PCC-1

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Query Existing Data

This section corresponds to Transaction PCC-1 of the IHE Patient Care Coordination Technical Framework. Transaction PCC-1 is used by the Clinical Data Consumer and Vital Signs Data Repository Actors.

Transaction PCC-1 is uses the same pattern as other transactions in the PCC Technical Framework: PCC-2, PCC-3, PCC-4, PCC-5 and PCC-6. The sections below first describe the general requirements of all of these transactions. Information specific to this transaction is described in futher detail below in the section on Domain Content.

Use Case Roles

Clinical Data Consumer   Clinical Data Source
Usecase.png
Query Existing Data
Actor
Clinical Data Consumer
Role
Requests a list of vital signs matching a minimal set of selection criteria from the Vitals Signs Repository.
Cooresponding HL7 Version 3 Application Roles
Care Record Query Placer (QUPC_AR004030UV)
Query by Parameter Placer (QUQI_AR000001UV01)
Actor
Clinical Data Source
Role
Returns clinical data matching the selection criteria supplied by the Clinical Data Consumer.
Cooresponding HL7 Version 3 Application Roles
Care Record Query Fulfiller (QUPC_AR004040UV)
Query by Parameter Fulfiller (QUQI_AR000002UV01)


Referenced Standards

CareRecord HL7 Care Provision Care Record (DSTU)
CareQuery HL7 Care Provision Care Record Query (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

Qcdpmo.png

Get Care Record Profile Query

Trigger Events

When the Clinical Data Consumer needs to obtain information about a patient it will trigger a Get Care Record Care Profile event. This cooresponds to the HL7 trigger event: QUPC_TE043100UV

Message Semantics

The Query Care Record Event Profile Query corresponds to the HL7 Interaction QUPC_IN043100UV.

A schema for this interaction can be found at: http://www.hl7.org/v3ballot2007may/html/processable/multicacheschemas/QUPC_IN043100UV.xsd. This schema includes:

  • the transmission wrapper MCCI_MT000100UV01,
  • the control act wrapper QUQI_MT020001UV01, and
  • the message payload QUPC_MT040100UV.

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. 

<QUPC_IN043100UV 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='QUPC_IN043100UV' 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>
</QUPC_IN043100UV>
<QUPC_IN043100UV 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".

<interactionId extension='QUPC_IN043100UV' root='2.16.840.1.113883.5'/>

The identifer for the interaction shall be sent as shown above.

<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.

<acceptAckCode code='AL'/>

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


Control Act Wrapper

The control act wrapper QUQI_MT020001UV01 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="RQO">
  <id root=' ' extension=' '/>
  
  <effectiveTime value=' '/>
  <languageCode code=' '/>
  <authorOrPerformer typeCode=' '></authorOrPerformer>
  
  <queryByParameter>
    <id root=' ' extension=' '/>
    <statusCode code='new'/>
    <responseModalityCode code='R'/>
    <responsePriorityCode code='I'/>
    <initialQuantity value=/>
    <initialQuantityCode code='REPC_RM000100UV' codeSystem='2.16.840.1.113883'>
    <parameterList>
      see Query Parameter List below
    </parameterList>
  </queryByParameter>
</controlActProcess>
<controlActProcess moodCode="RQO">

The controlActProcess element is where information about the business act being performed is recorded. The moodCode is set to "RQO" by the sender to indicate a request to perform an action, in this case, a query.

The trigger event which caused the act to be transmitted is recorded in the code element is recorded as shown above.

<queryByParameter>

HL7 Version 3 messages that perform a query specify the details of it in the <queryByParameter> element.

<id root=' ' extension=' '/>

The sending system shall specify the identifier of the query. This is the identifierr that is used in subsequent continuation or cancel messages.

<statusCode code='new'/>

When passing the parameter list, the <statusCode> element shall be recorded as above to indicate that this is a new query.

<responseModalityCode code='R'/>

The query response shall always be in real-time.

<responsePriorityCode code='I'/>

The query response shall always be immediate.

<initialQuantityCode code='REPC_RM000100UV' codeSystem='2.16.840.1.113883.5'>

The <initialQuantityCode> shall be sent when <initialQuantity> is sent. The code shall be the identifier of the HL7 artifact that is to be counted (e.g., R-MIM or C-MET identifer). In this profile what is being counted is clinical statements, so the code to use shall be REPC_RM000100UV.

Parameter List

The message supports specification of the data items listed in the table below as query parameters. The first column of this table provides the name of the parameter. The next column indicates the number of times it may occur in the query. The next column indicates the type of data expected for the query parameter. The next column indicates the vocabulary domain used for coded values. The Consumer column indicates whether the Clinical Data Consumer must send this parameter. The Repository column indicates whether the Data Repository must support this parameter.

A Clinical Data Consumer may supply parameters other than those required by this profile, but must appropriately handle any detected issue alert raised by the Data Repository in its response.

Parameter Name Cardinality Data Type Vocabulary Domain Consumer Repository
Query Parameters
careProvisionCode 0..1 CD   O R
careProvisionReason 0..* CD   O O
careRecordTimePeriod 0..1 IVL<TS>   O R
clinicalStatementTimePeriod 0..1 IVL<TS>   O R
includeCarePlanAttachment 0..1 BL   R R
maximumHistoryStatements 0..1 INT   O R
patientAdministrativeGender 0..1 CE AdministrativeGender O R
patientBirthTime 0..1 TS   O R
patientId 1..1 II   R R
patientName 0..1 PN   O R

An example of the query specification is described in the figure below. 

