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The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Comment.gif Acuity

A acuity entry indicates the triage acuity entry and the triage time of the patient.


See Templates using Acuity

Acuity Example
  <!-- Acuity Event  -->
  <act classCode='OBS' moodCode='ENV'>
    <templateId root=''/>
    <id root=' ' extension=' '/>
    <code code=' ' displayName=' '
      <originalText><reference value='#(ID of text coded)/></orginalText>
    <text><reference value='#text/></text>
    <!-- effectiveTime 
      <low value=''/> <!-- start of triage, may be sent -->
      <high value=''/><!-- end of triage should be sent -->

<act classCode='TRNS' moodCode='INT'>

This element indicates that the entry is regarding the intent to transport the patient. This entry records the mode, and intended ending time of transportation, which is how the estimated time of arrival is determined.

<templateId root=''/>

The <templateId> element identifies this <act> as about the tranportation of the patient. The templateId must have root=''.

<id root=' ' extension=' '/>

The entry must have an identifier.

<code code=' ' displayName=' '
 codeSystem='2.16.840.1.113883.'  codeSystemName='DEEDS4.02'>

The code describes the triage acuity scale. IHE recommends the use the Emergency Severity Index (ESI). However, the vocabulary used within an affinity domain may be determined by a policy agreement within the domain.

<originalText><reference value='#xxx'/><orginalText>

This is a reference to the narrative text within the section that describes the acuity description.

<text><reference value='#text/></text>

This is a reference to the narrative text cooresponding to the Observation act.


The effectiveTime element shall be sent. It records the interval of time over which triage occurs. The use case for this information reqires that only the ending time of triage be recorded. However, the <low value=' '> element may be sent by systems that capture the beginning and end of the triage process.

<high value=' '/>

This element records the time of completion of triage, and is required. If unknown, it must be recorded using a flavor of null. This element may be sent using the TS data type, as shown above. If there is uncertainty about the time of completion of triage, the sender may record the time using the IVL_TS data type, as shown below.

Triage as a Time Range
<high xsi:type='IVL_TS'>
  <low value=''/>
  <high value=''/>