PCC-7

Guideline Notification

This section corresponds to Transaction PCC-7 of the IHE Patient Care Coordination Technical Framework. Transaction PCC-7 is used by the Guideline Manager and Care Manager Actors.

Use Case Roles

Guideline Manager		Care Manager
Guideline Notification

Actor

Guideline Manager

Role

Notifies the Care Manager of new and/or updated guidelines for care

Cooresponding HL7 Version 3 Application Roles

Care Provision Informer (REPC_AR004010UV)

Actor

Care Manager

Role

Recieves notification of new and/or updated guidelines for care

Cooresponding HL7 Version 3 Application Roles

Care Provision Tracker (REPC_AR004020UV)

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)

Interaction Diagrams

File:Pcc7id.png

Guideline Notification

Trigger Events

When a new or updated guideline is released, the Guideline Manager uses this transaction to notify the Care Manager of the new and/or updated guideline. This cooresponds to the HL7 trigger events:

• Activate Care Provision (REPC_TE004110UV)
• Replace Care Provision (REPC_TE004913UV)

Message Semantics

This interaction cooresponds to the HL7 Interactions:

• Activate Care Provision (REPC_IN004110UV) {Schema: [1]}
• Replace Care Provision (REPC_IN004913UV) {Schema: [2]}

The schema for these interactions can be found at the links above, and include:

• the transmission wrapper MCCI_MT000100UV01,
• the control act wrapper MCAI_MT700201UV01, and
• the message payload REPC_MT004000UV.

These components of the interaction are specified in the HL7 standards described above.

Transmission Wrapper

The transmission wrapper MCCI_MT000100UV01 provides information about the message transmission and routing. Transmission wrappers are further described in ITI TF-2: Appendix O. An example transmission wrapper is given below for this interaction. Items marked in dark gray are transmitted as specified in ITI TF-2: Appendix O. Items in bold black text are further constrained by this profile in this interaction.

<REPC_IN004110UV xmlns="urn:hl7-org:v3" ITSVersion="XML_1.0"
                 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
 <id root=' ' extension=' '/>
 <creationTime value=' '/>
 <interactionId extension='REPC_IN004110UV|REPC_IN004913UV' root='2.16.840.1.113883.5'/>
 <processingCode code='D|P|T'/>
 <processingModeCode code='T'/>
 <acceptAckCode code='AL'/>
 <receiver typeCode="RCV">
   <device determinerCode="INSTANCE">
     <id/>
     <name/>
     <telecom value=' ' />
     <manufacturerModelName/>
     <softwareName/>
   </device>
 </receiver>
 <sender typeCode="SND">
   <device determinerCode="INSTANCE">
     <id/>
     <name/>
     <telecom value=' ' />
     <manufacturerModelName/>
     <softwareName/>
   </device>
 </sender>
 <controlActProcess>
  See Control Act Wrapper below
 </controlActProcess>
</REPC_IN004110UV>

<REPC_IN004110UV xmlns="urn:hl7-org:v3" ITSVersion="XML_1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">

The HL7 Interaction being sent will control the name of the root element in the message. The namespace of this message shall be urn:hl7-org:v3, and the ITSVersion attribute shall be "XML_1.0".

To indicate that this interaction is notification of activation of a guideline, the element shall be named: REPC_IN004110UV To indicate that this interaction is notification of replacement of a guideline, the element shall be named: REPC_IN004913UV

 <rule context='/'>
   <assert test='/hl7:REPC_IN004110UV|/hl7:REPC_IN004913UV'>
     The root element of a PCC-7 transaction shall be REPC_IN004110UV or REPC_IN004913UV from the HL7 namespace (urn:hl7-org:v3).
   </assert>
 </rule>

<interactionId extension='REPC_IN004110UV|REPC_IN004913UV' root='2.16.840.1.113883.5'/>

The identifer for the interaction shall be sent using either the value REPC_IN004110UV or REPC_IN004913UV depending upon whether this interaction describes activation or replacement respectively. This value must be the same as the name of the interaction element being sent.