  <parameterList>
    <careProvisionCode>
      <value code='' displayName='' codeSystem='' codeSystemName=''/>
    </careProvisionCode>
    <careProvisionReason>
      <value code='' displayName='' codeSystem='' codeSystemName=''/>
    </careProvisionReason>
    <careRecordTimePeriod>
      <value><low value=''/><high value=''/></value>
    </careRecordTimePeriod>
    <clinicalStatementTimePeriod>
      <value><low value=''/><high value=''/></value>
    </clinicalStatementTimePeriod>
    <includeCarePlanAttachment><value value='true|false'/></includeCarePlanAttachment>
    <maximumHistoryStatements><value value=''/></maximumHistoryStatements>
    <patientAdministrativeGender>
      <value code='' displayName='' 
        codeSystem='2.16.840.1.113883.5.1' codeSystemName='AdministrativeGender'/>
    </patientAdministrativeGender>
    <patientBirthTime><value value=''/></patientBirthTime>
    <patientId><value root='' extension=''/></patientId>
    <patientName><value></value></patientName>
  </parameterList>
<parameterList>

The <parameterList> element shall be present, and contains the set of query parameters being used in this query.

<careProvisionCode><value code=' ' displayName=' ' codeSystem=' ' codeSystemName=' '/></careProvisionCode>

This <careProvisionCode> may be present. This element describes the information that is being looked for in the <value> element. When the <careProvisionCode> element is not present, it indicates that all relevant results are to be reported up to the maximum number specified in maximumHistoryStatements for each result. To obtain results that have not been coded, the <value> element may be specified with a nullFlavor attribute. There are various flavors of NULL defined in the HL7 NullFlavor vocabulary. A query for results coded using a specific flavor of null shall return all flavors of null that are equal to, or subordinate to that flavor of null within the HL7 hierarchy of null flavors [fnord].

Specific results or categories of results may be requested using the codes listed in the domain content section below.

<careProvisionReason><value code=' ' displayName=' ' codeSystem=' ' codeSystemName=' '/></careProvisionReason>

This element identifies the reason why the result was recorded. If specified, only those results which are recorded for the specified reason will be returned.

<careRecordTimePeriod><value><low value=' '/><high value=' '/></value></careRecordTimePeriod>

This element describes the time period over which the results were recorded. A query could for example, request new entries that have been processed for this patient since the last query request. If specified, only those results that were authored within the specified time period will be returned.

<clinicalStatementTimePeriod><value><low value=' '/><high value=' '/></value></clinicalStatementTimePeriod>

This element describes the effective time for the clinical statement. If specified, only those results that were effective within the clinical statement effective time will be returned.

The effectiveTime range of the returned clinical statements shall overlap or be wholely contained within the time range described by the <clinicalStatementTimePeriod> element. In the example below, the clinical statements with the effectiveTime values represented by time ranges B, C and D would be returned, while those with effectiveTime values represented by time ranges A and E would not, because they fall outside of the specified <clinicalStatementTimePeriod> value.

Effective Time and Clinical Statement Time Period
<includeCarePlanAttachment><value value='true|false'/></includeCarePlanAttachment>

The <includeCarePlanAttachment> element shall be sent, and must be set to either true or false depending upon whether care plans should be returned or not. A Data Repository may choose not to honor this request when the value is set to true, but must then raise a BUS detected issue alert to indicate that this capability is not supported. Note that many data repositories will not associate a care plan attachment with a specific result.

<maximumHistoryStatements><value value=' '/></maximumHistoryStatements>

This value indicates the maximum number of each type of result that will be returned by the query. No more than the maximum number will be returned. This value is NOT the maximum number of clinical statements returned, rather it is the maximum number of clinical statements returned for individual type of clinical statement specified in the careProvisionCode. Thus, if all results are requested (e.g., all Vital Signs), and maximumHistoryStatements/value/@value = 1, you will receive the most current value for each kind of result requested (e.g., one each of the most recent value for height, weight, blood pressure, tempurature, et cetera).

<patientAdministrativeGender>
 <value code=' ' displayName=' ' codeSystem='2.16.840.1.113883.5.1' codeSystemName='AdministrativeGender'/>

The patient gender may be provided in the query. If provided, it serves as a verification of the patient identity. The value must match the patient gender of the patient specified in patientId. If the two values do not match, the Vital Signs Data Repository will raise a detected issue alert.

<patientBirthTime><value value=' '/></patientBirthTime>

The patient birth time may be provided in the query. If provided, it serves as a verification of the patient identity. The value must match the patient birth time of the patient specified in patientId. If the two values do not match, the Vital Signs Data Repository will raise a detected issue alert.

<patientId><value root=' ' extension=' '/></patientId>

The patient identifier shall be specified in this element. The root and extension attributes shall be present. When used in cross enterprise settings, the root attribute shall the affinity domain identity OID.

Sending a query with a known invalid patientId element can be used to ping a Data Repository. For example, setting the root attribute to "0" and omitting the extension attribute should result in a response that raises an ILLEGAL detected issue alert on the patientId field, since the value "0" will never be used as the OID of a patient identity domain. This capability can be used by a Clinical Data Consumer to verify that it can connect to a Data Repository when configuration parameters are modified.

<patientName><value></value></patientName>

The patient name may be provided in the query. If provided, it serves as a verification of the patient identity. The value must match the patient name of the patient specified in patientId. If the two values do not match, the Data Repository will raise a detected issue alert.

Expected Actions -- Clinical Data Consumer

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.

Get Care Record Profile Response

Trigger Events

This message is triggered upon reciept of a Query Care Record Event Profile Query, or General Query Activate Query Continue or General Query Query Cancel Message. This corresponds to HL7 trigger event: QUPC_TE043200UV

Message Semantics

The Get Care Record Profile Response corresponds to the HL7 Interaction QUPC_IN043200UV. A schema for this interaction can be found at: http://www.hl7.org/v3ballot2007may/html/processable/multicacheschemas/QUPC_IN043200UV.xsd. This schema includes:

  • the transmission wrapper MCCI_MT000300UV01,
  • the control act wrapper MFMI_MT700712UV01, 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_MT000300UV01 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. 

