PCC Roadmap

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Legend

Priority: H Essential Now M Essential Future L Nice to Have Prerequisites: List of applicable standards Coordination: Other domains to coordinate efforts with.

Strategy: CP Develop Content Profile IP Develop Integration Profile Res Research Applicable Standards Promote Promote Applicable Standards Development Efforts Year: Earliest Opportunity given prerequisites, priority and skills.

Roadmap

Topic	Pri	Standards/Prerequesites	Coord	Strategy	Year
Referral/Transfer of Care Workflow
Planning Cmmte Out Reach and Engage With Sub-Acute Nursing Facility/Extended Care Facility/Home Health	M		n/a	tbd	2009
Nursing Workflow
Nursing Documentation/FSA	H	Functional activity	ITI	IP CP	2007 - 2010
Document Types History and Physical Operative Notes Discharge/Transfer Summaries Progress Notes Nursing Notes Flow Sheets Radiology Report Cardiology Report Generic data dumps Consultants Report ED Triage Surveillance Report ED Encounter Report	M,H	CDA Release 2.0 LOINC JCAHO (US) CCR (General, discipline-focused)	Lab/Path (IHE Europe) Radiology Cardiology	Research CP	2008 - 2009
Plans of Care	H	HL7 Care Provisions WG,Care Plan Topic			2010 - 2011
Cross-enterprise Orders between Providers / Ancillary Services	H	HL7 V3 HL7 V2 ORU Medical Home White Paper	ITI Lab Radiology		2010
Order Sets and Guidelines	M	XDS Non-Patient Documents HL7 Templates [Orders/Obs] HL7 Patient Care HL7 EHR Order Sets [Rad/Labs, Unified terminology/code systems]	ITI Quality	Promote	2010 - 2011
Care Management Workflow
Patient Selection Query Clinical trial qualifications Transfer to Extended Care Facility [ECF] assessment Chronic disease mgmt candidate Disease survelliance candidate	.	HL7 V3 Care Record Query	QRPH	.	2010
ED and Emergency Responder Workflow
Self-referred ED Event (no pre-announcement of pt arrival)	M	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (HL7/CCD and/or HITSP C32) Pt consent/granting role-based access controls		CP	2010
Pediatric Workflow
Planning Cmmte Out Reach and Engage With Pediatric organizations	H		n/a	tbd	2009
Infant Discharge Summary	H		n/a	tbd	2009
Sub-Specialty Workflows
Outreach to Cardiology requirements e.g.Cardiac electrophysiology admission discharge summary for the referring cardiologist	.	XDS-MS CDA R2 / CRS	CARD	Refer to Cardio domain	2009 - 2010
Personalized Health Care Customization of health treatment/plans to individuals	M	Human Genome specification standards HITSP Personalized outcomes	n/a	CP IP	2011