Care Management Profile

Summary

The Care Management Profile (CM) supports the exchange of information between HIT systems and applications used to manage care for specific conditions. Examples of these systems include Cancer Registries, Chronic Disease Management Systems, Disease Registries and Immunization Information Systems.

Figure 2. Care Management Architecture Overview

Benefits

The collection of this data from health care IT applications can improve outcomes by supporting health management, substantially reducing health care costs. More and more, special purpose care management systems are used to support wellness programs, public health monitoring including tracking immunizations and infectious diseases, and to manage the care of patients with chronic diseases such as diabetes and cancer.

These systems often include decision support capabilities, using evidence-based guidelines for the treatment and care of patients. They often use ad-hoc data gathering to collect information from many different sources to populate data repositories, which are then used to support and manage care for different patient populations. Information is provided to these systems from a number of sources. This profile helps to define the standards to ensure data flow to between these systems.

Referenced Standards

CareRecord	HL7 Care Provision Care Record (DSTU)
HL7QI	HL7 Version 3 Standard: Infrastructure Management – Query Infrastrucure
HL7WS	HL7 Version 3 Standard: Transport Specification - Web Services Profile, Release
SOAP	Simple Object Access Protocol Version 1.1 (SOAP 1.1)
SOAP12	Simple Object Access Protocol Version 1.2 (SOAP 1.2)

Systems Affected

• Physician Office EMR's
• Hospital Information Systems
• Imaging Centers
• Laboratory Information Systems
• Insurance Provider Systems

Transactions

Care Management Actor Diagram

Care Management Actors and Transactions

Actor	Transaction	Opt.	Section
Guideline Manager	Guideline Notification	R	PCC-7
	Request Guideline Data	R	PCC-8
Care Manager	Guideline Notification	O	PCC-7
	Request Guideline Data	O	PCC-8
	Care Management Data Query	R	PCC-9
	V3 Care Management Update	R	PCC-10
	V2 Care Management Update	R	PCC-11
Clinical Data Source	Request Guideline Data	O	PCC-8
	Care Management Data Query	CSee note 2	PCC-9
	V3 Care Management Update	C See note 1	PCC-10
	V2 Care Management Update	C See note 1	PCC-11

Note 1

At least one of these transactions must be supported.

Note 2

A Clinical Data source that implements the Care Record option shall implement this transaction.

Status

Profile Status: Trial Implementation

See Also

The Patient Care Coordination Framework is the official master document for this Profile.

[1] American College of Physicians Diabetes Portal, 2000-2008, American College of Physicians

[2] Priority Areas for National Action, Transforming Healthcare Quality, 2003, Institute of Medicine

[3] Using Computerised Registries in Chronic Disease Care, February 2004, California HealthCare Foundation

[4] Global Guideline for Type 2 Diabetes, 2005, International Diabetes Federation, ISBN 2-930229-43-8‏‎