Patient Care Coordination
IHE Patient Care Coordination (PCC) domain was established in July 2005 to deal with integration issues that cross providers, patient problems or time. It deals with general clinical care aspects such as document exchange, order processing, and coordination with other specialty domains. PCC also addresses workflows that are common to multiple specialty areas and the integration needs of specialty areas that do not have a separate domain within IHE.
IHE Patient Care Coordination manages the PCC Profiles and the PCC Technical Framework.
Timeline : 2007-2008 Development Cycle
Timeframe | Activity | Scheduled | Location |
---|---|---|---|
2006 | |||
Oct. | Submit Brief Profile Proposals to Planning Committee (PC) | Oct X - Deadline | |
Nov. | PCC Planning – New profile proposals (Lunch will be served prior to start of ITI meeting) | November 6-8 | RSNA |
Dec. | TC Review of PC Selected Profiles | Dec 4-5 | RSNA |
Feb. 2007 | PC Selects Final Profiles | Feb ??, 2007 | New Orleans (HIMSS) |
Mar, 2007 | Profile development kickoff meeting (TC Meeting) | Mar 13-17, 2007 | Chicago |
May, 2007 | Profile development meeting: finalize supplements for public comment (TC) | May 14-18, 2007 | Chicago |
Jun. | Publication of Public Comment Supplements | Jun 3, 2007 | www.ihe.net |
Jul. | Deadline for submission of public comments of profile supplements | Jul 17,2007 | forums.rsna.org |
Jul. | Reconciliation of public comments received (TC Meeting) | July 23-27 2007 | Chicago |
Aug. | Publication of Trial Implementation Supplements | Aug. 10, 2007 | www.ihe.net |
Aug. | Publication of Final Text Technical Framework | Aug. 10, 2007 | www.ihe.net |
2008 | |||
Jan. | Test implementations at Connectathon | Jan ??-?? | Chicago |
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 |
|||||
Medical Summaries |
H |
CDA Release 2.0 HL7 Care Record Summary |
CP Promote |
2005 |
|
Document Transfer |
H |
XDS Medical Summaries Linking |
ITI |
IP |
2005 |
Discharge Packaging (Discharge Back to Ambulatory Care Environment) |
H |
XDS Medical Summaries Linking |
CP |
2005 |
|
#1 Discharge Packaging (Discharge to Sub-Acute Nursing Facility/ Extended Care Facility) |
H |
XDS-MS Linking w other clinical reports Pt consent/granting role-based access controls (PCC #8) |
CP, IP |
2006 |
|
Discharge Packaging (Home Health Care Environment) |
H |
XDS Medical Summary Linking |
CP |
2007 |
|
Find Provider for Referral |
L |
Unknown |
Finance |
Research |
2007 |
Referral Notification/Authorization (payer focused) |
L |
X12-837 HL7 V3 |
Finance |
Research |
2007 |
Transfer of Care
workflow |
M |
HL7 V3 HL7 Care Transfer Messages |
IP |
2007 |
|
Document Types History and Physical Operative Notes Discharge/Transfer Summary (2005) Progress Notes Nursing Notes Flow Sheets Laboratory/Pathology Report - Plan to coordinate with IHE Lab activities largely in Europe, Canada, Asia
Radiology Report Cardiology Report Generic data dumps
Consultants Report ED Triage Surveillance Report ED Encounter Report |
H H M |
CDA Release 2.0 LOINC JCAHO (US) ELINCS [HL7 v2.4] - new transform for lab elements from v2 (using ELINCS as the stnd) to CDA v3 CCR (General, discipline-focused) |
Lab/Path (IHE Europe) Radiology Cardiology |
Research CP |
2006 - 2007 |
Orders between Providers / Ancillary Services |
H |
HL7 V3 HL7 V2 ORU |
ITI Lab Radiology |
Promote/ Adapt Existing IPs |
2006 |
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 |
2008 |
Pay for Performance Data Aggregation |
M |
Order Sets and Care Plans HL7 Templates HL7 Orders and Observations Minimum Data Sets Doc-IT |
Quality |
Research |
2008 |
Query for Medication List from Multiple Providers |
H |
HL7 V3 RxHub JCAHO Med Reconciliation |
Research |
2007 |
|
#2 Pt Created Summary Information Exchange - #1 Model 1: Payer-provided PHR w pt portal for viewing info Model 2: Provider-based portal f pts for viewing (lev1); updating (lvl2) info Model 3: PHR application system exchanging info electronically w EMRs via portal media (USB,CD), pt2pt network, XDS registry) |
|
HL7 EHR XDS-MS CCR ASTM EHR Data Model AHIMA PHR Definition (AHIP PHR Init, Connecting f Health) EHRVA PHR Definition WSRP (Web Services for Remote Portals) |
PCD |
CP (Model 3) IP referred to ITI domain (Document Interchange Media proposal) |
2006 |
Practice Management System to/from Ambulatory EHR Connection |
M |
HL7 V2.5 EHR DSTU CCHIT Interoperability |
ITI-PAM |
IP |
2007 |
Public Health Registries & Surveillance |
H |
XDS-MS w immunization structure |
Quality |
Refer to Quality Domain |
? |
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 CDISK 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 |
CP (Clinical Trial Data Capture profile) IP Referred to ITI domain (Retrieve Form for Display) |
2006+ |
|
#3 PCP to Emergency Dept Referral - #2 |
H |
Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (CCR) Pt consent/granting role-based access controls (PCC #8) |
