PCC Roadmap

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
Discharge Packaging (Discharge to Sub-Acute Nursing Facility/Extended Care Facility/Home Health)	H	XDS-MS Linking w other clinical reports		CP, IP	2008
Find Provider for Referral	L	Unknown	Finance	Research	2008
Referral Notification/Authorization (payer focused)	L	X12-837 HL7 V3	Finance	Research	2009
Transfer of Care workflow Initiate/accept/reject/follow-up	M	HL7 V3 HL7 Care Transfer Messages (discuss with ITI regarding Referral Request supplement)	ITI	IP	2008 - 2009
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
Orders between Providers / Ancillary Services	H	HL7 V3 HL7 V2 ORU	ITI Lab Radiology	Promote/ Adapt Existing IPs	2008 - 2009
Order Sets and Care Plans	L	XDS Non-Patient Documents HL7 Templates [Orders/Obs] HL7 Patient Care HL7 EHR Order Sets [Rad/Labs, Unified terminology/code systems]	ITI Quality	Promote	2009 - 2010
Pay for Performance Data Aggregation	M	Orders between Providers / Ancillary Services HL7 Templates HL7 Orders and Observations Minimum Data Sets Doc-IT HEDIS	Quality	QRPH	2008 - 2009
Query for Medication List from Multiple Providers	H	HL7 V3 RxHub JCAHO Med Reconciliation (how does this relate to QED use for Medications? Is one Content focused vs IP)		QRPH	2008 - 2009
Public Health Registries & Surveillance	H	XDS-MS w immunization structure Related to overall Care Management topic	Quality	Refer to Quality Domain	?
Capture of Clinical Research Data within an EHR ability to display Case Report Form for data capture retrieve info from EHR system (Note: Form definition work to be undertaken by CDISK in 2006 independent of ITI RFD profile work)		CDISC’s ODM HL7’s CDA eDCI HL7 CCOW SAFE (Digital Signature) Clinical Trial Care Report Forms	ITI	CP (Clinical Trial Data Capture profile) IP Referred to ITI domain (Retrieve Form for Display)	2006+
Emergency Medical Services (EMS) to Emergency Dept Data Transfer	M	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (CCR) National Emergency Medical Services Information System (NEMSIS) v2.2		CP	2007
#4 Self-referred ED Event (no pre-announcement of pt arrival)	H	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (CCR) Pt consent/granting role-based access controls	ITI	CP	2006
ED to Surveillance Regsitry	H				2007
ED to PCP transfer	M	XDS-MSCDA R2			2007
#7 Document Section Encoding Pediatrics (Immunizations, Growth charts) Public Health Survelliance (Immunizations, etc) Chronic Disease Mgmt Revised to: Immunization, Vital Signs, and Laboratories		CCR CDA R2 HL7 V3 Clinical Statement Model HL7 V3 Patient Care Structures HL7 V3 Pharmacy LOINC JCAHO		CP	2006
Patient Selection Query Clinical trial qualifications Transfer to ECF assessment Chronic disease mgmt candidate Disease survelliance candidate		HL7 V3 Care Record Query			2007
Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon)		XDS-MSCDA R2 / CRS	CARD	Refer to Cardio domain	2007