improved health outcomes. Data should be usable across the continuum of care, and beyond the traditional healthcare system – into the community.

The scope of this PACIO Personal Functioning and Engagement (IG) focuses on exchanging post-acute care observations primarily involving PAC transitions with various care settings and HCBS. The impetus for this focus is the amendment to the Social Security Act in 2014 to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. IMPACT required the standardization and interoperability of patient assessment in specific categories for PAC settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), SNFs, and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively.

This IG is intended to include more broadly clinical domains in post-acute care observations (characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). We are using the conceptual framework of the International Classification of Functioning, Disability and Health (commonly known as ICF), to highlight areas of expansion in the future. More information on the concepts that may be included in this IG can be found in the ICF Browser. https://apps.who.int/classifications/icfbrowser/

The initial focus of this IG is on post-acute care observation data (not the representation of the condition, problem, diagnosis, or health concern) utilized by various settings by providing examples using observation data from a variety of observation-based data collection instruments, all of which have code system representation for the question/answer structure. This IG will be expanded to include other relevant observations utilized by health care settings and practitioners more broadly. A post-acute care observation is part of an evaluation or assessment of a patient’s status. The observation data, if present, will include supporting caregivers, non-medical devices, and the time period for which the assessment instruments were performed.

In this IG a set of starter profiles based on some well-established FHIR resources is presented to define data models which specify data elements and coding standards to promote standardization and interoperability.

3b. Project Need

Interoperability challenges persist in post-acute care; providers are not receiving complete and accurate information in a timely manner, leading to patient harm, adverse outcomes, and additional expense. Failure to exchange accurate, timely data often leads to inefficient workflows, duplicative data entries, and increased risk of patient harm attributable to missing or inaccurate information.

Health IT can significantly alleviate this administrative burden by exchanging post-acute care assessments and associated clinical information between care settings to ensure that the receiving care setting has all of the relevant information they need to best treat the incoming patient, improving patient outcomes, reducing provider burden, improving cost efficiencies, and improving workflows. Moreover, it would allow for advanced computability, standardization, usability, and real-time analytics for PAC facilities, enabling broader use by health IT developers, researchers, providers, and payers.

3c. Security Risk

No

3d. External Drivers

The IMPACT Act requires data to be standardized and interoperable to allow exchange of data between PAC providers, among others, using common standards and definitions to provide access to longitudinal information and facilitate coordinated care.

3e. Objectives/Deliverables and Target Dates

6/16/2022 @ 5:00 pm ET: Present Project Scope Statement (PSS) to Patient Care Work Group

7/3/2022 Notice of Intent to Ballot (NIB)

8/21/2022 Final Content Deadline

8/23/2022 Ballot Readiness Sign Off

8/26/2022 to 9/26/2022 Ballot Open for Voting

Tentatively end of Sept 2022 (but may postpone depending on progress): Begin ballot reconciliation

Tentatively late 2023 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

PAC Assessments: 1) Resident Assessment Instrument (RAI) Minimum Data Set (MDS) used by Skilled Nursing Facilities (SNFs) 2) Inpatient Rehabilitation Facility – Patient Assessment Information (IRF-PAI) used by IRFs 3) LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) used by Long-Term Care Hospital (LTCHs) 4) Outcome and Assessment Information Set (OASIS) used by Home Health Agencies (HHAs) 5) Functional Assessment Standardized Items (FASI) used among individuals receiving community-based long-term services and supports (CB-LTSS). Other Keywords: Cognitive skills, speech-language pathology, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

Personal Functioning and Engagement IG is currently available at: https://github.com/paciowg/functional-performance-ig Not yet published to an HL7-managed repository.