 <rule context='/hl7:REPC_IN004110UV|/hl7:REPC_IN004913UV'>
   <assert test='hl7:interactionId/@extension = local-name()'>
     The interaction of a PCC-7 transaction shall be REPC_IN004110UV or REPC_IN004913UV and shall coorespond to the interaction being used in the message.
   </assert>
 </rule>

<processingModeCode code='T'/>

The processingModeCode distinguishes the type of processing being performed. This element shall be present and have the value shown above to indicate that this message is for current processing.

 <rule context='/hl7:REPC_IN004110UV|/hl7:REPC_IN004913UV'>
   <assert test='hl7:processingModeCode/@code = "T"'>
     The processingModeCode shall use the code value "T" for this message.
   </assert>
 </rule>

<acceptAckCode code='AL'/>

The acceptAckCode indicates whether the sender wants to recieve an acknowledgement, and shall be sent as shown above.

 <rule context='/hl7:REPC_IN004110UV|/hl7:REPC_IN004913UV'>
   <assert test='hl7:acceptAckCode/@code = "AL"'>
     The acceptAckCode shall use the code "AL" to indicate that the reciever must always acknowledge the message. 
   </assert>
 </rule>

Control Act Wrapper

The control act wrapper MCAI_MT700201UV01 provides information about the business actors related to the transaction, including the author or performer of the act. Control act wrappers are further described in ITI TF-2: Appendix O. An example transmission wrapper is given below for this interaction. Items marked in dark gray are transmitted as specified in ITI TF-2: Appendix O. Items in bold black text are further constrained by this profile in this interaction.

<controlActProcess moodCode="EVN">
  <id root=' ' extension=' '/>
  
  <effectiveTime value=' '/>
  <languageCode code=' '/>
  <authorOrPerformer typeCode=' '></authorOrPerformer>
</controlActProcess>

<controlActProcess moodCode="EVN">

The controlActProcess element is where information about the business act being performed is recorded. The moodCode is set to "EVN" by the sender to indicate notification of a guideline activation or change event.

 <rule context='//hl7:controlActProcess'>
   <assert test='@moodCode="EVN"'>
     The controlActProcess of a PCC-7 transaction shall have moodCode="EVN".
   </assert>
 </rule>

The trigger event which caused the act to be transmitted is recorded in the code element is recorded. The value of the code attribute shall be REPC_TE004110UV to record an activation event, or REPC_TE004913UV to record a replacement. The code attribute shall coorespond to the correct interaction.

 <rule context='//hl7:controlActProcess/hl7:code'>
   <assert test='(@code="REPC_TE004110UV" or @code="REPC_TE004913UV) and substring(@code,8,8) = substring(local-name(/),8,8)"'>
     The trigger event in a PCC-7 transaction shall be REPC_TE004110UV or REPC_TE004913UV, and shall coorespond to the interaction.
   </assert>
 </rule>

Expected Actions -- Guideline Manager

The clinical data consumer shall send a query as specified in the QUPC_IN043100UV interaction. The message shall be sent using web services as specified in the ITI-TF: Appendix V.

The name of the query response message shall be QUPC_IN043100UV_Message in the WSDL. The following WSDL snippet defines the type for this message:

Query Message Type Definition

<types> <xsd:schema elementFormDefault="qualified" targetNamespace="urn:hl7-org:v3" xmlns:hl7="urn:hl7-org:v3"> <!-- Include the message schema --> <xsd:import namespace="urn:hl7-org:v3" schemaLocation="QUPC_IN043100UV.xsd"/> <xsd:element name="QUPC_IN043100UV"/> </xsd:schema> </types>

The message type is declared to be of the appropriate type by the following WSDL snippet:

Query Message WSDL Declaration

<message name='QUPC_IN043100UV_Message'> <part element='hl7:QUPC_IN043100UV' name="Body"/> </message>

Other WSDL declarations required for this transaction are defined under the Domain Content section.