Difference between revisions of "PCC-2"

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=== Query Problems and Allergies ===
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===PCC-2===
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This section corresponds to Transaction PCC-2 of the IHE Patient Care Coordination Technical Framework.  Transaction Query Problems and Allergies is used by the Clinical Data Consumer and Problem and Allergy Data Repository Actors.
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''The functionality of this transaction was incorporated into {{ILink|PCC-2|PCC-1}} as a result of a Change Proposal.  This transaction is now reserved.''
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Transaction Query Problems and Allergies uses the same pattern as transaction {{ILink|PCC-2|PCC-1}}.  Therefore, the {{ILink|PCC-2|PCC-1_referenced_standards|Referenced Standards}} and {{ILink|PCC-2|PCC-1_interaction_diagrams|Interaction Diagrams}} sections of that transaction also serve to document the standards and interactions used in this transaction.  Information specific to this transaction is described in futher detail below in the section on [[#Domain Content|Domain Content]].
 
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==== Use Case Roles ====
 
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{{Use Case Roles
 
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|Clinical Data Consumer|Requests a list of problems or allergies for a given patient matching a minimal set of selection criteria from the Problem and Allergy Repository.
 
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:;Cooresponding HL7 Version 3 Application Roles:Care Record Query Placer ([http://www.hl7.org/v3ballot/html/domains/uvpc/uvpc_CareRecordQuery.htm#QUPC_AR004030UV-ar QUPC_AR004030UV])<br/>Query by Parameter Placer ([http://www.hl7.org/v3ballot/html/domains/uvqi/uvqi_QueryByParameter.htm#QUQI_AR000001UV01-ar QUQI_AR000001UV01])
 
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|Problem and Allergy Data Repository|Returns problems or allergy entries for a given patient matching the selection criteria supplied by the Clinical Data Consumer.
 
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:;Cooresponding HL7 Version 3 Application Roles: Care Record Query Fulfiller  ([http://www.hl7.org/v3ballot/html/domains/uvpc/uvpc_CareRecordQuery.htm#QUPC_AR004040UV-ar QUPC_AR004040UV])<br/>Query by Parameter Fulfiller ([http://www.hl7.org/v3ballot/html/domains/uvqi/uvqi_QueryByParameter.htm#QUQI_AR000002UV01-ar QUQI_AR000002UV01])
 
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|Tx=Query Problems and Allergies}}
 
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==== Domain Content ====
 
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This section lists the requirements specific to the Query Problems and Allergies transaction. 
 
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{{Note|Implementors of a Problems and Allergies Data Repository Actor, or a Clinical Data Consumer Actor shall publish an [http://www.hl7.org/v3ballot/html/infrastructure/conformance/conformance.htm#v3gconfclaims HL7 Conformance Profile] that indicates the vocabularies and code sets that they support for this transaction.}}
 
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===== Get Care Record Profile Query =====
 
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====== careProvisionCode ======
 
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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.
 
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{{T|Code|Returns|Template Id|Rows=
 
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{{R|MEDCCAT|All problem entries|{{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5|Problem Entry}}}}
 
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{{R|ALLGCAT|All allergies|{{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.6|Allergy and Intolerance Entry}} }}
 
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{{R|CONDLIST|All Concern Entries|{{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5.1|Concern Entry}}}}
 
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{{R|PROBLIST|All Problem Concerns|{{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5.2|Problem Concern}}}}
 
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{{R|INTOLIST|All Allergy Concerns|{{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5.3|Allergy and Intolerance Concern}}}}
 
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{{R|RISKLIST|All Risks<sup>1</sup>|{{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5.1|Concern Entry}}}}
 
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}}
 
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Note 1: Risks are other concerns that may not be explicitly classified as problem or allergy concerns.
 
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A Clinical Data Consumer Actor may make requests using other codes to obtain information about specific problem, allergy, or risk observations, however, the Problem and Allergy Data Repository Actor need not honor these codes.
 
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One such set of codes that may be used are the problem codes listed in the {{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5|Problem Entry}}, and reproduced in the table below.
 
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{{:1.3.6.1.4.1.19376.1.5.3.1.4.5/Problem Codes}}
 
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Another such set of codes that may be used are from the HL7 [http://www.hl7.org/v3ballot/html/infrastructure/vocabulary/ActCode.htm#ObservationIntoleranceType ObservationIntoleranceType] vocabulary, as used in the {{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.6|Allergy and Intolerance Entry}}.
 
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Additional codes for problems and allergies may be found in SNOMED CT (2.16.840.1.113883.6.96), ICD-9-CM diagnosis codes (2.16.840.1.113883.6.103), MEDCIN (2.16.840.1.113883.6.26), and in other controlled vocabularies.
 
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{{Note|The code value specified in the query may represent a code found in either the &lt;code> or <value> elements of the <observation> element.}}
 
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====== careProvisionReason ======
 
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When careProvisionCode is set to INTOLIST, or ALLGCAT from the HL7 ActCode domain (see above), or other values specific to allergies and/or intolerances,  the Clinical Data Consumer may specify the a code identifying a substance in the <value> element of the <careProvisionReason> element to refine the query to  allergies to a particular substance.  The <value> element shall contain a code from a controlled vocabulary that describes a substance.  The Problem and Allergy Data Repository Actor need not honor these codes.
 
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{{Note|Is this a correct use of careProvisionReason?  If not, how could we query for an allergy to a specific substance?  Only SNOMED-CT supports such a statement in a single post-coordinated code, which prevents use of NDC or RxNorm codes to identify the substance. Should we extend the parameterList to support specification of the drug using other codes?|For Public Comment}}
 
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===== Get Care Record Profile Response =====
 
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A Problems and Allergies Data Repository Actor shall respond to a query request by returning clinical statements matching the query parameter returned within <pertinentInformation3> data elements. 
 
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The clinical statements that are returned for codes specified in the table above in the section on [[#careProvisionCode|careProvisionCode]] shall conform to the template identifiers shown therein.
 
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A Problems and Allergies Data Repository Actor may respond to query requests using other codes to return information about specific problem, allergy or risk observations.  These observations shall conform to the {{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.5|Problem Entry}} or {{ILink|PCC-2|1.3.6.1.4.1.19376.1.5.3.1.4.6|Allergy and Intolerance Entry}}
 
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==== WSDL Declarations ====
 
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{{:PCC-1/WSDL|2|ProblemAndAllergy|Problems and Allergies Signs}}
 

Latest revision as of 10:56, 13 April 2009

PCC-2

The functionality of this transaction was incorporated into PCC-1 as a result of a Change Proposal. This transaction is now reserved.

Retrieved from "http://wiki.ihe.net/index.php?title=PCC-2&oldid=31733"