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Extensions, FHIR Implementation Guide, FHIR Profiles, Guidance (e.g. Companion Guide, Cookbook, etc)

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

30

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:52

1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Monica Sampson, Dave Hill

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG, Patient Administration WG

2f. Modeling Facilitator

Tim Shaffer, Chris Pugliese, Brian Meshell

2g. Publishing Facilitator

Dave Hill, Brian Meshell

2h. Vocabulary Facilitator

Matt Elrod, Steve Buslovich

2i. Domain Expert Representative

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Steve Buslovich, Matt Elrod

2j. Business Requirements Analyst

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Mary Anne Schultz, Raj Mahajan

2k. Conformance Facilitator

Chris Pugliese, Tim Shaffer

2m. Implementers

MITRE, Kno2, MaxMD, ESAC, MatrixCare, Patient Centric Solutions

3a. Project Scope

An individual’s post-acute care information such as cognitive status, functional status, spoken language communication, swallowing, and hearing is crucial information to communicate for successful care coordination at transition of care and for on-going shared care. Information describing an individual’s post-acute care functioning across multiple domains is crucial information to communicate for successful care coordination at transitions of care and for on-going shared care. These domains include (but are not limited to) mental functions, sensory functions, voice and speech functions, and activities and participation concepts involving communication, mobility, and selfcare. Care coordination – when a patient transitions between healthcare settings, including ambulatory care, acute care, long-term post-acute care (LTPAC), and home- and community-based services (HCBS) – is often fragmented and can lead to poor health outcomes, increased burden, and increased costs. Interoperable health information exchange has the potential to improve patient and provider communications and supports access to longitudinal health information that enables improved efficiencies, improved quality of care, and improved health outcomes. Data should be usable across the continuum of care, and beyond the traditional healthcare system – into the community.

The scope of this PACIO Personal Functioning and Engagement (IG) focuses on exchanging post-acute care observations primarily involving PAC transitions with various care settings and HCBS. The impetus for this focus is the amendment to the Social Security Act in 2014 to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. IMPACT required the standardization and interoperability of patient assessment in specific categories for PAC settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), SNFs, and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively.

This IG is intended to include more broadly clinical domains in post-acute care observations (characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). We are using the conceptual framework of the International Classification of Functioning, Disability and Health (commonly known as ICF), to highlight areas of expansion in the future. More information on the concepts that may be included in this IG can be found in the ICF Browser. https://apps.who.int/classifications/icfbrowser/

The initial focus of this IG is on post-acute care observation data (not the representation of the condition, problem, diagnosis, or health concern) utilized by various settings by providing examples using observation data from a variety of observation-based data collection instruments, all of which have code system representation for the question/answer structure. This IG will be expanded to include other relevant observations utilized by health care settings and practitioners more broadly. A post-acute care observation is part of an evaluation or assessment of a patient’s status. The observation data, if present, will include supporting caregivers, non-medical devices, and the time period for which the assessment instruments were performed.

In this IG a set of starter profiles based on some well-established FHIR resources is presented to define data models which specify data elements and coding standards to promote standardization and interoperability.

3b. Project Need

Interoperability challenges persist in post-acute care; providers are not receiving complete and accurate information in a timely manner, leading to patient harm, adverse outcomes, and additional expense. Failure to exchange accurate, timely data often leads to inefficient workflows, duplicative data entries, and increased risk of patient harm attributable to missing or inaccurate information.

Health IT can significantly alleviate this administrative burden by exchanging post-acute care assessments and associated clinical information between care settings to ensure that the receiving care setting has all of the relevant information they need to best treat the incoming patient, improving patient outcomes, reducing provider burden, improving cost efficiencies, and improving workflows. Moreover, it would allow for advanced computability, standardization, usability, and real-time analytics for PAC facilities, enabling broader use by health IT developers, researchers, providers, and payers.

3c. Security Risk

No

3d. External Drivers

The IMPACT Act requires data to be standardized and interoperable to allow exchange of data between PAC providers, among others, using common standards and definitions to provide access to longitudinal information and facilitate coordinated care.

3e. Objectives/Deliverables and Target Dates

6/16/2022 @ 5:00 pm ET: Present Project Scope Statement (PSS) to Patient Care Work Group

7/3/2022 Notice of Intent to Ballot (NIB)

8/21/2022 Final Content Deadline

8/23/2022 Ballot Readiness Sign Off

8/26/2022 to 9/26/2022 Ballot Open for Voting

Tentatively end of Sept 2022 (but may postpone depending on progress): Begin ballot reconciliation

