As patients move through the healthcare system there is a need for a consistent, standardized approach to exchanging with other care team members and payers the medications and medication related information for the patient as they move from mode to mode during transitions of care (ToC). Building on the work done for the Patient Medication List Guidance and PACIO projects, this implementation guide will formalize the FHIR representation.

IMPACT Act of 2014, see https://www.govinfo.gov/content/pkg/COMPS-11121/pdf/COMPS-11121.pdf . CMS: IMPACT Act of 2014 Data Standardization & Cross Setting Measures On October 6, 2014, the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) was signed into law. The Act requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs). Standardized data are to be collected by the commonly used assessment instruments: The Long-Term Care Hospital CARE Data Set (LCDS) for LTCHs, the Minimum Data Set (MDS) for SNFs, the Outcome and Assessment Information Set (OASIS) for HHAs, and the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF PAI) for IRFs. IMPACT Act: Service Providers/Settings The IMPACT Act mandates the collection and reporting of standardized data in the following post-acute care settings: Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs). Specific information about each setting and reporting tools can be found at: Long Term Care Hospitals (LTCHs) Skilled Nursing Facilities (SNFs) Inpatient Rehabilitation Facilities (IRFs) Home Health Agencies (HHAs) Hospice