ITI |
CP |
2006 |
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 |
CP |
2007 |
|
#4 Self-referred ED Event (no pre-announcement of pt arrival) |
H |
Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (CCR) Pt consent/granting role-based access controls |
ITI |
CP |
2006 |
ED to Surveillance Regsitry |
H |
2007 |
|||
ED to PCP transfer |
M |
XDS-MS CDA R2 |
2007 |
||
#5 IHE CCR Medical Summaries ED Use Case PHR Use Case (#2 above) |
XDS-MS or CDA/CRS (CCR) HL7 Care Record Query |
CP |
2006 |
||
#6 Pre-Surgical H&P - adds sections for Pt history, Pt physical data at a level 2 to an XDS-MS Submission Set - the beginning of a PCP to Acute Care Profile?? |
XDS-MS or CDA/CRS (CCR) Radiology Reports (XDS-I) Laboratory Reports Submission Set Deployment |
CP, IP |
2006 |
||
Healthcare Document MetaData |
CDA R2 Standard Document Content Formats (TIFF, pdf, JPEG, MIME) |
ITI |
Referred to ITI domain |
2006 |
|
Electronic Image Formats for Healthcare Text chart notes Graphs, Charts, Line Drawn diagrams Images (photos, medical images, non-med images) |
|
CDA R2 Standard Image Content Formats (TIFF, pdf, JPEG, GIF, PNG) |
ITI |
Referred to ITI domain |
2006 |
#7 Document Section Encoding Pediatrics (Immunizations, Growth charts) Public Health Survelliance (Immunizations, etc) Chronic Disease Mgmt
Revised to: Immunization, Vital Signs, and Laboratories |
CCR CDA R2 HL7 V3 Clinical Statement Model HL7 V3 Patient Care Structures HL7 V3 Pharmacy LOINC JCAHO (what stnds?) |
CP |
2006 |
||
Patient Selection Query Clinical trial qualifications Transfer to ECF assessment Chronic disease mgmt candidate Disease survelliance candidate |
HL7 V3 Care Record Query |
2007 |
|||
#8 Patient Consent for Access to Medical Records - #3
|
H |
ISO TS22600-1,2 ASTM E1762 W3C – XaDES ISO 22857 |
CP IP |
2006 2007 |
|
Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Soloman)
|
XDS-MS CDA R2 / CRS |
CARD |
Refer to Cardio domain |
2007 |
Current Activity
Contact the PCC Technical Committee if you would like to participate, or watch for Public Comment drafts in mid-July, 2007.
Participation
As a Clinician / Patient Advocate
Get involved in the planning committee. This is where the clinical problems are discussed and prioritized. The planning committee is an open group and is interested in having your input! Bring us your interoperability problems! You can also help by participating in the himss showcase scenario definitions.
You can do this by:
- Send us a note saying you’re interested so we can get you on the list-serves.
- Come to face to face meetings, and attend the telephone conferences.
- Submit your profile proposals by:
- Fill out this template.
- Submit the propsal draft to us.
- Attend the november planning meeting to help clarify and prioritize your proposal
- Follow up by submitting a the formal proposal
- Attend the joint planning/technical meeting to explain your idea to the technical committee
- Any additional resources you can provide toward the problem will help prioritize getting your proposal solidified more quickly.
As a Hospital Administrator
In addition to getting involved in the planning committee, hold your vendor accountable. Put a statement in your rfp that indicates you want the vendor to support the actor in the profile you desire.
As an Implementer
Get involved in the Technical Committee. Help make sure profiles are feasible and will work for you. Implement the profile, and come experience the Connectathon. Send us a note saying you’re interested so we can get you on the list-serves.
Profile Selection
These Brief Profile Proposals were selected by the planning committee for review for the 2007-2008 Development Cycle:
- Research Data Capture Clarification
- EMR Query (RFD Part2) for use with:
- Public health repository uses (e.g. HRSA)
- ACC repository
- Clinical trials (e.g. CDISC)
- Biosurveillance uses
- Claims Situational data elements
- Quality measure data extraction (incl pay for performance requirements)
- Drug safety
- Disease registry (overlap with d?)
- Patient education and literacy tracking uses
- Patient Selection Query for Clinical Trials
- Cross System Data Query: CDASH
- Emergency Department Encounter Record / ED to PCP transfer / ED to Surveillance Registry
- Antepartum Ambulatory Prenatal Care Summary
- Care Assessments & Assessment Instrument Content
These White Papers were selected to go forward for the 2007-2008 Development Cycle:
- Case Management for:
- Public Health Case Management Workflow
- Cross System Protocol Insertion
- Quality Report Document
These Detailed Profile Proposals were short-listed and evaluated by the Technical Committee
- ...
These items were selected by the Planning Committee for this Cycle:
Demonstrations & Presentations
Date | Location | Event | Details | |
---|---|---|---|---|
2007.02.25-2006-03.01 | New Orleans, LA | HIMSS 2007 | HIMSS Interoperability Showcase |
See Also
This page is based on the Domain Template.