Tentatively late 2023 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

PAC Assessments: 1) Resident Assessment Instrument (RAI) Minimum Data Set (MDS) used by Skilled Nursing Facilities (SNFs) 2) Inpatient Rehabilitation Facility – Patient Assessment Information (IRF-PAI) used by IRFs 3) LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) used by Long-Term Care Hospital (LTCHs) 4) Outcome and Assessment Information Set (OASIS) used by Home Health Agencies (HHAs) 5) Functional Assessment Standardized Items (FASI) used among individuals receiving community-based long-term services and supports (CB-LTSS). Other Keywords: Cognitive skills, speech-language pathology, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

29

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:50

1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Monica Sampson, Dave Hill

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG, Patient Administration WG

2f. Modeling Facilitator

Tim Shaffer, Chris Pugliese, Brian Meshell

2g. Publishing Facilitator

Dave Hill, Brian Meshell

2h. Vocabulary Facilitator

Matt Elrod, Steve Buslovich

2i. Domain Expert Representative

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Steve Buslovich, Matt Elrod

2j. Business Requirements Analyst

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Mary Anne Schultz, Raj Mahajan

2k. Conformance Facilitator

Chris Pugliese, Tim Shaffer

2m. Implementers

MITRE, Kno2, MaxMD, ESAC, MatrixCare, Patient Centric Solutions

3a. Project Scope

An individual’s post-acute care information such as cognitive status, functional status, spoken language communication, swallowing, and hearing is crucial information to communicate for successful care coordination at transition of care and for on-going shared care. Information describing an individual’s post-acute care functioning across multiple domains is crucial information to communicate for successful care coordination at transitions of care and for on-going shared care. These domains include (but are not limited to) mental functions, sensory functions, voice and speech functions, and activities and participation concepts involving communication, mobility, and selfcare. Care coordination – when a patient transitions between healthcare settings, including ambulatory care, acute care, long-term post-acute care (LTPAC), and home- and community-based services (HCBS) – is often fragmented and can lead to poor health outcomes, increased burden, and increased costs. Interoperable health information exchange has the potential to improve patient and provider communications and supports access to longitudinal health information that enables improved efficiencies, improved quality of care, and improved health outcomes. Data should be usable across the continuum of care, and beyond the traditional healthcare system – into the community.

The scope of this PACIO Personal Functioning and Engagement (IG) focuses on exchanging post-acute care observations primarily involving PAC transitions with various care settings and HCBS. The impetus for this focus is the amendment to the Social Security Act in 2014 to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act. IMPACT required the standardization and interoperability of patient assessment in specific categories for PAC settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), SNFs, and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively.

This IG is intended to include more broadly clinical domains in post-acute care observations (characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). We are using the conceptual framework of the International Classification of Functioning, Disability and Health (commonly known as ICF), to highlight areas of expansion in the future. More information on the concepts that may be included in this IG can be found in the ICF Browser. https://apps.who.int/classifications/icfbrowser/

The initial focus of this IG is on post-acute care observation data (not the representation of the condition, problem, diagnosis, or health concern) utilized by various settings by providing examples using observation data from a variety of observation-based data collection instruments, all of which have code system representation for the question/answer structure. This IG will be expanded to include other relevant observations utilized by health care settings and practitioners more broadly. A post-acute care observation is part of an evaluation or assessment of a patient’s status. The observation data, if present, will include supporting caregivers, non-medical devices, and the time period for which the assessment instruments were performed.

In this IG a set of starter profiles based on some well-established FHIR resources is presented to define data models which specify data elements and coding standards to promote standardization and interoperability.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

28

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:49

1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Monica Sampson, Dave Hill

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG, Patient Administration WG

2f. Modeling Facilitator

Tim Shaffer, Chris Pugliese, Brian Meshell

2g. Publishing Facilitator

Dave Hill, Brian Meshell

2h. Vocabulary Facilitator

Matt Elrod, Steve Buslovich

2i. Domain Expert Representative

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Steve Buslovich, Matt Elrod

2j. Business Requirements Analyst

Monica Sampson, Joanne Wisely, Ashleigh Sheffield, Mary Anne Schultz, Raj Mahajan

2k. Conformance Facilitator

Chris Pugliese, Tim Shaffer

2m. Implementers

MITRE, Kno2, MaxMD, ESAC, MatrixCare, Patient Centric Solutions

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

27

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:46

1a. Project Name

PACIO Project: PSS for Personal Functioning and Engagement

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Brian Meshell

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE); Matt Becker (Kno2); Matt Elrod (MaxMD)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