<QUPC_IN043200UV 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='QUPC_IN043200UV' root='2.16.840.1.113883.5'/>
 <processingCode code='D|P|T'/>
 <processingModeCode code='T'/>
 <acceptAckCode code='NE'/>
 <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>
</QUPC_IN043200UV>
<QUPC_IN043200UV 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".

<interactionId extension='QUPC_IN043200UV' root='2.16.840.1.113883.5'/>

The identifer for the interaction shall be sent as shown above.

<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.

<acceptAckCode code='NE'/>

The acceptAckCode indicates whether the reciever wants to recieve an acknowledgement, and shall be sent as shown above. Query responses shall not require acknowledgements.

Control Act Wrapper

The control act wrapper MFMI_MT700712UV01 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>
  <subject>
     See Query Response below
  </subject>
  <queryAck>
    <queryId root=' ' extension=' '/>
    <statusCode code=' '/>
    <queryResponseCode code=' '/>
    <resultTotalQuantity value=' '/>
    <resultCurrentQuantity value=' '/>
    <resultRemainingQuantity value=' '/>
  </queryAck>
</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 a response to a query.

The trigger event which caused the act to be transmitted is recorded in the code element is recorded as shown above.

<subject>

The <subject> element shall be present to record the responses in a query request or continuation response.

<queryAck>

The queryAck element is transmitted in any message that is a response to a query, query continuation or query cancellation message.

<queryId root=' ' extension=' '/>

The <queryId> element shall be transmitted in a queryAck element. It shall contain an identifier that was used in the original query message.

<statusCode code=' '/>

The statusCode element in the queryAck element indicates the status of the query. It may contain the value 'deliveredResponse' or 'aborted'. If the value is 'aborted', no additional messages should be sent to the data repository for the specified query.

<queryResponseCode code=' '/>

The queryResponseCode element indicates at a high level the results of performing the query. It may have the value 'OK' to indicate that the query was performed and has results. It may have the value 'NF' to indicate that the query was performed, but no results were located. It may have the value 'QE' to indicate that an error was detected in the incoming query message, or 'AE' to indicate some other application error occurred.

<resultTotalQuantity value=' '/>

The resultTotalQuantity element should be present, and if so, enumerates the number of results found. It shall be present once the last result has been located by the data repository. This element gives the count of the total number of results located by the query. When present, the resultRemainingQuantity element shall also be present.

<resultCurrentQuantity value=' '/>

The resultCurrentQuantity element shall be present, and shall enumerate number of results returned in the current response.

<resultRemainingQuantity value=' '/>

This resultRemainingQuantity element may be present, and shall be present if resultTotalQuantity is present. It shall enumerate the number of results that follow the results currently returned.

Query Response

The <subject> element of the <controlActProcess> element shall appear as shown in the example below. 

<subject>
  <registrationEvent>
    <statusCode code='active'/>
    <custodian>
      <assignedEntity>
        <id root='' extension=''/>
        <addr></addr>
        <telecom></telecom>
        <assignedOrganization>
          <name></name>
        </assignedOrganization>
      </assignedEntity>
    </custodian>
    <subject2>
      <careProvisionEvent>
        <recordTarget>
          <patient>
            <id root='' extension=''/>
            <addr></addr>
            <telecom value='' use=''/>
            <statusCode code='active'/>
            <patientPerson>
              <name></name>
              <administrativeGenderCode code='' displayName='' 
                 codeSystem='2.16.840.1.113883.5.1' codeSystemName='AdministrativeGender'/>
              <birthTime value=''/>
            </patientPerson>
          </patient>
        </recordTarget>
        <pertinentInformation3>
           <!-- Domain Content -->
        </pertinentInformation3>
      </careProvisionEvent>
      <parameterList>
      </parameterList>
    </subject2>
  </registrationEvent>
</subject>
<subject>

The <subject> element shall be present, and is where the results are returned.

<registrationEvent>

At least one <registrationEvent> element shall be be present for each set of records returned from a different custodial source.

The <registrationEvent> is used to record the information about how the <careProvisionEvent> being returned was recorded or "registered" in the custodial system. The response to a Care Profile query is a CareProvisionEvent that is constructed in response to the query. This <careProvisionEvent> is transitory in nature, and is has limited "registration" information content.

A Data Repository that aggregates information from two or more other data repositories shall separate the information into multiple <registrationEvent> elements so as to record the different custodians of the information.

<statusCode code='active'/>

The <statusCode> element records the status of the data records. Queries shall only return active records, not replaced records, so the value of this element shall always be returned as 'active'.

<custodian>

The <custodian> element records the data repository that is the custodian, or "owner", of the data record. A Data Repository actor may return records from multiple custodians, but shall separate the data records from each custodian into different <registrationEvent> elements.

<assignedEntity>

The <assignedEntity> element shall be present, and provides contact and identification information about the <custodian>.

<id root=' ' extension=' '/>

The <id> element shall be present, and shall uniquely identify the custodian of the data records.

<addr></addr>

The <addr> element shall be present, and shall provide a postal address for the custodian of the data records.

<telecom></telecom>

At least one <telecom> element shall be present that provides a telephone number to contact the custodian of the data records. A <telecom> element may be present that provides the web service end-point address of the custodian of the data records.

For Public Comment How might the web service end-point address be used? Is it a good idea to include it, or should we omit this from the profile?
<assignedOrganization>
 <name></name>
</assignedOrganization>

The name of the organization that is the custodian of the data records shall be provided.

