QED-PCC-CP-0028

From IHE Wiki
Jump to: navigation, search

Change Proposal QED-PCC-CP-0028

Official Change Proposal Template is a WORD document found at ftp://ftp.ihe.net/Document_templates/IHE_Change_Proposal-Template-V10.doc

The Change Proposal Template that you use is dependent on the committee.

Tracking Information

Domain 
Patient Care Coordination
Change Proposal Number 
QED-PCC-CP-0028
Status 
incoming
Last Updated 
16:12, 21 May 2008 (CDT)
Assigned 
Unassigned

Change Proposal Summary

Title 
Use Act Codes for PCC-4 and PCC-5
Submission Date
16:12, 21 May 2008 (CDT)
Profile Affected
QED
TF Version
2020
Volume and Section

Rationale

The QED Profile uses the HL7 Care Record message to query for Provision of Care Events. However, the codes used for query terms for the Medications and Immunizations transactions encode entities, not acts. This change proposal recommends the use of an Act related code in the careProvisionReason/value element to express the immunization and medications queries, and that the entities (medication and allergy) being requested be expressed as qualifiers in the concept descriptor used in the query.

Content

Note: Modify transaction PCC-4 as shown below


careProvisionCode

A Clinical Data Consumer may specify the following values from the HL7 ActCode vocabulary (2.16.840.1.113883.5.4) to obtain the observations listed in the table below.

Code Returns Template Id
RXCAT All Medications Medications
MEDLIST All Medications Medications
CURMEDLIST All active medications Medications
DISCHMEDLIST Discharge Medications Medications
HISTMEDLIST All Historical Medications Medications

A Clinical Data Consumer Actor may make requests using other codes to obtain information about specific medications, however, the Medication Data Repository Actor need not honor these codes.

Codes for medications may be found in RxNorm (2.16.840.1.113883.6.88), NDC (2.16.840.1.113883.6.69) and SNOMED CT (2.16.840.1.113883.6.96).

Note: The code value specified in the query may represent a code found in <code> of the <substanceAdministration>, or any of its components, and thus may identify an act or a substance


Note: Modify transaction PCC-5 as shown below
careProvisionCode

A Clinical Data Consumer may specify the following values from the HL7 ActCode vocabulary (2.16.840.1.113883.5.4) to obtain the immunzation records listed in the table below.

Code Returns Template Id
IMMUCAT All Immunizations Immunizations

A Clinical Data Consumer Actor may make requests using other codes to obtain information about specific Immunizations, however, the Immunizations Data Repository Actor need not honor these codes.

Codes for Immunizations may be found in RxNorm (2.16.840.1.113883.6.88), CVX (2.16.840.1.113883.6.59) and SNOMED CT (2.16.840.1.113883.6.96), and elsewhere.

Note: The code value specified in the query may represent a code found in <code> of the <substanceAdministration>, or any of its components, and thus may identify an act or a substance