26

Modifier

Brian Meshell

Modify Date

Jul 05, 2022 16:30

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Brian Meshell

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE); Matt Becker (Kno2); Matt Elrod (MaxMD)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

25

Modifier

Anne Wizauer

Modify Date

Oct 19, 2021 16:45

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE); Matt Becker (Kno2); Matt Elrod (MaxMD)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

7j. TSC Approval Date

Oct 18, 2021

Version

24

Modifier

Anne Wizauer

Modify Date

Oct 12, 2021 16:49

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE); Matt Becker (Kno2); Matt Elrod (MaxMD)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7d. US Realm Approval Date

Oct 12, 2021

7f. FMG Approval Date

Sep 29, 2021

Version

23

Modifier

Leah Allen

Modify Date

Oct 05, 2021 19:08

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE); Matt Becker (Kno2); Matt Elrod (MaxMD)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7f. FMG Approval Date

Sep 29, 2021

Version

22

Modifier

Leah Allen

Modify Date

Oct 05, 2021 14:17

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the framework for the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7f. FMG Approval Date

Sep 29, 2021

Version

21

Modifier

Leah Allen

Modify Date

Oct 01, 2021 14:28

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

7f. FMG Approval Date

Sep 29, 2021

Version

20

Modifier

Leah Allen

Modify Date

Sep 29, 2021 17:58

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PC/PACIO+Project+SPLASCH+-+Speech%2C+Language%2C+Swallowing%2C+Cognitive+Communication%2C+and+Hearing

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

19

Modifier

Leah Allen

Modify Date

Sep 27, 2021 13:26

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan (MITRE); Alex Shankland (MITRE)

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

18

Modifier

Leah Allen

Modify Date

Sep 27, 2021 13:25

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

9/29/2021 @ 4pm: Request FHIR Management Group (FMG) Review/Approval.

10/5/2021 @ 1pm: Request US Realm Review/Approval.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

17

Modifier

Anne Wizauer

Modify Date

Sep 16, 2021 18:50

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

10/11/2021: Request US Realm Review/Approval. They meet on Tuesdays at 1pm EST.

As soon as available after US Realm approval, but no later than mid-November 2021: Request Steering Division Review/Approval via e-Vote, to be completed by end of November 2021. Outside of WGMs, Clinical SD uses e-Votes to review and approval projects. e-Votes are open for 10 calendar days. Next scheduled WGM at this point in the process will be Jan 2022, which is after the necessary TSC approval in December 2021.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

16

Modifier

Anne Wizauer

Modify Date

Sep 16, 2021 18:47

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1371

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

10/11/2021: Request US Realm Review/Approval. They meet on Tuesdays at 1pm EST.

As soon as available after US Realm approval, but no later than mid-November 2021: Request Steering Division Review/Approval via e-Vote, to be completed by end of November 2021. Outside of WGMs, Clinical SD uses e-Votes to review and approval projects. e-Votes are open for 10 calendar days. Next scheduled WGM at this point in the process will be Jan 2022, which is after the necessary TSC approval in December 2021.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

15

Modifier

Dave Hamill

Modify Date

Sep 16, 2021 15:38

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1731

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

10/11/2021: Request US Realm Review/Approval. They meet on Tuesdays at 1pm EST.

As soon as available after US Realm approval, but no later than mid-November 2021: Request Steering Division Review/Approval via e-Vote, to be completed by end of November 2021. Outside of WGMs, Clinical SD uses e-Votes to review and approval projects. e-Votes are open for 10 calendar days. Next scheduled WGM at this point in the process will be Jan 2022, which is after the necessary TSC approval in December 2021.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

14

Modifier

Leah Allen

Modify Date

Sep 13, 2021 21:27

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

10/11/2021: Request US Realm Review/Approval. They meet on Tuesdays at 1pm EST.