<subject2>

The <subject2> element provides the data content requested from the query.

<careProvisionEvent>

The <careProvisionEvent> elements returned by the Care Record Profile Query are compositions based upon the information requested in the query. It is transitory in nature, and does not necessarily coorespond to a single care provision activity stored within the data repository.

<recordTarget>

The <recordTarget> element records information about the patient for whom the Data Repository is returning results.

<patient>

The <patient> element contains information identifying the patient and providing contact information.

<id root=' ' extension=' '/>

At least one <id> element shall be present that identifies the patient. This <id> element shall be the same as the value of the <patientId> passed in the query. Other <id> elements may be present.

<addr></addr>

At least one <addr> element shall be present to provide a postal address for the patient. It may have the nullFlavor attribute set to UNK if unknown (e.g., for a repository that contains pseudonomized information), or set to MSK for repositories that may contain the information, but which do not choose to divulge the information (e.g., due to access permissions, et cetera).

<telecom value=' ' use=' '/>

At least one <telecom> element shall be present to provide a telephone number to contact the patient. It may have the nullFlavor attribute set to UNK if unknown (e.g., for a repository that contains pseudonomized information), or set to MSK for repositories that may contain the information, but which do not choose to divulge the information (e.g., due to access permissions, et cetera). Other <telecom> elements may be present to contain other contact methods, e.g., e-mail. One cannot determine from a <telecom> element with the nullFlavor attribute whether it is supposed to contain a telephone number, e-mail address, URL, or other sort of telecommunciations address. Due to this limitation, the assumption will be made that a <telecom> element with a nullFlavor attribute represents a telephone number that is unavailable.

<statusCode code='normal'/>

The <statusCode> element shall be present, and shall be represented exactly as shown above. This indicates that the role of patient is in one of the normal states, e.g., has not been explicitly removed or "nullified".

<patientPerson>

The <patientPerson> element shall be present, and provides further identification information about the patient.

<name></name>

The <name> element shall be present, and normally provides the patient's name. The <name> element may have the nullFlavor attribute set to UNK if unknown (e.g., for a repository that contains pseudonomized information), or set to MSK for repositories that may contain the information, but which do not choose to divulge the information (e.g., due to access permissions, et cetera).

<administrativeGenderCode code=' ' displayName=' '
 codeSystem='2.16.840.1.113883.5.1' codeSystemName='AdministrativeGender'/>

The <administrativeGenderCode> element shall be present, and normally provides the patient's gender using the HL7 AdministrativeGender vocabulary. The <administrativeGender> element may have the nullFlavor attribute set to UNK if unknown (e.g., for a repository that contains pseudonomized information), or set to MSK for repositories that may contain the information, but which do not choose to divulge the information (e.g., due to access permissions, et cetera).

<birthTime value=' '/>

The <birthTime> element shall be present, and normally provides the patient's birthTime. The <birthTime> element may have the nullFlavor attribute set to UNK if unknown (e.g., for a repository that contains pseudonomized information), or set to MSK for repositories that may contain the information, but which do not choose to divulge the information (e.g., due to access permissions, et cetera).

<pertinentInformation3>
 <!-- Domain Content>
<pertinentInformation3>

This data element shall be present. It shall contain one of the data elements found in the Data Repository that matches the specified query parameters. The content of this data element is a care statement that varies depending upon the specific transaction, and is futher defined in the section on Domain Content. Each care statement shall have at least one <author> element that indicates to whom the care statement is attributed. Each care statement may have zero or more <informant> elements that indicates who provided information related to the care statement. See the section below on Authors and Informants for more information on how this information should be recorded.

<parameterList>

The <parameterList> shall be present, and shall contain content that is identical to the <parameterList> passed in the query.

Expected Actions -- Data Repository

The Data Repository shall send a response as specified in the QUPC_IN043200UV 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_IN043200UV_Message in the WSDL. The following WSDL snippet defines the type for this message:

Query Response Message Type Definition 
 <types>
   <xsd:schema elementFormDefault="qualified" 
     targetNamespace="urn:hl7-org:v3" xmlns:hl7="urn:hl7-org:v3">
     <xsd:import namespace="urn:hl7-org:v3"
       schemaLocation="QUPC_IN043200UV.xsd"/>
     <xsd:element name="QUPC_IN043200UV"/>
   </xsd:schema>
 </types>

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

Query Respone Message WSDL Declaration 
 <message name='QUPC_IN043200UV_Message'>
   <part element='hl7:QUPC_IN043200UV' name="Body"/>
 </message>

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

Response to a New Query

The Data Repository, shall:

