PCC Roadmap
Legend
Priority:
Prerequisites: List of applicable standards Coordination: Other domains to coordinate efforts with. |
Strategy:
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 |
| Transfer of Care/FSA | H | Functional activity
Mood & behavior Chronic disease management care planning |
ITI | IP
CP |
2007 - 2010 |
|
Document Types
|
M,H |
|
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 |
QRPH | Promote | 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 | Rsrch QED Relationship | 2008 - 2009 |
| Public Health Registries & Surveillance | H | XDS-MS w immunization structure
Related to overall Care Management topic, specifically the Immunization Registry profile |
QRPH | Sync Plans w QRPH | 2008 - 2009 |
| 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 CDISC 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 and QRPH | CP (Clinical Research Data Capture [CRD] profile)
IP Referred to ITI domain (Retrieve Form for Display) |
2006 - 2008 | |
| 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 HITSP Emergency Response IS and related constructs |
CP | 2008 - 2009 | |
| #4 Self-referred ED Event (no pre-announcement of pt arrival) | H | Data Elements for Emergency Department Systems (DEEDS) v1.0
CDA/CRS (HL7/CCD and/or HITSP C32) Pt consent/granting role-based access controls |
ITI | CP | 2008 - 2009 |
| ED to Surveillance Registry | H | State or national specified list of disease states for public health reporting | QRPH | CP | 2008 - 2009 |
| ED to PCP transfer | M | XDS-MS CDAR2 | 2008 - 2009 | ||
| #7 Document Section Encoding
Pediatrics (Immunizations, Growth charts) Public Health Survelliance (Immunizations, etc) Chronic Disease Mgmt Revised to: Immunization, Vital Signs, and Laboratories |
HL7 CCD
CDA R2 HL7 V3 Clinical Statement Model HL7 V3 Patient Care Structures HL7 V3 Pharmacy LOINC JCAHO |
CP | 2008 - 2009 | ||
Patient Selection Query
|
HL7 V3 Care Record Query | 2009 - 2010 | |||
| Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon) | XDS-MS CDA R2 / CRS | CARD | Refer to Cardio domain | 2009 - 2010 | |
Personalized Health Care
|
M | Human Genome specification standards
HITSP Personalized outcomes |
CP
IP |
2008 - 2009 |