As soon as available after US Realm approval, but no later than mid-November 2021: Request Steering Division Review/Approval via e-Vote, to be completed by end of November 2021. Outside of WGMs, Clinical SD uses e-Votes to review and approval projects. e-Votes are open for 10 calendar days. Next scheduled WGM at this point in the process will be Jan 2022, which is after the necessary TSC approval in December 2021.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7b. Sponsoring WG Approval Date

Sep 13, 2021

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

13

Modifier

Leah Allen

Modify Date

Aug 25, 2021 21:27

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).

• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.

• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).

• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

10/11/2021: Request US Realm Review/Approval. They meet on Tuesdays at 1pm EST.

As soon as available after US Realm approval, but no later than mid-November 2021: Request Steering Division Review/Approval via e-Vote, to be completed by end of November 2021. Outside of WGMs, Clinical SD uses e-Votes to review and approval projects. e-Votes are open for 10 calendar days. Next scheduled WGM at this point in the process will be Jan 2022, which is after the necessary TSC approval in December 2021.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

12

Modifier

Leah Allen

Modify Date

Aug 25, 2021 21:25

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project will identify the data elements regarding eating, swallowing, and functional communication that need to be captured and exchanged across transitions of care in health care settings, based on the International Classification of Functioning, Disability, and Health (ICF). Examples may include:
• Learning and applying knowledge
o Patient is unable to read and/or comprehend/retain awareness of complex content in documents or through conversation (such as financial or medical material).
• Performing general tasks and demands
o Patient requires assistance with simple and complex living tasks such as meal preparation and basic and/or complex activities of daily living.
• Communicating with others
o Patient is unable to independently communicate in high demand situations (such as an emergency phone call).
o Patient is unable to produce intelligible words/phrases to unfamiliar listeners.
o Patient requires excessive effort and strain to vocalize.
o Patient requires technology for communication (i.e., hearing aids and/or speech generating devices).
• Performing self-care activities related to eating and drinking
o Patient requires supervision, assistance, and/or diet modification with all meals related to the patient’s ability to swallow independently.

To achieve these objectives, this project will:
• Develop FHIR implementation guide(s) (multiple guides may be necessary depending upon what data is identified as required and how that data should be organized for best capture and exchange),
• Develop reference implementations, as needed,
• Coordinate updates of existing PACIO IGs or suggest revisions for other related IGs, as needed, and
• Reuse and refine existing profiles and localize and adapt other profiles for our use, as needed.

The areas of functional information referenced above is patient focused and can be collected and assessed by members of the interdisciplinary health care team, including but not limited to speech language pathologists, occupational therapists, physical therapists, physicians, nurses, social workers, case managers, or dieticians.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data via IG(s) will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

April – August 2021: Draft and finalize Project Scope Statement (PSS)

6/1/2021 – Ballot Cycle in 2022: Develop and build use case, define data elements, prepare for ballot.
As soon as available, but no later than 10/8/2021: PCWG to send PSS to PMO

10/11/2021: Request US Realm Review/Approval. They meet on Tuesdays at 1pm EST.

As soon as available after US Realm approval, but no later than mid-November 2021: Request Steering Division Review/Approval via e-Vote, to be completed by end of November 2021. Outside of WGMs, Clinical SD uses e-Votes to review and approval projects. e-Votes are open for 10 calendar days. Next scheduled WGM at this point in the process will be Jan 2022, which is after the necessary TSC approval in December 2021.

By 12/1/2021: Request TSC e-Vote to approve PSS/project. The e-Vote is open for approximately 5 calendar days.

No Later Than 12/18/2021: TSC approval. PSS must be approved 4 weeks before the WGM prior to the intended ballot cycle. Intended ballot cycle May 2022, making 4 weeks prior to the January 2022 WGM a December 2021 deadline. HL7 Calendar shows a 12/19/2021 (Sunday) TSC approval deadline for May 2022 Ballot Cycle.

January 2022: Connectathon Track Participation (with the initial goal of a May 2022 Ballot but may postpone to September 2022 Ballot cycle depending on progress). Goal: Meet FMM 2 maturity requirements: https://www.hl7.org/fhir/versions.html#maturity.