  1. Recieve and validate the query message.
  2. Create the response message.
  3. Add an ILLEGAL detected issue alert to the response message if the content is invalid (e.g., does not pass schema validation or is otherwise malformed), and immediately return a response indicating the error, and that the query was aborted. Set the text of the alert to the name of the first data element that is not valid. The Data Repository may send more than one ILLEGAL detected issue alert if it is able to determine that multiple data elements in the query are not valid.
  4. Add a NAT detected issue alert to the response message if the requesting party is not authorized to perform the query, and immediately return a response indicating the error, and that the query was aborted.
  5. Add a VALIDAT detected issue alert to the response message for each of the patientName, patientGenderCode or patientBirthTime fields specified in the query that do not match the values known by the Vital Signs Data Repository Actor. The text value on the alert shall be set to the name of the parameter that does not match (patientName, patientGenderCode or patientBirthTime).
  6. Add a BUS detected issue alert to the response message if includeCarePlanAttachment is true, but care plans are not associated with observation values. The text value on the alert shall be set to includeCarePlanAttachment.
  7. Add a BUS detected issue alert to the response message if a careProvisionReason value is specified, but the Data Repository cannot query by this field. The text value on the alert shall be set to careProvisionReason.
  8. Add a KEY204 detected issue alert to the response message if any of the vocabulary domains are not recognized by the Data Repository. The text value on the alert shall be set to the name of the query parameter that used the unrecognized vocabulary domain.
  9. Add a CODE_INVALID detected issue alert to the response message if any of the codes specified are not recognized by the Data Repository. The text value on the alert shall be set to the name of the query parameter that used the unrecognized vocabulary domain.
  10. Add a FORMAT detected issue alert to the response message if any date ranges are incorrectly formed (low > high). The text value on the alert shall be set to the name of the query parameter that has the error.
  11. Add a ILLEGAL detected issue alert to the response message if the the data repository does not recognize the identity domain used to identify the patient. Set the text value on the alert to patientId.
  12. Add a KEY204 detected issue alert to the response message if the the data repository does not know about the patient. Set the text value on the alert to patientId. This is distinct from having nothing to report. If the patient is recognized but there is no data to report, the result returned should simply have no data. However, if information is requested for a patient that isn't known, then the KEY204 alert shall be raised.
  13. Add an appropriate detected issue alert if any parameters otherwise not specified by this profile have been provided, but are not supported by the Data Repository.
  14. If any issues were detected, Set queryAck/statusCode/@code to aborted, and queryAct/queryResponse/@code to QE, and return the response.
  15. Add an ISSUE alert to the response message if at any time during response generation, an application error occurs that prevents further processing. Set the text of the alert to the reason for the application error (e.g., a stack trace or exception message). Set queryAct/statusCode/@code to aborted, and queryAct/responseCode/@code to AE, and return the response.
  16. Query for the data requested by the query.
  17. If results are found, set queryAct/queryResponse/@code to OK, otherwise set it to NF.
  18. Set queryAck/statusCode/@code to deliveredResponse.
  19. Add any results to the response up to the maximum number of history statements requested.
  20. If all results have been returned, release the query results.

A conforming Data Repository shall support those parameters that have an R in the Repository column from the table above, and need not support those query parameters that have an O in this column.

Response to a Query Continuation

The Data Repository, shall:

  1. Recieve and validate the query continuation message.
  2. Add an ILLEGAL detected issue alert to the response message if the content is invalid (e.g., does not pass schema validation or is otherwise malformed), and immediately return a response indicating the error, and that the query was aborted. Set the text of the alert to the name of the first data element that is not valid. The Data Repository may send more than one ILLEGAL detected issue alert if it is able to determine that multiple data elements in the continuation are not valid.
  3. Create the response message.
  4. Add a KEY204 detected issue alert to the response message if the the data repository does not recognize the queryId.
  5. Add a VALIDAT detected issue alert to the response message if the query was previously aborted or otherwise terminated.
  6. Add an appropriate detected issue alert if any parameters otherwise not specified by this profile have been provided, but are not supported by the Data Repository.
  7. If any issues were detected, Set queryAck/statusCode/@code to aborted, and queryAct/queryResponse/@code to QE, and return the response.
  8. Add an ISSUE alert to the response message if at any time during response generation, an application error occurs that prevents further processing. Set the text of the alert to the reason for the application error (e.g., a stack trace or exception message). Set queryAct/statusCode/@code to aborted, and queryAct/responseCode/@code to AE, and return the response.
  9. Scroll to the result requested in queryContinuation/startResultNumber, querying additional data if necessary.
  10. If more results are found, set queryAct/queryResponse/@code to OK, otherwise set it to NF.
  11. If no more results are found, ensure that the queryAck/resultTotalQuantity indicates the toal number of results found.
  12. Set queryAck/statusCode/@code to deliveredResponse.
  13. Add any results to the response up to the maximum number of history statements requested.
  14. Return the response message.
  15. Release query results if no additional messages on the query are recieved within an application configurable timeout value.
Response to a Query Cancel

The Data Repository, shall:

  1. Recieve and validate the query cancelation message.
  2. Create the response message.
  3. Add an ILLEGAL detected issue alert to the response message if the content is invalid (e.g., does not pass schema validation or is otherwise malformed), and immediately return a response indicating the error, and that the query was aborted. Set the text of the alert to the name of the first data element that is not valid. The Data Repository may send more than one ILLEGAL detected issue alert if it is able to determine that multiple data elements in the cancellation are not valid.
  4. Add a KEY204 detected issue alert to the response message if the the data repository does not recognize the queryId.
  5. Add an appropriate detected issue alert if any parameters otherwise not specified by this profile have been provided, but are not supported by the Data Repository.
  6. Add an ISSUE alert to the response message if at any time during response generation, an application error occurs that prevents further processing. Set the text of the alert to the reason for the application error (e.g., a stack trace or exception message).
  7. Set queryAck/statusCode/@code to aborted,
  8. If any application errors were detected, set the queryAct/queryResponse/@code to AE, otherwise, if any other issues were detected, set the value to QE, otherwise set it to NF.
  9. Return the response message.
  10. Release query results.
Raising Alerts

If the content of the request is not valid (e.g., according to the Schema or the rules of this profile), at least on ILLEGAL alert shall be raised indicating the data element that was invalid. A response will be sent indicating that the request was invalid, and no further processing shall be performed.

If the requesting party is not authorized to perform the query, the minimum response shall be sent indicating only that the requested is not authorized to perform the query.

In other cases, all possible alerts shall be accumulated before returning a response to the caller.

This enables Clinical Data Consumer actors to send a test query that will enable them to verify the vocabulary and other request parameters that are desired.