March 2022: FHIR IG Proposal (with the initial goal of a May 2022 Ballot, but may postpone to September 2022 Ballot cycle depending on progress)

Tentatively May 2022 (but may postpone to September 2022 depending on progress): Ballot a STU 1 IG

Tentatively Late 2022 (but may postpone depending on progress): Publish FHIR IG STU1 V1.0.0

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

11

Modifier

Leah Allen

Modify Date

Aug 03, 2021 19:05

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1788

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator

Caleb Wan

2i. Domain Expert Representative

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2j. Business Requirements Analyst

Jamila Harley; Joanne Wisely; Ashleigh Sheffield

2k. Conformance Facilitator

TBD

2m. Implementers

Caleb Wan; Alex Shankland

3a. Project Scope

This project is intended to develop artifacts (FHIR implementation guide(s), updates of existing guides, and reference implementations as needed) to exchange functional patient information including but not limited to cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication (including reading, hearing, writing, verbal and non-verbal language), speech and voice across transitions of care in health care settings. This data is often collected and analyzed, by speech-language pathologists, but may also be collected or assessed by members of an interdisciplinary team or other related professionals in health care settings.

The Post-Acute Care Interoperability (PACIO) community has a strong interest in the exchange of this data and will support the community engagement as needed in order to help develop a standard mechanism for EHR interoperability to improve patient care management. Many stakeholders (both clinical and technical) support PACIO, including MITRE, Centers for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), and over 30 representatives from the health care industry.

3b. Project Need

Functional patient information (listed in 3a. Project Scope), as well as inter-professional information regarding a patient’s feeding and nutritional status, dietary guidance, and nutritional therapy are often not consistently communicated when a patient transitions between care settings.

A standardized mechanism for exchange of this data will facilitate consistency of information shared during health care transitions, which will lead to better quality of care and improved functional outcomes.

3c. Security Risk

No

3d. External Drivers

Other current projects are developing related content, such as the exchange of nutrition and cognitive status, but do not focus on data often collected and measured by speech-language pathologists. Interoperable exchange of this data (patient's ability to comprehend, communicate, and recall relevant verbal and written information) decreases risks of unsafe events in their environment, ensures optimal and safe hydration and nutrition, and improves quality of life.

3e. Objectives/Deliverables and Target Dates

Project Scope Statement Drafted: April 26, 2021
PSS to PMO: As soon as available, but no later than October 8, 2021
FHIR IG Proposal – March 2022 (with the initial goal of a May 2022 Ballot)
Connectathon 1 – January 2022 (with the initial goal of a May 2022 Ballot)
Ballot an STU 1 IG – Tentatively May 2022
Publish FHIR IG STU1 V1.0.0 – Late 2022

3f. Common Names / Keywords / Aliases:

Speech-language pathology, cognitive skills, health literacy, feeding and swallowing, multi-modal functional communication, speech and voice

3g. Lineage

This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable.

3h. Project Dependencies

PACIO Community schedules and participation

3i. HL7-Managed Project Document Repository URL:

TBD

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

N/A

3m. External Vocabularies

Yes

3n. List of Vocabularies

TBD

3o. Earliest prior release and/or version to which the compatibility applies

N/A

4a. Products

FHIR Implementation Guide

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

FHIR R4

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

Center for Medicare and Medicaid Services (CMS), Office of the National Coordinator (ONC), American Speech-Language-Hearing Association (ASHA)

6b. Content Already Developed

0%

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other

6f. Other Stakeholders

Patients, Providers, Professional Organizations/Associations

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS

6h. Providers

Clinical and Public Health Laboratories, Emergency Services, Local and State Departments of Health, Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Physicians, Nurses, Respiratory Therapist, Audiologists, Speech Language Pathologists, Occupational Therapist, Physical Therapist, School Systems, Social Workers, and Dieticians

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR

7c. Co-Sponsor Approval Date

Aug 03, 2021

Version

10

Modifier

Leah Allen

Modify Date

Jul 22, 2021 13:32

1a. Project Name

PACIO Project: PSS for Speech, Language, Swallowing, Cognitive Communication, and Hearing (SPLASCH)

1b. Project ID

1788

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Patient Care

2b. Co-Sponsor WG

Community Based Care and Privacy

2d. Project Facilitator

Jamila Harley

2e. Other Interested Parties (and roles)

Post-Acute Care Interoperability (PACIO) Community, Orders and Observations WG

2f. Modeling Facilitator

Caleb Wan

2g. Publishing Facilitator