An alert is raised by sending a response containing one or more <reasonOf> elements, coded as shown below. 

<reasonOf>
  <detectedIssueEvent>
    <code code='' displayName='' codeSystem='' codeSystemName=''/>
    <text></text>
    <mitigatedBy>
      <detectedIssueManagement moodCode="RQO">
        <code code='' displayName='' codeSystem='' codeSystemName=''/>
        <text></text>
      </detectedIssueManagement>
    </mitigatedBy>
  </detectedIssueEvent>>
</reasonOf>
<reasonOf>

The <reasonOf> element is required to indicate that an alert has occured.

<detectedIssueEvent>

The details of the alert shall be present in the <detectedIssueEvent> element.

<code code=' ' displayName=' ' codeSystem='2.16.840.1.113883.5.4' codeSystemName='ActCode'/>

The <code> element shall contain ISSUE or one of its descendants from the HL7 ActCode vocabulary.

<text></text>

If a validation or other business rule error occurred, the erroneous parameter shall be identified in <text> element using the element name, and nothing else should be present.

If an application error occured, the <text> element shall contain diagnostic information (e.g., stack trace or exception message).

If the reason for the alert was an unrecognized code (CODE_INVALID), the text element shall contain the name of the erroneous parameter, and may contain a space separated list of OIDs identifying value sets which would be valid.

If the reason for the alert was an unrecognized identifier (KEY204) for the vocabulary used in the careProvisionCode or careProvisionReason element, the text element shall contain the name of the erroneous paramater, and may contain a space separated list of the OIDs for code systems which would be valid.

Expected Actions -- Clinical Data Consumer

The clinical data consumer processes the query response data. If the response indicates that more data is available, the clinical data consumer can request additional data using the General Query Activate Query Continue message, indicating which data is being requested.

General Query Activate Query Continue

Trigger Events

When a Clinical Data Consumer needs to obtain more results from a query, it will trigger the continuation of the query. This cooresponds the the HL7 trigger event: QUQI_TE000003UV01

Message Semantics

The Query Care Record Event Profile Query corresponds to the HL7 Interaction QUQI_IN000003UV01. A schema for this interaction can be found at: http://www.hl7.org/v3ballot2007may/html/processable/multicacheschemas/QUQI_IN000003UV01.xsd. This schema includes:

  • the transmission wrapper MCCI_MT000300UV01, and
  • the control act wrapper QUQI_MT000001UV01.

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

Transmission Wrapper

The transmission wrapper MCCI_MT000300UV01 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. 

<QUQI_IN000003UV01 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='QUQI_IN000003UV01' 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>
</QUQI_IN000003UV01>
<QUQI_IN000003UV01 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".

<interactionId extension='QUQI_IN000003UV01' root='2.16.840.1.113883.5'/>

The identifer for the interaction shall be sent as shown above.

<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.

<acceptAckCode code='AL'/>

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

Control Act Wrapper

The control act wrapper QUQI_MT020001UV01 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 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="RQO">
  <id root=' ' extension=' '/>
  
  <effectiveTime value=' '/>
  <languageCode code=' '/>
  <authorOrPerformer typeCode=' '></authorOrPerformer>
  <queryContinuation>
    <queryId root=' ' extension=' '/>
    <statusCode code='waitContinuedQueryResponse'/>
    <startResultNumber value=' '/>
    <continuationQuantity value=' '/>
  </queryContinuation>
</controlActProcess>
<controlActProcess moodCode="RQO">

The controlActProcess element is where information about the business act being performed is recorded. The moodCode is set to "RQO" by the sender to indicate a request to perform an action, in this case, a continuation of a query.

The trigger event which caused the act to be transmitted is recorded in the code element is recorded as shown above. incoming query message, or 'AE' to indicate some other application error occurred.

Continuation Request
<queryContinuation>

The queryContinuation element shall be sent in messages that are used to obtain more query results or cancel a current query.

<queryId root=' ' extension=' '/>

The identifier of the query to continue or cancel shall be reported in the queryId element.

<statusCode code='waitContinuedQueryResponse'/>

The statusCode element shall be sent, and indicates that this is a continuation of the query.

<startResultNumber value=' '/>

The startResultNumber element may be sent to indicate the query result to start returning from. If this element is sent, it shall be honored by the data repository. If this element is omitted, results will be sent that follow the last set of results sent. Results are numbered from 1, so setting this value to 1 will start with the first result returned. Setting this value to a number less than 1 will result in undefined application behavior.

<continuationQuantity value=' '/>

The continuationQuantity element may be sent on continuation requests to indicate the number of addition records to return. If sent it shall have a value greater than 0. The data repository may send fewer results than requested, but shall send no more than this value.

Expected Actions -- Clinical Data Consumer

Upon completion of all result processing, the clinical data consumer shall send a General Query Query Activate Continue message to obtain additional results.

The Data Repository shall send a response as specified in the QUQI_IN000003UV01 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 QUQI_IN000003UV01_Message in the WSDL. The following WSDL snippet defines the type for this message:

Query Response Message Type Definition 
 <types>
   <xsd:schema elementFormDefault="qualified" 
     targetNamespace="urn:hl7-org:v3" xmlns:hl7="urn:hl7-org:v3">
     <xsd:import namespace="urn:hl7-org:v3"
       schemaLocation="QUQI_IN000003UV01.xsd"/>
     <xsd:element name="QUQI_IN000003UV01"/>
   </xsd:schema>
 </types>

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

Query Respone Message WSDL Declaration 
 <message name='QUQI_IN000003UV01_Message'>
   <part element='hl7:QUQI_IN000003UV01' name="Body"/>
 </message>

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

General Query Query Cancel

Trigger Events

When the Clinical Data Consumer is finished with the query, it shall cancel the query. This cooresponds the the HL7 trigger event:QUQI_TE000003UV01 -- General Query Activate Query Continue

Message Semantics

The Query Care Record Event Profile Query Cancel corresponds to the HL7 Interaction QUQI_IN000003UV01. A schema for this interaction can be found at: http://www.hl7.org/v3ballot2007may/html/processable/multicacheschemas/QUQI_IN000003UV01.xsd. This schema includes:

  • the transmission wrapper MCCI_MT000300UV01, and
  • the control act wrapper QUQI_MT000001UV01.

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

Transmission Wrapper

The transmission wrapper MCCI_MT000300UV01 provides information about the message transmission and routing. Transmission wrappers are further described in ITI TF-2: Appendix O. The transmission wrapper used in the Query Cancel message is the same as the transmission wrapper used in the Query Continuation message described in the previous section.

Control Act Wrapper

The control act wrapper QUQI_MT020001UV01 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 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="RQO">
  <id root=' ' extension=' '/>
  
  <effectiveTime value=' '/>
  <languageCode code=' '/>
  <authorOrPerformer typeCode=' '></authorOrPerformer>
  <queryContinuation>
    <queryId root=' ' extension=' '/>
    <statusCode code='aborted'/>
    <startResultNumber value=' '/>
    <continuationQuantity value='0'/>
  </queryContinuation>
</controlActProcess>
<controlActProcess moodCode="RQO">

The controlActProcess element is where information about the business act being performed is recorded. The moodCode is set to "RQO" by the sender to indicate a request to perform an action, in this case, a continuation of a query.

The trigger event which caused the act to be transmitted is recorded in the code element is recorded as shown above. incoming query message, or 'AE' to indicate some other application error occurred.

Cancellation Request
<queryContinuation>

The queryContinuation element shall be sent in messages that are used to obtain more query results or cancel a current query.

<queryId root=' ' extension=' '/>

The identifier of the query to continue or cancel shall be reported in the <queryId> element.

<statusCode code='aborted'/>

The statusCode element shall be sent as shown above, and indicates that this is a continuation of the query.

<startResultNumber value=' '/>

The startResultNumber element shall not be sent in a cancellation request.

<continuationQuantity value=' 0'/>

The continuationQuantity element shall be sent and shall have a value 0 to indicate a cancellation.

Expected Actions -- Clinical Data Consumer

When finished with all query results, the clinical data consumer shall send a General Query Query Cancel message to cancel the query.

The name of the query response message shall be QUQI_IN000003UV01_Message in the WSDL, and this is declared as shown above for the Query Continue message. Other WSDL declarations required for this transaction are defined under the Domain Content section.

Domain Content

This section lists the requirements specific to the Query Vital Signs transaction.


Note: Implementors of a Clinical Data Source or Clinical Data Consumer Actors shall publish an HL7 Conformance Profile that indicates the vocabularies and code sets that they support for this transaction. An example of such a profile can be found here Example HL7 Conformance Statement

Get Care Record Profile Query

careProvisionCode

A Clinical Data Consumer can restrict the results returned in the query by setting the value attirbute of <value> element in the <careProvisionCode> element to a code identifying the clinical data to be returned. A Clinical Data Source can use the codes specified in the sections below to obtain different kinds of clinical data.

A Clinical Data Consumer Actor may make requests using other codes not specified below to obtain other clinical data, but these are not guaranteed to be supported by the Clinical Data Source actor.

Common Observations and Vital Signs

Common observations and vital signs are values that do not require specialized equipment or training to be measured or reported by a patient. Some common observations that may be of interest are glucometer readings, date of last menstruation, blood pressure, tempurature, height, weight, et cetera. Lab results would not be obtained using this transaction, nor would patient risk factors (e.g. ETOH (Alcohol) use), or the presence of any specific problems or allergies.

A Clinical Data Consumer may specify the value COBSCAT from the from the HL7 ActCode vocabulary (2.16.840.1.113883.5.4) domain to obtain all matching observations that coorespond to the LOINC code values from the table in Vital Signs Observation reproduced below. A Clinical Data Consumer may use any of the LOINC code values from this table to obtain any specific vital sign result.

Vital Signs Codes
LOINC Description Units Type
9279-1 RESPIRATION RATE /min PQ
8867-4 HEART BEAT
2710-2 OXYGEN SATURATION %
8480-6 INTRAVASCULAR SYSTOLIC mm[Hg]
8462-4 INTRAVASCULAR DIASTOLIC
8310-5 BODY TEMPERATURE Cel or [degF]
8302-2 BODY HEIGHT (MEASURED) m, cm,[in_us] or [in_uk]
8306-3 BODY HEIGHT^LYING
8287-5 CIRCUMFRENCE.OCCIPITAL-FRONTAL (TAPE MEASURE)
3141-9 BODY WEIGHT (MEASURED) kg, g, [lb_av] or [oz_av]
Problems and Allergies

Problems an allergies include various conditions, diagnoses, findings, symptoms, problems or complaints made or recorded by a provider or reported by a patient, and risks and other concerns that may not be explicitly classified as problem or allergy concerns.

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
MEDCCAT All problem entries Problem Entry
ALLGCAT All allergies Allergy and Intolerance Entry
CONDLIST All Concern Entries Concern Entry
PROBLIST All Problem Concerns Problem Concern
INTOLIST All Allergy Concerns Allergy and Intolerance Concern
RISKLIST All Risks1 Concern Entry

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.

One such set of codes that may be used are the problem codes listed in the Problem Entry, and reproduced in the table below.

Problem Codes
Code Description
64572001 Condition
418799008 Symptom
404684003 Finding
409586006 Complaint
248536006 Functional limitation
55607006 Problem
282291009 Diagnosis

Another such set of codes that may be used are from the HL7 ObservationIntoleranceType vocabulary, as used in the Allergy and Intolerance Entry.

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.


Note: The code value specified in the query may represent a code found in either the <code> or <value> elements of the <observation> element.


careProvisionReason

This text needs to be fixed-->>Need to put in general usage for careProvisionReason<<-- 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.


For Public Comment 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?


Get Care Record Profile Response

A Clinical Data Repository Actor shall respond to a query request by returning matching clinical statements within <pertinentInformation3> elements.

All information returned shall specify the author or authors of the returned information in a subordinate <author> element, and may indicate the informants in <informant> elements.

Common Observations and Vital Signs

The following rules applied to a Clincial Data Repository supporting the Vital Signs option.

When careProvisionCode is set to COBSCAT from the HL7 ActCode vocabulary domain, a Clinical Data Source supporting shall respond by returning all matching observations that coorespond to the LOINC code values from the table in Vital Signs Observation. It shall also respond to any of the individual LOINC codes found in that table to return specific kinds of vital signs measurements. The observations returned shall conform the the PCC Vital Signs Observation entry template.

A Clinical Data Source Actor may respond to requests using other LOINC codes to return other common observations. These observations shall conform to the Simple Obervations entry template. For example, a Clinical Data Source Actor may respond to a query request where the LOINC code matches any individual LOINC code found in the table in the Pregnancy Observations with clinical statements conforming to that entry template.

Problems and Allergies

The following rules applied to a Clincial Data Repository supporting the Problems and Allergies option.

The clinical statements that are returned for codes specified in the table above in the section on careProvisionCode shall conform to the template identifiers shown therein.

A Clinical Data Souorce 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 Problem Entry or Allergy and Intolerance Entry

WSDL Declarations

The following WSDL naming conventions SHALL apply for this transaction:

WSDL Definitions for PCC-1
WSDL Item Value
wsdl:definitions/@name ClinicalDataSource
Get Care Record Profile Query QUPC_IN043100UV_Message
Get Care Record Profile Response QUPC_IN043200UV_Message
General Query Activate Continue / Cancel QUQI_IN000003UV01_Messsage
portType ClinicalDataSource_PortType
Query Operation ClinicalDataSource_QUPC_IN043100UV
Continue Operation ClinicalDataSource_QUQI_IN000003UV01_Continue
Cancel Operation ClinicalDataSource_QUQI_IN000003UV01_Cancel
SOAP 1.1 binding ClinicalDataSource_Binding_Soap11
SOAP 1.1 port ClinicalDataSource_Port_Soap11
SOAP 1.2 binding ClinicalDataSource_Binding_Soap12
SOAP 1.2 port ClinicalDataSource_Port_Soap12

The following WSDL snippets specify the Port Type and Binding definitions, according to the requirements specified in ITI TF-2: Appendix V. A full WSDL example for the Clinical Data Source actor implementing the QED profile can be found at ftp://ftp.ihe.net/Patient_Care_Coordination/yr3_2007-2008/resources/Query.zip. For a general description of the WSDLs for QED see the Appendix of the same name in this volume.

Port Type
<portType name="ClinicalDataSource_PortType">
 <operation name="ClinicalDataSource_QUPC_IN043100UV">
   <input message="tns:QUPC_IN043100UV_Message"
     wsaw:Action="urn:hl7-org:v3:QUPC_IN043100UV"/>
   <output message="tns:QUPC_IN043200UV_Message" 
     wsaw:Action="urn:hl7-org:v3:QUPC_IN043200UV "/>
 </operation>
 <operation name="ClinicalDataSource_QUQI_IN000003UV01_Continue">
   <input message="tns:QUQI_IN000003UV01_Message"
     wsaw:Action="urn:hl7-org:v3:QUQI_IN000003UV01"/>
   <output message="tns:QUPC_IN043200UV_Message" 
     wsaw:Action="urn:hl7-org:v3:QUPC_IN043200UV "/>
 </operation>
 <operation name="ClinicalDataSource_QUQI_IN000003UV01_Cancel">
   <input message="tns:QUQI_IN000003UV01_Message"
     wsaw:Action="urn:hl7-org:v3:QUQI_IN000003UV01"/>
   <output message="tns:QUPC_IN043200UV_Message" 
     wsaw:Action="urn:hl7-org:v3:QUPC_IN043200UV "/>
 </operation>
</portType>
Port Types for PCC-1
Bindings
<binding name="ClinicalDataSource_Binding_Soap12" 
   type="ClinicalDataSource_PortType">
 <wsoap12:binding style="document"
   transport="http://schemas.xmlsoap.org/soap/http"/>
 <operation name="ClinicalDataSource_QUPC_IN043100UV">
   <wsoap12:operation soapAction="urn:hl7-org:v3:QUPC_IN043100UV"/>
   <input>
     <wsoap12:body use="literal"/>
   </input>
   <output>
     <wsoap12:body use="literal"/>
   </output>
 </operation>
</binding>
SOAP 1.2 Binding for PCC-1 
<binding name="ClinicalDataSource_Binding_Soap11" 
   type="ClinicalDataSource_PortType">
 <wsoap11:binding style="document"
   transport="http://schemas.xmlsoap.org/soap/http"/>
 <operation name="ClinicalDataSource_QUPC_IN043100UV">
   <wsoap11:operation soapAction="urn:hl7-org:v3:QUPC_IN043100UV"/>
   <input>
     <wsoap11:body use="literal"/>
   </input>
   <output>
     <wsoap11:body use="literal"/>
   </output>
 </operation>
</binding>
SOAP 1.1 Binding for PCC-1
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